DICOM GPWL: Post-Processing Workflow, Reporting Workflow

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DICOM GPWL: Post-Processing Workflow, Reporting Workflow

  1. 1. 1September, 2005 What IHE Delivers Post Processing Workflow Reporting Workflow IHE Workshop 2006IHE Workshop 2006 IHE Radiology EducationIHE Radiology Education Sanjay Jain, Planning CommitteeSanjay Jain, Planning Committee
  2. 2. 2 Post-processing WorkflowPost-processing Workflow AbstractAbstract ActorsActors TransactionsTransactions GroupingGrouping Worklist QueriesWorklist Queries
  3. 3. 3 Abstract / ScopeAbstract / Scope Schedule, distribute and track post-Schedule, distribute and track post- processing workflow steps usingprocessing workflow steps using standardized mechanismsstandardized mechanisms  Manage worklists, Query WorklistsManage worklists, Query Worklists  Track statusTrack status  Perform & notify image processing & CAD stepsPerform & notify image processing & CAD steps  Workitems can be performed and the resultingWorkitems can be performed and the resulting status known and sharedstatus known and shared
  4. 4. 4 Value PropositionValue Proposition Schedule, distribute and track the statusSchedule, distribute and track the status of typical post-processing workflow stepsof typical post-processing workflow steps such as:such as:  Computer-Aided DetectionComputer-Aided Detection  Clinical Analysis Image ProcessingClinical Analysis Image Processing  3-D view generation3-D view generation  Quality AssuranceQuality Assurance
  5. 5. 5 Post Processing ManagerPost Processing Manager Only one actor introduced in this profileOnly one actor introduced in this profile Must be grouped with either DSS/OrderMust be grouped with either DSS/Order Filler or Image ManagerFiller or Image Manager
  6. 6. 6 Post-Processing ManagerPost-Processing Manager GroupedGrouped with Image Managerwith Image Manager Post-Processing Manager IM/IA DSS/OF Performed Work Status Update (optional) PWF Profile SWF Profile Grouping – option 1Grouping – option 1
  7. 7. 7 Post-Processing ManagerPost-Processing Manager Grouped with DSS/OFGrouped with DSS/OF Post Processing Manager IM/IA DSS/OF PWF Profile SWF Profile Performed Work Status Update Grouping – option 2Grouping – option 2
  8. 8. 8 Measurements CAD report ……………… ……………… Store ImagesStore Images Store SRStore SR Storage Commitment Storage Commitment List of Images/SR Post-ProcessingPost-Processing WorklistWorklist Worklist Workitem Claimed PP-Performed Step Started Workitem Completed PP-Performed Step Completed PP-Performed Step: Pat Name/ID Accession #, Study UID Performed Status = Started Post-Post- ProcessingProcessing PerformedPerformed ProcedureProcedure StepStep PP-Performed Step: Complete List of Images/SRComplete List of Images/SR Performed Status = Completed Image Manager/Archive & Post Processing Manager OF/DSS 3-D Workstation Workflow: Post-Processing ManagerWorkflow: Post-Processing Manager grouped with Image Managergrouped with Image Manager
  9. 9. 9 TransactionsTransactions TransactionTransactions based on following DICOMs based on following DICOM ServicesServices::  General Purpose WorklistGeneral Purpose Worklist  General Purpose Scheduled Procedure Step  General Purpose Performed Procedure Step Storage Service ClassesStorage Service Classes  Basic Text SR SOP Class  Enhanced SR SOP Class  Comprehensive SR SOP Class
  10. 10. 10 General Purpose WorkitemsGeneral Purpose Workitems
  11. 11. 11 Acquisition Modality Post- Processing ORDER A request for Radiological Service Radiology Department Set of Codifiable, Billable ActsOne or more series of images M-Perf. Procedure Step P1 Requested Procedure 1 Scheduled Procedure Step B Scheduled Procedure Step A Report One or more series of images PP-Perf. Procedure Step P2 DICOM Modality Worklist DICOM Post-Processing Worklist Modality & Post-Processing StepsModality & Post-Processing Steps
  12. 12. 12 Patient Oriented worklist QueryPatient Oriented worklist Query Worklist for a specificWorklist for a specific patient/procedurepatient/procedure SCU shall support allSCU shall support all combinations of thecombinations of the matching keysmatching keys Patient's Name Patient ID Referenced Request Sequence >Accession Number >Requested Procedure ID Scheduled Workitem Code Sequence >Code Value >Coding Scheme Designator
