Radiology Domain Joint Technical and Planning Committee Breakfast Tuesday, Dec 1st , 2015 8:30am -10:30am CT

Meeting Agenda Introductions - Co-Chairs Introductions - Meeting Participants Overview of IHE Radiology Profiles 2014-2015 Work Items Completed 2015-2016 New Work Items 2015-2016 Timelines 2016-2017 Promotion Current RSNA/IHE Image Sharing Demonstration Current IHE Educational Courses Review IHE Financial Sustainability Model – 1 year later Challenges/Open Discussion 2

Introductions 2015-2016 Committee Leadership Radiology Planning Co-Chair: Teri Sippel Schmidt (Karos Health) Mike Bohl (Radiology Associates) Radiology Technical Committee: Kinson Ho (Agfa) Chris Lindop (GE Healthcare) Radiology IHE International Liason Kevin O’Donnell (Toshiba) Radiology Secretaries: Chris Carr (RSNA) Jamie Kontos (RSNA) Nichole Drye-Mayo (RSNA) 3

Final Text Radiology Profiles (23) Workflow Patient Info. Reconciliation Scheduled Workflow Charge Posting Reporting Workflow Import Reconciliation Workflow Post-Processing Workflow Content NM Image Mammo-graphy Image Evidence Document Radiation Exposure Monitoring Simple Image & Numeric Reports Presentation Presentation of Grouped Procedures Key Image Notes Consistent Presentation of Images Image Fusion MAMMO image is a content profile similar to NM Image. Defined actors are: Acquisition modality Image manager Image display Print composer Print server Most of the « work » is on the image display side. Other actors are merely required to support existing IHE transaction (including sometimes some modifications) and/or generate data according to a defined set of DICOM attributes. Infrastructure Portable Data for Imaging Teaching Files & Clinical Export Access to Radiology Information Cross-Community Access for Imaging Cross-Enterprise Document Sharing for Imaging.b Image Object Change Management Charge Posting Audit Trail & Node Authentication – Radiology

Trial Implementation Rad Profiles (22) The Management of Radiology Report Templates (MRRT) – revised 2014 Invoke Image Display (IID) – published 2013 Cross-Enterprise Document Reliable Interchange of Images (XDR-I) – updated 2014 Portable Data for Imaging Extensions (PCI) – published 2009 Image Object Change Management Extension (IOCM) – revised 2014 Mobile Access to Health Documents for Imaging (MHD-I) – published 2014 Multiple Image Manager/Archive – revised 2012 Web based Image Capture – published 2015 Clinical Decision Support – Order Appropriteness Tracking – published 2015 Mammography Acquisition Workflow (MAWF) – revised 2010 Post-Acquisition Workflow (PAWF) – published 2012 Import Reconciliation Workflow.b (IRWF.b) – published 2012 Scheduled Workflow.b (SWF.b) – revised 2015 (w/ Enterprise Identity Option) Radiology Remote Read Workflow (RRR-WF) – published 2015 Stereotactic Mammography Image (SMI) – published 2013 Image Fusion (FUS) – published 2006 Basic Image Review (BIR) -revised 2012 CT/MR Perfusion Imaging(PERF) – revised 2014 MR Diffusion Imaging(DIFF) – published 2009 Chest X-Ray CAD (CXCAD) – published 2010 Digital Breast Tomosynthesis (DBT) – published 2014 Nuclear Medicine with Cardiac option – published 2007 Infrastructure Profiles: Workflow Profiles: Presentation & Content Profiles: 6

New Profiles Published in 2015 Technical Framework Supplements released by the Technical Committee for Trial Implementation: Web Image Capture Profile (WIC) Remote Read for Radiology Workflow Profile Clinical Decision Support for Order Appropriateness Tracking Profile (CDS-OAT) Enterprise Identity, SWF.b Option (EIO) Technical Framework Change Proposal and Maintenance Continuing effort: IHE-J updates (Change Proposals and National Extensions) IHE PCC Cross-Domain Collaboration: Guideline Accountable Ordering (GAO) in conjunction with CDS-OAT

