Réunion Annuelle IHE France 8 janvier 2008 1 Anatomic Pathology Domain (PAT) Co-chairs : C.Daniel...

Réunion Annuelle IHE France8 janvier 2008

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Anatomic Pathology Domain

(PAT)Co-chairs : C.DanielCo-chairs : C.Daniel (France), M.Garcia-Rojo(France), M.Garcia-Rojo (Spain) ,(Spain) ,T.SchraderT.Schrader (Germany)(Germany)

ARPH Supplement : W.Scharber (USA), F.MacaryARPH Supplement : W.Scharber (USA), F.Macary (France) (France)


Webinar IHE 2009

28 August, 2009

Overview

Intra hospital integration profilesOrdering and performing anatomic pathology

exams

CommunityAnatomic Reporting for Public Health


Webinar IHE 2009

28 August, 2009

Organization of Anatomic Pathology Technical Framework


Webinar IHE 2009

28 August, 2009

Anatomic Pathology Workflow (APW)

Addressed by the 2007-2008 cycle

Establishes the continuity and integrity of basic pathology data

Ordering and reporting aspects of the workflow Transactions maintaining the consistency of ordering

information, specimen management information and anatomic pathology reports.

Imaging aspects of the workflow Acquisition, storage and distribution processes of

images among multiple systems, enterprises and remote workstations.

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Webinar IHE 2009

28 August, 2009

Anatomic Pathology Workflow (APW)

ADTRegistration

Order PlacerOrders Placed

Modality worklist

Acquisition Modality(gross imaging/microscopic imaging)

Acquisition completed

Order Mgmt

PatientAdm

Mgmt

PACS(Image Archive/Image Manager)Images stored

Order FillerOrders acceptedReport created

Report Mgmt

Care Ward

Patient mgmt.

Anatomic PathologyLaboratory

Report/resultRepository

Reports stored

ImageMgmt


Webinar IHE 2009

28 August, 2009

APW actors & transactions


Webinar IHE 2009

28 August, 2009

APW profile dependencies


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28 August, 2009 8

HL7 & DICOM standard versions used

HL7 v2.5 OML^O21/ORL^O22 (PAT-1, 2 &4) ORU^R01 + report (PAT-3)

DICOM DICOM 2003 PS 3.4: Modality Worklist SOP Class (PAT-5) DICOM 2007 PS 3.4: Storage Service Class DICOM 2007 PS 3.4: Storage Commitment Push Model SOP

Class DICOM 2007 PS 3.4: Query/Retrieve Service Class Supplément 122 : Specimen Identification and Revised Pathology

SOP Classes


Webinar IHE 2009

28 August, 2009

Test cases

Different « subspecialties »Surgical pathology (4 cases)Biopsies (2 cases)Cytopathology (2 cases)Autopsy (1 case)TMA (1 case)

Complex relationships specimen/container1 specimen per container several specimen per container

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Webinar IHE 2009

28 August, 2009

Test casesSpecimen model : Usual situation

Specimen can be identified by containers’ ID

Gross imaging

Virtual slide


Webinar IHE 2009

28 August, 2009

Test cases Unusual situation: Tissue Micro ArrayMore than one derived

specimen on slide coming from the different blocks coming from different parts and from different patients


Webinar IHE 2009

28 August, 2009

Reporting Anatomic pathology to public health repositories (ARPH)

Editors: W.Scharber, C.Daniel, F.Macary

Public Health organizations collect data of diseases diagnosed in anatomic pathology laboratories such as cancers or premalignant conditions.

The ARPH profile defines the actors and transactions involved in anatomic pathology reporting to public health organizations. This integration profile will make it easier for anatomic

pathology laboratories, public health agencies, and software vendors to adopt a uniform method for report or data transmission and processing. It will facilitate international electronic reporting of anatomic pathology data in public health domain.

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Webinar IHE 2009

28 August, 2009

Global Perspective of Cancer Surveillance

International Association of Cancer Registries 241 Registries (Voting Member) from all 6

continents

North American Association of Central Cancer Registries All Canadian Provinces All US States All US Territories and Jurisdictions


Webinar IHE 2009

28 August, 2009

ARPH Use Case

Patient notices a black jagged mole on her right arm.

Dermatologist does a biopsy and sends the tissue sample to the pathology laboratory for review and diagnosis.

Pathologist analyzes the specimen and makes the diagnosis of: malignant melanoma.

Anatomic pathology LIS identifies the report as having a diagnosis of cancer (reportable event) and creates an HL7 2.5 message to send to the central cancer registry.

The Central Cancer Registries receives the message, codes the diagnosis and adds the case to the database.


