Report on Japanese Activities

Hidenori Shinoda

RSNA 2005

Chicago, USA

What we have done?

• We translated the materials which were used at the DICOM conference at Budapest in September, 2005. One of examples is shown.

• One of Japanese users adopted IHE specification. They would now apply the reporting workflow and WADO feature. We now suggest for them. The hospital is the first example of success stories of IHE in Japan.

IHE-J activities

• Connectathon 2005 – We are now in the process to prepare IHE-J 2006.– We had vendor workshops twice by now.– 29 vendors and 62 systems will participate to IHE-

J year 5.

• We try to develop frameworks for endoscopic and pathological stury.

Workflow of Endoscopic Study

Ｐｔ

PACS Report DB

Ordering System

Endoscopy System

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Ｎｓ

PathologySystem

Order of Pathological Study

Endoscopist

Pathology Dpt.

Result

Order andReservation

Endoscopy Study Outpatient Serviceafter the study

Physician

Pre-medication

Order for Study

Physician

Endoscopy　 Scheduled Workflow (Draft) 2005.Aug.ADT

OrderPlacer

OrderFiller

AcquisitionModality

ImageManager

ImageArchive

ImageCreator

ImageDisplay

Pt.Registration Pt.Registration

Filler Order Management

Modality Worklist Provided

Procedure Scheduled

Modality PPS

PPS

PPS

Modality Image Stored

Storage Commitment

Creator PPS

Storage Commitment

Creator Image Stored

Query Images

①Placer Order Management

Pt.Update Pt.Update

Pt.Update

Image Availability Query

Retrieve Images

ReportManager

ReportCreator

ReportReader

ReportRepository

OrderManager

Patho OrderPlacer

Patho OrderFiller IHE Pathology

Accept specimens

Check images Ready

ImageDisplay

Order of Endoscopy accepted

Reporting finish

Patho Order Request ・ Patho Order No.

SpecimenManager

Modality Worklist Provided PPS

PPSManager

Blue: HL7 MessagesGreen: DICOM Messages

Endoscopy Reporting WF

Patho Order Request.

Patho Order No.

WF of Pathological Study with Optical Microscope

Take sample

Place order

PhysicianSurgeon etc. Medical technologist Pathologist

Receive order, patient data, clinical data Register patientReceive sample

Process sampleMake slide

Refer all dataObserve slideMake report

Receive reportDecide care

Take gross pictureMake block

Gross imageCutting drawing

Key image

Image archiveImage display

Preprocess

Diagnosis process

Attach

Issues concerned

• We feel lack of proper standards that should be deployed to the cases.– IHE-Pathology was initiated by French Pathologic

al society and now DICOM has the workgroup for that. We would participate the activity.

– In case of endoscopic workfow, we now are involved in developing HL7 messages for the study.

ワークアイテムの問合せ (Ouery for Workitems)

• General Purpose Worklist SOP Class

• 問合せの例 :– Patient Oriented Query: 特定の患者 / プロシージャに対するワークリスト– Station Oriented Query: 特定のワークションに対する広範囲のワークリ

スト– Class Oriented Query: ワークステーションの種類に対する広範囲のワ

ークリスト（例えば、 CT 3D 再構成用ワークステーショ

ン）• ワークアイテム・コードによって提供されるワークリスト ,

例えば、画像処理やコンピュータ支援診断

RIS Workstation

C-FIND-RQ

C-FIND-RSP