2015-2016 IHE Radiology New Profiles Selected for Development The Radiology Planning Committee approved the following profile development work items for the Technical Committee: Rad TF Maintenance 2015-16 – (40% estimated effort) Cross-Enterprise Read for Imaging – (40% estimated effort) REM for Radiopharmaceutical Imaging – (20% estimated effort) 8

2015-2016 IHE Radiology Timeline IHE Profile Cycle Stages Membership Status (Voting) Open Date Close Date Learn More Call for Proposal Open July, 2015 15 Aug 2015 http://wiki.ihe.net/index.php?title=Radiology_Proposals_2015-2016 Proposal Selection Closed n/a 6 Oct 2015 http://wiki.ihe.net/index.php?title=Radiology IHE Profiles drafted in IHE Committees Dec, 2015 Feb 5-8, 2016 Public Comment mid Feb 2016 mid March 2016 http://www.ihe.net/Technical_Framework/public_comment.cfm Trial Implementation Published May 2016 http://www.ihe.net/Technical_Framework/index.cfm IHE Connectathon Dates 2017 (TBA) http://www.ihe.net/Connectathon/index.cfm Dates are subject to change Please check wiki.ihe.net and click on Radiology 9

2015-2016 Connectathon Schedule IHE Connectathons Membership Status Open Date Close Date Learn More IHE NA Connectathon (Cleveland, OH) Open Jan 25, 2016 Jan 29, 2016 http://www.iheusa.org/connectathon.aspx IHE Europe Conectathon (Bochum, Germany) April 11, 2016 April 15, 2016 http://www.ihe-europe.net/connectathon/LUX_2015 IHE Japan (Asakusa, Tokyo) Sept 13, 2016 Sept 17, http://www.ihe.net/Connectathon/ Other IHE country connectathons

Review of RSNA/IHE Image Sharing Demonstration South Building #1336 The demonstration will be based on the following key developments in radiology informatics: Structured reporting using RSNA RadReport reporting templates, RadLex terminology and the IHE MRRT profile Radiology clinical decision support Communication of actionable findings to referring physicians Efficient management of imaging protocols Patient-focused image sharing through the RSNA Image Share network, a pilot project funded by the National Institute of Biomedical Imaging and Bioengineering South Bldg, Booth #1345 regular show floor hours, demonstrations every 30 minutes

Review of IHE Educational Sessions IHE Workflow Efficiency from Acquisition to the Report Sunday, November 29 – 2:00 – 3:30pm Room S501ABC IHE Clinical Solutions for Interoperability – Imaging and Beyond: IHE and HIE does the Order Matter? Monday, November 30 – 10:30am – 12:30pm Using IHE Profiles and Plan for Medical Imaging Wednesday, December 2 – 8:30 – 10:00am Interoperability and Integration – from HL7, DICOM, IHE, to SOA Thursday, December 3 – 12:30 – 2:00pm

IHE Validation Luncheon Monday, November 30 – 12:30-1:30pm Room S104C Feedback?

Financial Sustainability Model – first year In effect, October 1, 2015, must be IHE member to vote Move towards 70% self-sustaining model Proposed future revenues to IHE International: tiered participation fees (Lg $1500/yr, Med/Sm $500/yr, not for profit $350/yr) fees for national deployment connectathon Over 3 years, RSNA and HIMSS reducing financial support (20%, 40%, 70%)

Financial Sustainability Model – first year As of Nov 25, 2015, for IHE Radiology Planning Committee: Twelve vendors paid and meet voting privileges Seven organizations or clinical groups paid and meet voting privileges As of Nov 25, 2015, for IHE Radiology Technical Committee: Eight vendors (same vendors) paid and meet voting privileges

Plans for promotion – 2016-2017 cycle Interest in new profiles: Determine date for New Profile Submission soon (date: early August, 2016) Promotional slides – SIIM presenters (June, 2016) Tweet through RSNA and Radiology Informatics Committee ECR? JCR? Interest in committee participation: Clinical users Additional vendor representation

Challenges Financial sustainability Need additional clinical input for Planning Committee, especially on direction Too many profiles still in Trial Implementation stage Too many outstanding TF Change Proposals (defects) Increase user participation and feedback IHE Rad incorporate additional Enterprise Imaging activities or new domain? Global user participation Education plan Promotion

Thank you for your attention Questions? Thoughts?