1. HIMSS/RSNAVendor Workshop, April 2003 Evidence Documents Techs Produce More Than Images Kevin O’Donnell, Toshiba Co-Chair, Planning Committee

2. HIMSS/RSNAVendor Workshop, April 2003 Profile Summary  New Content Profile  SR Coded Data  DICOM Structured Reporting  Output from Acquisition and Post Processing Workflows  Input to Reporting Workflow

3. HIMSS/RSNAVendor Workshop, April 2003 Motivation  Support Measurements from Modalities  Support CAD  Clear up confusion with SINR – When is a “report” not a Report? – Managed differently – Different distribution (departmental) – Data vs Diagnostic

4. HIMSS/RSNAVendor Workshop, April 2003 Examples of Usage  Mammography CAD results  Ultrasound OB/Gyn “Reports”  Echocardiography “Reports”  Procedure Logs  Watch for new DICOM SR SOP’s and templates

5. HIMSS/RSNAVendor Workshop, April 2003 Actors & Transactions  Renamed Image Creator to Evidence Creator  Store Evidence Documents (w Storage Commit)  Query/Retrieve Evidence Documents  Image Displays  required to display Evidence Documents unambiguously  should not query for template ids it can’t render

6. HIMSS/RSNAVendor Workshop, April 2003 Transaction Flow  Standard flow of a Content Profile – Content is created, stored, committed – Content is managed – Content is available for query, retrieve, use

7. HIMSS/RSNAVendor Workshop, April 2003 SR Status in DICOM  Approved – Basic SR SOP – Enhanced SR SOP – Comprehensive SR SOP – Mammography CAD SR SOP – Chest CAD SR SOP – OB-Gyn Ultrasound Procedure Report  In Process (Public Comment, Letter Ballot) – Vascular Ultrasound SR – Catheterization Lab Procedure Report – Echocardiography SR

8. HIMSS/RSNAVendor Workshop, April 2003 Synergies  Input to Reporting Workflow – Include Evidence Documents in Reading Worklists – Report Creator Could Read Evidence Documents and plug values into draft reports  Data Mining Applications

9. HIMSS/RSNAVendor Workshop, April 2003 References  Profile – Volume 1 Chapter 14  Transactions 43, 44, 45 of Volume 3  DICOM Supplements (Standard & WIP) – Supp 23: Structured Reporting – Supp 26: US OB-Gyn Reports – Supp 50: Mammography CAD – Supp 65: Chest CAD – Supp 66: Catheterization Lab SR – Supp 71: Vascular US Procedure Reports – Supp 72: Echocardiography Procedure Reports – Supp 77: IVUS SR – Supp 78: Fetal & Pediatric Echocardiography SR – Supp 79: Breast Imaging Reports  “DICOM Structured Reporting” by Dr. David Clunie

10. HIMSS/RSNAVendor Workshop, April 2003 Questions, Comments, and/or Suggestions?