Report on Japanese Activities

1
Report on Japanese Activities

• Hidenori Shinoda
• RSNA 2005
• Chicago, USA

2
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.

3
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
  IHE-J year 5.
• We try to develop frameworks for endoscopic and
  pathological stury.

4
Workflow of Endoscopic Study
Pathology Dpt.
Pathology System
Ordering System
Report DB
Endoscopy System
PACS
Order of Pathological Study
Order for Study
Physician
Physician
Endoscopist
Order and Reservation
Outpatient Service after the study
Endoscopy Study
Pre-medication
5
Endoscopy Scheduled Workflow (Draft) 2005.Aug.
ADT
Pt.Registration
Pt.Registration
Pt.Update
Pt.Update
Patho Order Placer
?Placer Order Management
Order Placer
Order Filler
Filler Order Management
Image Availability Query
Patho Order RequestPatho Order No.
Procedure Scheduled
Pt.Update
Image Creator
Patho Order Filler
Accept specimens
PPS
Creator PPS
IHE Pathology
Storage Commitment
Creator Image Stored
Query Images
Image Display
Image Manager
Image Archive
PPS Manager
PPS
Storage Commitment
Modality Image Stored
Modality Worklist Provided
Acquisition Modality
Modality Worklist Provided
Blue HL7 Messages Green DICOM Messages
Modality PPS
Retrieve Images
PPS
Patho Order Request.
Report Creator
Order Manager
Image Display
Specimen Manager
Patho Order No.
Order of Endoscopy accepted
Report Manager
Check images Ready
Reporting finish
Report Repository
Endoscopy Reporting WF
Report Reader
6
WF of Pathological Study with Optical Microscope
Physician Surgeon etc.
Image archive Image display
Medical technologist
Pathologist
Preprocess
Take sample Place order
Receive order, patient data, clinical data
Register patient Receive sample
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
7
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.

8
???????????(Ouery for Workitems)
C-FIND-RQ
RIS
Workstation
C-FIND-RSP

• General Purpose Worklist SOP Class
• ?????
• Patient Oriented Query ?????/????????????????
• Station Oriented Query ???????????????????????
• Class Oriented Query ????????????????????? ????
  ? (????CT 3D?????????????)
• ?????????????????????????,???????????????????