1. Feb. 07-10, 2005IHE Europe Workshop 1 Integrating the Healthcare Enterprise – Radiology – Established IHE Integration Profiles: Dr. Nikolaus Wirsz –Siemens Medical Solutions IHE Europe Committee IHE Radiology Planning Committee Reporting Workflow (RWF)

2. Feb. 07-10, 2005IHE Europe Workshop 2 IHE Radiology Integration Profiles Patient Info. Recon- ciliation Access to Radiology Information Consistent Present- ation of Images Basic Security - Evidence Docs Key Image Notes Simple Image & Numeric Reports Presentation of Grouped Procedures Post- Processing Workflow Reporting Workflow (RWF) Charge Posting Scheduled Workflow Portable Data for Imaging NM Image

3. Feb. 07-10, 2005IHE Europe Workshop 3 Summary Extension to the Scheduled Workflow to Support Typical Reporting Workflow Tasks:  Interpretation  Dictation  Transcription  Verification  Review  Comparison Ability to Schedule and Track the Status of Reporting Tasks

4. Feb. 07-10, 2005IHE Europe Workshop 4 IHE Reporting Workflow Overview Reporting Worklist Work Item Claimed Reporting Procedure Step STARTED Reporting Procedure Step STARTED Store Reports Reporting Procedure Step COMPLETED Reporting Procedure Step COMPLETED Report Manager RIS Image Manager/ Archive PACS & Archive Report Reader/Creator Retrieve Images & Evidence Documents Measurements CAD Reports ………………… Released (Completed)

5. Feb. 07-10, 2005IHE Europe Workshop 5 RWF Actors & Transactions Reporting Actors:  Reporting Manager  Report Creator / Report Reader  Report Repository Transactions:  Reporting Worklist Provided  Workitem Claimed  Workitem PPS In Progress  Workitem PPS Completed  Workitem Completed  Performed Work Status Update  Retrieve Images / Evidence Documents  Submit / Retrieve / Issue Reports

6. Feb. 07-10, 2005IHE Europe Workshop 6 Report Manager grouped with Image Manager Report Manager Grouping IM/IA Report Manager Performed Work Status Update (optional) DSS/OF Report Manager NOT grouped Report Manager IM/IADSS/OF Report Manager grouped with DSS/OF DSS/OF Report Manager IM/IA Performed Work Status Update

7. Feb. 07-10, 2005IHE Europe Workshop 7 Actors and Transactions Report Manager DSS/OF Image Display Report Creator/ Report Reader Reporting Worklist Provided Workitem Claimed Retrieve Images Retrieve Evidence Documents IM/IA Workitem PPS In Progress Workitem PPS Completed Workitem Completed Images Available Performed Work Status Update Report Submission

8. Feb. 07-10, 2005IHE Europe Workshop 8 Reporting Worklist Provided Report Creator finds out what tasks have been scheduled / assigned by the Reporting Manager Worklist provided for workitem codes e.g.:  Interpretation  Transcription  Verification

9. Feb. 07-10, 2005IHE Europe Workshop 9 Reporting Worklist Provided General Purpose Worklist SOP Class Explicit definition of required matching and return keys for both Report Manager and Report Creator Report Creator implements at least one the following query cases:  PatientOriented Query: Worklist for a specific patient / procedure  UserOriented Query: Worklist for a particular user Report Manager Report Creator C-FIND-RQ C-FIND-RSP

10. Feb. 07-10, 2005IHE Europe Workshop 10 Workitem Claimed Report Creator takes ownership of the workitem Report Manager updates its worklist and permits other worklist users to detect that this SPS has been claimed Report Manager Report Creator N-ACTION (GP-SPS in Progress)

11. Feb. 07-10, 2005IHE Europe Workshop 11 Workitem Performed Procedure Step In Progress Report Creator starts working on the claimed workitem N-CREATE (GP-PPS in Progress) Report Manager Report Creator

12. Feb. 07-10, 2005IHE Europe Workshop 12 Workitem Performed Procedure Step Completed Report Creator notifies Reporting Manager of the PPS completion Report Creator references any created results N-CREATE (GP-PPS Completed) Report Manager Report Creator

13. Feb. 07-10, 2005IHE Europe Workshop 13 Workitem Completed Report Creator notifies the Reporting Manager when it completes the scheduled workitem and releases ownership of the workitem Report Manager updates its worklist N-ACTION (SPS Completed) Report Manager Report Creator

14. Feb. 07-10, 2005IHE Europe Workshop 14 Performed Work Status Update General Purpose Performed Procedure Step SOP Class Report Manager informs other actors of the creation and status update of the performed reporting task Allows the systems not managing the performed work to stay in sync Report Manager DSS/OF IM/IA N-CREATE (PPS in Progress) N-SET (PPS Completed)

15. Feb. 07-10, 2005IHE Europe Workshop 15 Value Proposition Improve Reporting Workflow Efficiency – Use of Worklists to Manage Reporting Tasks Eliminate Errors Associated with Paper and Film Handling Close the Information Loop – Proper Association of Reports with:  Corresponding Order  Acquired Images  Other Clinical Evidence Enable direct access to images and evidence documents to be interpreted Enable access to prior reports and old images

16. Feb. 07-10, 2005IHE Europe Workshop 16 References: IHE Europe:http://www.IHE-Europe.org IHE Main Web Site:http://www. IHE.net Questions ?