Report on Japanese Activities

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 IHEJ year 5.
• We try to develop frameworks for endoscopic
and pathological stury.
Workflow of Endoscopic Study
Ordering Endoscopy
System
System
Report
DB
PACS
Pathology Dpt.
Pathology
System
Order of Pathological Study
Order for
Study
Result
Ｎｓ
Physician
Ｐｔ
Order and
Reservation
Endoscopist
Ｐｔ
Pre-medication
Ｐｔ
Endoscopy Study
Physician
Ｐｔ
Outpatient Service
after the study
Endoscopy Scheduled Workflow
(Draft) 2005.Aug.
Pt.Registration
Pt.Update
Image Availability
Query
PPS
Order
Filler
Filler Order Management
Procedure Scheduled
Pt.Update
Patho Order Request・Patho Order No.
Image
Creator
Storage Commitment
Modality
Worklist
Provided
Specimen
Manager
PPS
Creator Image Stored
Image
Manager
Image
Archive
Storage Commitment
Modality Worklist Provided
Modality PPS
PPS
Pt.Update
①Placer Order Management
Creator PPS
PPS
Manager
Pt.Registration
ADT
Acquisition
Modality
Query Images
Modality Image
Stored
Retrieve Images
Patho Order
Placer
Order
Placer
Patho Order
Filler
Accept specimens
IHE Pathology
Image
Display
Blue: HL7 Messages
Green: DICOM Messages
Patho Order Request.
Order
Manager
Report
Creator
Image
Display
Patho Order No.
Order of Endoscopy accepted
Reporting finish
Report
Manager
Check images
Ready
Report
Repository
Report
Reader
Endoscopy Reporting WF
WF of Pathological Study with Optical Microscope
Physician
Surgeon etc.
Medical technologist
Take sample
Preprocess
Place order
Receive order, patient
data, clinical data
Register patient
Receive sample
Image archive
Image display
Pathologist
Take gross picture
Make block
Gross image
Cutting drawing
Process sample
Make slide
Diagnosis process
Refer all data
Observe slide
Make report
Key image
Receive report
Decide care
Attach
Issues concerned
• We feel lack of proper standards that should be
deployed to the cases.
– IHE-Pathology was initiated by French
Pathological 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)
RIS
C-FIND-RQ
C-FIND-RSP
Workstation
• 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

Download Report