  13. 13. 13 StationStation Oriented Worklist QueryOriented Worklist Query Broad worklist forBroad worklist for aa particular workstationparticular workstation SCU must support allSCU must support all combinations of thecombinations of the matching keysmatching keys General Purpose Scheduled Procedure Step Status Scheduled Station Name Code Sequence >Code Value >Coding Scheme Designator Scheduled Procedure Step Start Date and Time Scheduled Workitem Code Sequence >Code Value >Coding Scheme Designator
  14. 14. 14 ClassClass Oriented Worklist QueryOriented Worklist Query Broad worklist for aBroad worklist for a particular class ofparticular class of workstationsworkstations SCU must support allSCU must support all combinations of thecombinations of the matching keysmatching keys General Purpose Scheduled Procedure Step Status Scheduled Station Name Code Sequence >Code Value >Coding Scheme Designator Scheduled Procedure Step Start Date and Time Scheduled Workitem Code Sequence >Code Value >Coding Scheme Designator
  15. 15. 15 Reporting WorkflowReporting Workflow AbstractAbstract Use CasesUse Cases Actors InvolvedActors Involved TransactionsTransactions GroupingGrouping
  16. 16. 16 Diagnostic Reporting Use CasesDiagnostic Reporting Use Cases Predefined reportPredefined report Workitem deferredWorkitem deferred Direct report creationDirect report creation Interpretation and dictationInterpretation and dictation TranscriptionTranscription Partial completionPartial completion VerificationVerification
  17. 17. 17 Predefined reportPredefined report The user chooses a report from a list ofThe user chooses a report from a list of pre-configured draft reportspre-configured draft reports The results are normal I will also verify the report
  18. 18. 18 Task deferredTask deferred The user selects the task and decides notThe user selects the task and decides not to perform itto perform it Put this task back on the worklist.
  19. 19. 19 Partial CompletionPartial Completion The user begins the task and then decidesThe user begins the task and then decides that this task cannot be completed at thisthat this task cannot be completed at this momentmoment Bad data quality! New acquisition is required
  20. 20. 20 VerificationVerification The user may need to correct the report'sThe user may need to correct the report's content by dictationcontent by dictation Send report back to the transcriptionist for correction
  21. 21. 21 Abstract / ScopeAbstract / Scope Workflow Profile addresses the need toWorkflow Profile addresses the need to schedule, distribute and track the statusschedule, distribute and track the status of the reporting workflow tasks such asof the reporting workflow tasks such as  InterpretationInterpretation  TranscriptionTranscription  VerificationVerification Worklists for each of these tasks areWorklists for each of these tasks are generated and can be queriedgenerated and can be queried Report format neutral (DICOM SR,Report format neutral (DICOM SR, HL7/CDA, XML, PDF, etc.)HL7/CDA, XML, PDF, etc.)
  22. 22. 22 Reporting Workflow ActorsReporting Workflow Actors Report ManagerReport Manager Report CreatorReport Creator Report ReaderReport Reader Department System Scheduler/Order FillerDepartment System Scheduler/Order Filler PPS ManagerPPS Manager Image Manager/Image ArchiveImage Manager/Image Archive
  23. 23. 23 Transaction DiagramTransaction Diagram Report Manager Report Creator/ Reader IM/IA PPS Manager DSS/OF Reporting Worklist Provided Workitem Claimed MPPS Completed Image Availability Procedure Scheduled Procedure Update P. Work Status Update Workitem PPS in Progress Workitem PPS Completed Workitem Completed
  24. 24. 24 Reporting Workflow GroupingReporting Workflow Grouping Report Manager not grouped with neitherReport Manager not grouped with neither IM nor DSSIM nor DSS Report Manager IM/IA DSS/OF Performed Work Status Update RWF Profile SWF Profile SWF Profile Performed Work Status Update, if needed
  25. 25. 25 Reporting Workflow GroupingReporting Workflow Grouping Report Manager grouped with ImageReport Manager grouped with Image ManagerManager Report Manager IM/IA DSS/OF Performed Work Status Update (optional) RWF Profile SWF Profile
  26. 26. 26 Reporting Workflow GroupingReporting Workflow Grouping Report Manager grouped with DSS/OFReport Manager grouped with DSS/OF Report Manager IM/IADSS/OF RWF Profile SWF Profile Performed Work Status Update, if needed
  27. 27. 27

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