Fred M. Behlen, Ph.D. Co-Chair, DICOM WG20 / HL7 IISIGCo-Editor, HL7 CDA Release 2 ACR Representative to HL7 DICOM Working Group 10 Munich, Germany, 2 September 2004 Integrating Imaging and Reporting using DICOM SR and HL7 CDA LAItek
Image viewing and reporting done in different appli-cations, on same or different (adjacent) platforms Reports may reference images (individual or groups) Linkage is no finer-grained than the report level References may include overlays of graphical or text annotation Loosely Integrated Reporting This updates and extends a written report to WG10 in April 2004. Further detail is in the WG20/IISIG minutes, 2004.
Loosely Integrated Reporting Image Viewing Application Reporting Application Imageselection Dictatedreport Annotation Report(SR or CDA) KO“For Report” GSPS Pointers to KO “For Report” objects Image Archive Reporting System
Image Viewing Application Reporting Application Imageselection Dictatedreport Annotation Verification Transcribednarrative KO“For Report” GSPS Reporting SystemValidation Functions DICOM Query/Retrieve for all KO objects matching Accession Number Image Archive Reporting Integration Functions DICOM references to Images & GSPSs SRReport Transformation WADO Server CDAReport WADO URI references to Images & GSPSs
The verifying radiologist will either: Send the report back to Transcription for correction, or Complete and verify the report. Make corrections as necessary Sign it Verification Process
The verifying radiologist will either: Send the report back to Transcription for correction, or Complete and verify the report. Make corrections as necessary Confirm image references (using check boxes) Sign it Verification Process
CP451: Add “For Report” code to KO Supplement 1xx: HL7 Structured Document Object References Report template to Part 16 CDA Reference from within DICOM Documents Informative Annex describing translation to CDA for this SR object Release 1 Release 2 Deliverables
CP451: Done. Supplement 1xx: WG6 first read Sept. 2004 WG20 review, prepare PC Draft Sept. 2004 WG6 review Nov. 2004 Public Comment Nov.-Dec. 2004 WG20 Review Jan. 2005 WG6 review for LB Mar. 2005 Letter Ballot Apr-May 2005 Wg20 Review May 2005 WG6 Final Text June 2005 Could be a candidate for IHE at RSNA 2005, but with no room for schedule slippage. Schedule