HIMSS/RSNA Vendor Workshop, April 2003

Evidence DocumentsEvidence Documents

Techs Produce More Than Images

Kevin O’Donnell, Toshiba

Co-Chair, Planning Committee

HIMSS/RSNA Vendor Workshop, April 2003

Profile SummaryProfile Summary New Content Profile SR Coded Data

DICOM Structured Reporting

Output from Acquisition and Post Processing Workflows

Input to Reporting Workflow

HIMSS/RSNA Vendor Workshop, April 2003

MotivationMotivation

Support Measurements from Modalities Support CAD Clear up confusion with SINR

– When is a “report” not a Report?– Managed differently– Different distribution (departmental)– Data vs Diagnostic

HIMSS/RSNA Vendor Workshop, April 2003

Examples of UsageExamples of Usage Mammography CAD results Ultrasound OB/Gyn “Reports” Echocardiography “Reports” Procedure Logs

Watch for new DICOM SR SOP’s and templates

HIMSS/RSNA Vendor Workshop, April 2003

Actors & TransactionsActors & Transactions

Renamed Image Creator to Evidence Creator

Store Evidence Documents (w Storage Commit) Query/Retrieve Evidence Documents Image Displays

required to display Evidence Documents unambiguously should not query for template ids it can’t render

HIMSS/RSNA Vendor Workshop, April 2003

Transaction FlowTransaction Flow

Standard flow of a Content Profile– Content is created, stored, committed– Content is managed– Content is available for query, retrieve, use

HIMSS/RSNA Vendor Workshop, April 2003

SR Status in DICOMSR Status in DICOM Approved

– Basic SR SOP– Enhanced SR SOP– Comprehensive SR SOP– Mammography CAD SR SOP– Chest CAD SR SOP– OB-Gyn Ultrasound Procedure Report

In Process (Public Comment, Letter Ballot)– Vascular Ultrasound SR– Catheterization Lab Procedure Report– Echocardiography SR

HIMSS/RSNA Vendor Workshop, April 2003

SynergiesSynergies

Input to Reporting Workflow– Include Evidence Documents in Reading

Worklists– Report Creator Could Read Evidence

Documents and plug values into draft reports

Data Mining Applications

HIMSS/RSNA Vendor Workshop, April 2003

ReferencesReferences Profile – Volume 1 Chapter 14 Transactions 43, 44, 45 of Volume 3 DICOM Supplements (Standard & WIP)

– Supp 23: Structured Reporting– Supp 26: US OB-Gyn Reports– Supp 50: Mammography CAD– Supp 65: Chest CAD– Supp 66: Catheterization Lab SR– Supp 71: Vascular US Procedure Reports– Supp 72: Echocardiography Procedure Reports– Supp 77: IVUS SR– Supp 78: Fetal & Pediatric Echocardiography SR– Supp 79: Breast Imaging Reports

“DICOM Structured Reporting” by Dr. David Clunie

HIMSS/RSNA Vendor Workshop, April 2003

Questions,Questions,

Comments,Comments,

and/orand/or

Suggestions?Suggestions?