1. Report on Japanese Activities DICOM Standards Committee 12/2/2004 At Chicago Hidenori Shinoda JIRA

2. Notification about Worklist Availability We proposed a push model of MWL at the last meeting of DSC in Munich. But, it was rejected. We still need a mechanism that can trigger a modality to pull a specific worklist. –Poling is one of the solutions, but it may cause the network congestion. –An RIS terminal is usually put closely by the modality.

3. Situation of exam rooms in Japan X-Ray Exam Room A CT Exam Room RIS RIS Terminal CT RIS Terminal X-Ray A Enter data Patient Name ID Etc. Notify “ Data is Ready ”

4. Sequence Diagram RISCR Select a patient and Enter data about the Patient and Study Set Data And Respond Status N-EVENT-REPORT Request Acknowledge Notified Info. about events 1.Entered 2.Changed 3.Deleted

5. Attributes may be required Description /moduleTagSCU/SCPNote/matching type Specific character set(0008,0005)1C/1CThis attribute is necessary when an extended or replaced character set is used. Name of searched AE(0008,0054)1/1Name of the searched AE Study instance UID(0020,000D)1/1 Accession number(0008,0050)1/1C(Responding to patient base search) Patient name(0010,0010)1/2C(Responding to patient base search) Patient ID(0010,0020)1/1C(Responding to patient base search) Requested procedure step ID(0040,1001)1/1C(Responding to patient base search) Reserved procedure step ID(0040,0009)2/2 Reserved station AE name(0040,0001)2/2(Responding to wide-area search) Reserved procedure step start date(0040,0002)2/2(Responding to wide-area search) Reserved procedure step start time(0040,0003)2/2(Responding to wide-area search) Modality(0008,0060)2/2Modality is obtained by matching a single value.

6. Japanese government will modify a rule on drugs and medical equipment Ministry of Health, Welfare, and Labor will modify a rule that regulate the use of drugs and medical equipment. They updated the list of medical devices. A general purpose image processing workstation is now included in the list. The workstation may be classified as Class 2 devices and then, vendors will be required to improve their organizations.

7. Japanese government will modify a rule on drugs and medical equipment-to be continued Requirements –Vendors must be authorized to sell the workstations and prepare experienced people to sell them. –Manufacturers must be authorized to develop and manufacture those devices and form a division that is responsible to the quality of the devices. This is the result from global harmonization. FDA already has such a rule.

8. New Project of Interoperability for Healthcare IS Has Started Systems Common Infrastructure － Security Related － Electronic Chart System (EMR) Dept. System 2 Dept. System n Departmental System 1 ECS Data Items Trans- form Cross Systems Data Reference System Connectivity Data Portability Consortium is formed; JIRA JAHIS and MEDIS