General Purpose Worklist General Purpose Worklist RT Host

General Purpose Worklist

General Purpose Worklist (RT) Host Archive Performing Application Workflow Manager Store SOP Instances Initiate creation of GPSPS (N-CREATE) Transmit SOP Instances for Input and Relevant Information Query GPSPS Receive GPSPS Update GPSPS (IN PROGRESS) Create GPPPS (IN PROGRESS) Request Calculation Status Set GPPPS (COMPLETED) Update GPSPS (COMPLETED) Store Results

Required Extensions Host Archive Performing Application Workflow Manager Store SOP Instances Initiate creation of GPSPS (N-CREATE) Transmit SOP Instances for Input and Relevant Information Query GPSPS Receive GPSPS Update GPSPS (IN PROGRESS) Create GPPPS (IN PROGRESS) Request Calculation Status Set GPPPS (COMPLETED) Update GPSPS (COMPLETED) Store Results

Scenarios: Host requests. . . n n n Segmentation Treatment planning Dose calculation Treatment plan evaluation Treatment Port film

Scenarios – Object References IM SS Segmentation X X Treatment Planning X X Dose Calculation X X Plan Evaluation X X RI RD RP X X X X BM BR Treatment X X Port film X X SE X

Scenarios – Segmentation Request Segmentation N SS exists Y CT CT, SS Create SS ‘ C-STORE

Scenarios – Segmentation n n New segmentation Existing segmentation n n Continue segmentation Modify segmentation n Parameters n n n List of organs List of colors Margins

Scenarios – Treatment Planning Request Treatm. Plang. N CT, SS, PRE Create RTP, RI Y Plan exists N New Version Y CT, SS, PRE, RTP CT, SS, RI, PRE, RTP Create RTP 2, RI Create RTP ‘, RI C-STORE

Scenarios – Treatment Planning n n New treatment plan Existing treatment plan n n New version Competing plan n Parameters n n n Technique Number of beams Treatment unit

Scenarios – Dose Calculation Request Dose Calc. N Dose exists Y CT, SS, CAL, RTP CT, SS, DOS CAL, RTP Create DOS ‘ C-STORE

Scenarios – Dose Calculation n n New dose calculation Existing dose calculation n n Correct for treatment errors Accumulate previous dose n Parameters n n n Algorithm Dose grid Inhomogeneity correction Physical constraints Biological constraints

Scenarios – Plan Evalutation Request Plan Eval. CT, RI, SS, DOS, RTP Create RTP ‘ C-STORE

Scenarios – Plan Evalutation n Approve treatment plan n Parameters

Scenarios – Treatment Request Treatment N RTP, RI, BM, BR, SE Create BM, BR, SE Interrupt before N Y Comp. Y RTP, RI, BM, BR, SE Create BM, BR, SE C-STORE

Scenarios – Treatment n n Normal treatment Treatment interrupt before n n Compensate Patient setup correction n Parameters

Scenarios – Port Film Request Port Film RTP, RI, BM, BR Create RI C-STORE

Scenarios – Port Film n Take port film n Parameters n n Beam related With dose accumulation Before / after treatment Single / double exposure

Required Parameters n Segmentation n n List of organs List of colors Margins n n n Treatment planning n n n Technique Number of beams Treatment unit Dose calculation n Algorithm Dose grid Inhomogeneity correction Physical constraints Biological constraints Port film n n Beam related With dose accumulation Before / after treatment Single / double exposure