DICOM Post-Processing and Reporting Workflow SOP Classes

1. DICOM Post-Processing and Reporting Workflow SOP Classes Bas Revet Philips Medical Systems – Interoperability Member DICOM WG 6 April 1, 2005

2. Content • Purpose and Abilities • Workflow Overviews • DICOM Protocols • Examples

3. Purpose • Support of Post-Processing and Reporting in an integrated environment • Image Processing and Reconstruction • Computer Aided Detection • Interpretation, Dictation, Transcription and Verification of Report • Review and Comparison of Reports

4. Abilities • To schedule and keep track of progress of Post-Processing and Reporting activities • Provide Worklists with General Purpose Worklist Management • Update status with General Purpose Performed Procedure Management • Both are a super set of the Modality Worklist and Performed Procedure Management

5. Work Item Claimed RIS Completed Post-ProcessingWorklist Post-Processing Procedure Step STARTED RetrieveImages Store Reports Measurements CAD Reports ……....……… Archive Images Post-Processing Procedure Step STARTED Post-Processing Workflow Overview 3D Workstation PACS Post-Processing Procedure Step COMPLETED Post-Processing Procedure Step COMPLETED

6. Work Item Claimed Released (Completed) Reporting Worklist Store Reports Reporting Procedure Step STARTED Measurements CAD Reports ………………… Retrieve Images &Evidence Documents Reporting Procedure Step STARTED Reporting Workflow Overview RIS Report Reader/Creator Reporting Procedure Step COMPLETED PACS Reporting Procedure Step COMPLETED

7. Ouery for Workitems C-FIND-RQ RIS Workstation C-FIND-RSP • General Purpose Worklist SOP Class • Examples of query cases: • Patient Oriented Query: Worklist for a specific patient / procedure • Station Oriented Query: Broad Worklist for a particular workstation • Class Oriented Query: Broad Worklist for a class of workstations (e.g. workstations for CT 3D Reconstructions) • Worklist provided with workitems codes, e.g., image processing or computer aided detection

8. Workitem Selected and Claimed Workstation • General Purpose Scheduled Procedure SOP Class • Workstation takes ownership of workitem to prevent simultaneous processing of data RIS N-ACTION (SPS in Progress)

9. Create Performed Procedure Step Workstation • General Purpose Procedure Step SOP Class • Notification to RIS that workitem is in progress RIS N-CREATE(PPS in Progress)

10. Create Performed Procedure Step Workstation • General Purpose Procedure Step SOP Class • Notification to RIS that workitem is in completed • Report results, material used, etc. RIS N-CREATE(PPS Completed)

11. Workitem Completed Workstation • General Purpose Scheduled Procedure SOP Class • Workstation report finalizing the workitem RIS N-ACTION (SPS Completed)

12. DICOM Image Storage DICOM Storage CommitmentDICOM MPPS DICOM Storage & Commitment DICOMGP-WL DICOM MWL DICOM Storage & Commitment DICOMGP-SPS DICOMQ/R DICOMGP-SPS DICOMQ/R DICOMGP-WL DICOM GP-PPS DICOMGP-PPS Wrap UpPost-Processing Workflow (Multiple Steps)with Post-Processing Manager grouped with Image Manager RIS PACS Modality Post-ProcessingStation CAD Station

13. Ouery for Reportitems C-FIND-RQ RIS Workstation C-FIND-RSP • General Purpose Worklist SOP Class • Examples of query cases: • Patient Oriented Query: Worklist for a specific patient / procedure • User Oriented Query: Worklist for a particular user • Worklist provided with workitems codes for: • Interpretation • Transaction • Verification

14. Same Messages as with Post Processing RIS ReportingWorkstation N-ACTION (SPS in Progress) RIS ReportingWorkstation N-CREATE(PPS in Progress) RIS ReportingWorkstation N-CREATE(PPS Completed) RIS ReportingWorkstation N-ACTION (SPS Complete)

15. Retrieve Images Retrieve Evidence Documents Report Submission Reporting Worklist Provided Images Available Workitem Claimed Workitem PPS In Progress Workitem PPS Completed Workitem Completed Workflow Example PACS Reporting Workstation RIS