DICOM WG-08 Meeting Agenda RSNA Headquarters – 820 Jorie Blvd., Oak Brook, IL 2011-03-18 Members Present Represented by American College of Radiology Charles Kahn AGFA Healthcare George Dobrean Kinson Ho Paul Seifert College of American Pathologists Jim MacDonald Jeffrey Karp Corelab Partners David Clunie European Society of Radiology Peter Mildenberger GE Healthcare Harry Solomon McKesson Medical Imaging Group David Heaney Philips Healthcare Ellie Avraham RSNA Chris Carr Siemens Healthcare Helmut Koenig SFR Jean-Charles Dron Others Present Associated with Gerald Cameron Medical College of Wisconsin John Madden Duke University Presiding Officers: Charles Kahn Harry Solomon ________________________________________ Working Group Eight - SR of the DICOM Standards Committee 2011-03-18 Minutes 1. Introductions and agenda review: C. Kahn opened the meeting at 8:35 a.m. CDT and welcomed all participants. Members identified themselves and their employers. C. Kahn reviewed an outline of the agenda. Roll call and review of the voting roster confirmed that quorum was attained. 2. Reviewed draft of IHE Radiology Managing Radiology Report Templates white paper. a. Published to ftp site: ftp://d9workgrps@medical.nema.org/MEDICAL/Private/Dicom/WORKGRPS/Wg08/2011 /IHE_RAD_Whitepaper-RadiologyReportTemplates-2011%2003%2015.doc b. Curt Langlotz and Kevin O’Donnell are leading development of the white paper as a step toward an IHE Profile that will define standard methods for publishing templates and using them in report creation. c. The draft provides a general outline of the necessary features and components of a report template, including sections, elements and fields and their respective characteristics. d. Describes basic use cases for authoring and using templates. e. Designates that some elements may get data from sources other than reading radiologist. f. IHE Radiology Technical Committee will discuss and refined the white paper draft at its meeting next week. Discussions are scheduled for Tuesday afternoon and Wednesday morning. 3. Reviewed Harry Solomon's first draft of DICOM supplement to describe methods for creating templates and using them to generate structured CDA outputs a. Designates professional societies as authors of templates to achieve best practices. Possibly broader reference to include other authors. b. Specifies use of Green CDA, emerging standard that allows creation of templates based on use cases without extensive knowledge of details of CDA c. Specifies that reporting system behavior is out of scope d. Header information, such as study UIDs, patient IDs and physician IDs, are not included in RSNA input templates. Assumes that reporting systems will get this information through interaction with other clinical systems rather than by input from the clinician e. Document sections are the basic components of reports f. Section headings are common to all RSNA-developed templates, but the content of each section is specific to each template g. How do you modularize and make components available across reports? h. General clinical terms are coded using LOINC or SNOMED; radiology-specific terms use RadLex i. Narrative text needs to generated from the coded entries so that it is not ignored by interpreting systems ________________________________________ Working Group Eight - SR of the DICOM Standards Committee 2011-03-18 j. C. Kahn, H. Solomon and group reviewed draft supplement, referencing DICOM Part 16 (ftp://medical.nema.org/medical/dicom/2009/09_16pu.pdf) and selected XML/RelaxNG templates from the RSNA Template Library (http://reportingwiki.rsna.org/index.php?title=Templates) as resources. k. Action Item: H. Solomon made changes to draft supplement document and recorded open issues. He will distribute updated draft document via WG-08 email list. l. Action Item: H. Solomon and C. Kahn will continue to refine supplement draft and present new drafts to committee for review. 4. Exhibit presenting user interface for RelaxNG templates planned for RSNA 2011 by C. Kahn and G. Cameron. 5. Meeting Materials: Draft supplement and related documents are available at ftp://medical.nema.org/medical/private/dicom/WORKGRPS/Wg08/2011/2011-03-18/ 6. Next Meetings: a. April 29, 9-11am CDT b. May 27, 9-11am CDT c. June 17, 9-11am CDT d. Face-to-face meeting will be schedule in July in conjunction with IHE Radiology Reported by Chris Carr, Secretary April 6, 2011 Reviewed by counsel April 8, 2011 ________________________________________ Working Group Eight - SR of the DICOM Standards Committee 2011-03-18