Webinar IHE 2009

28 August, 2009

Reporting Anatomic pathology to public health repositories (ARPH)

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Webinar IHE 2009

28 August, 2009

ARPH actors & transactions


Webinar IHE 2009

28 August, 2009

Standards Used

HL7 v2.5ORU^R01 message (PAT-10)

LOINC

SNOMED CT

NAACCR* Standards for Cancer Registries Volume V: Pathology Laboratory Electronic Reporting v3.0

NAACCR Search Term List

International Classification of Diseases, 10 th rev (and 9th rev)

*NAACCR - North American Association of Central Cancer Registries (www.naaccr.org)


Webinar IHE 2009

28 August, 2009

White paper : Anatomic Pathology Structured Reports

Editors: C.Daniel, H.Kussaibi, F.Macary, M.Kennedy, D.Booker

Objective Analysis of national initiatives for standardizing Anatomic

Pathology structured reports– e.g CAP Cancer Checklists (US), SFP templates (France)

Choice of the IT format to store and share structured reports in anatomic pathology

Standards & Systems• HL7 CDA• HL7 v3 : Domains Laboratory, Specimen, Observation • DICOM SR

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Webinar IHE 2009

28 August, 2009

Questions?


Webinar IHE 2009

28 August, 2009

More information IHE Anatomic Pathology - Users

France : ADICAP (Association for the Development of Informatics in Cytology and Pathology), SFP (French Society of Pathology)

Spain : SEIS (Spanish Society of Health Informatics), SEAP (Spanish Society of Pathology), SESCAM, Servicio de Salud de Castilla-La Mancha

Germany: Charité Universitätsmedizin Berlin

Italy : Udine University

US/Canada : CAP, NAACCR (North American Association of Central Cancer Registries)

Japan : IHE-Japan

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Webinar IHE 2009

28 August, 2009

More information IHE Anatomic Pathology - Vendors

Acquisition modalities: Tribvn/Aperio, Zeiss, VMScope, Hamamatsu, Aurora

LIS: Technidata (Montbonnot Saint Martin, France), Infologic (Valence, France), Satec, Isoft, Nexus, Paschmann GMBH

PACS Vendors: Agfa, GE, ETIAM (Rennes)

EHR: Medasys (Gif/Yvette)

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Webinar IHE 2009

28 August, 2009

More information

Googlegroup : [email protected]

Road map & change proposalshttp://wiki.ihe.net/index.php?title=Anatomic_Pa

thology

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Webinar IHE 2009

28 August, 2009

Contributors to the IHE Anatomic Pathology Technical Framework

Practicing pathologists Dominique Henin, MD, PhD (ADICAP, AP-HP, Paris, France); Fréderique Capron, MD,

PhD (ADICAP, AP-HP, Paris, France); Bettina Fabiani, MD (ADICAP, AP-HP, Paris, France); Jean-Marc Guinebretière, MD (Centre René Huguenin, ADICAP, France); Marcial García Rojo, MD, PhD (Hospital General de Ciudad Real, Ciudad Real, Spanish Society of Health Informatics-SEIS, Spain); Ernesto Moro (Universidad Rey Juan Carlos, Madrid, Spanish Society of Pathology-SEAP, Spain); Thomas Schrader, MD, PhD (La Charité, Berlin, Germany); John Gilbertson, MD (Harvard Medical School and Beth Israel Deaconess Medical Center, Boston, United States); Bruce A. Beckwith, MD (Laboratory Medicine Department of Pathology, Salem, United States); Luis Goncalves, MD (Hospital de Evora, Portugal); Ikuo Tofukuji, MD (Takasaki University of Health and Welfare, Japan), David Booker (HL7 AP, CAP).

Informatics technology professionals Karima Bourquard, PhD (GMSIH, Paris, France); Christel Daniel, MD, PhD (AP-HP,

INSERM, ADICAP, Paris, France); Vincenzo Della Mea, PhD (Department of Mathematics and Computer Science, University of Udine, Udine, Italy); François Macary (GMSIH, Paris, France); Carlos Peces (SESCAM, Spain); Miguel Angel Laguna, PhD (HGCR-SESCAM, Spain); Eric Poiseau, PhD (IHE, France), Mary Kennedy (HL7 AP, CAP), Wendy Scharber (CDC-Contractor), Lori A. Havener (NAACCR)

Vendors Didier Adelh (Samba Technologies); Jean-Christophe Cauvin, PhD (Medasys,

Gif/Yvette, France); Emmanuel Cordonnier (Etiam, Rennes, France); Jacques Klossa, PhD (Tribvn, Chatillon, France); François Lecertisseur (Technidata); Damien Mazoyer (Infologic); Takashi Okuno (Olympus Medical Systems); Harry Solomon (GE, Chicago, United States)

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Réunion Annuelle IHE France 8 janvier 2008 1 Anatomic Pathology Domain (PAT) Co-chairs : C.Daniel...

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