Report on Japanese Activities Hidenori Shinoda RSNA 2005

What we have done? • We translated the materials which were used at the

IHE-J activities • Connectathon 2005 – We are now in the process to prepare

Workflow of Endoscopic Study Ordering Endoscopy System Report DB PACS Pathology Dpt. Pathology System

Endoscopy Scheduled Workflow (Draft) Pt. Registration Pt. Update Image Availability Query PPS Order Filler

WF of Pathological Study with Optical Microscope Physician Surgeon etc. Medical technologist Take sample

Issues concerned • We feel lack of proper standards that should be deployed to

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Report on Japanese Activities Hidenori Shinoda RSNA 2005 Chicago, USA

What we have done? • We translated the materials which were used at the DICOM conference at Budapest in September, 2005. One of examples is shown. • One of Japanese users adopted IHE specification. They would now apply the reporting workflow and WADO feature. We now suggest for them. The hospital is the first example of success stories of IHE in Japan.

IHE-J activities • Connectathon 2005 – We are now in the process to prepare IHE-J 2006. – We had vendor workshops twice by now. – 29 vendors and 62 systems will participate to IHEJ year 5. • We try to develop frameworks for endoscopic and pathological stury.

Workflow of Endoscopic Study Ordering Endoscopy System Report DB PACS Pathology Dpt. Pathology System Order of Pathological Study Order for Study Result Ｎｓ Physician Ｐｔ Order and Reservation Endoscopist Ｐｔ Pre-medication Ｐｔ Endoscopy Study Physician Ｐｔ Outpatient Service after the study

Endoscopy Scheduled Workflow (Draft) Pt. Registration Pt. Update Image Availability Query PPS Order Filler Order Management Procedure Scheduled Pt. Update Patho Order Request・Patho Order No. Image Creator Storage Commitment Modality Worklist Provided Specimen Manager PPS Creator Image Stored Image Manager Image Archive Storage Commitment Modality Worklist Provided Modality PPS Pt. Update ①Placer Order Management Creator PPS Manager Pt. Registration ADT Acquisition Modality Query Images Modality Image Stored Retrieve Images 2005. Aug. Patho Order Placer Patho Order Filler Accept specimens IHE Pathology Image Display Blue: HL 7 Messages Green: DICOM Messages Patho Order Request. Order Manager Report Creator Image Display Patho Order No. Order of Endoscopy accepted Reporting finish Report Manager Check images Ready Report Repository Report Reader Endoscopy Reporting WF

WF of Pathological Study with Optical Microscope Physician Surgeon etc. Medical technologist Take sample Preprocess Place order Receive order, patient data, clinical data Register patient Receive sample Image archive Image display Pathologist Take gross picture Make block Gross image Cutting drawing Process sample Make slide Diagnosis process Refer all data Observe slide Make report Key image Receive report Decide care Attach

Issues concerned • We feel lack of proper standards that should be deployed to the cases. – IHE-Pathology was initiated by French Pathological society and now DICOM has the workgroup for that. We would participate the activity. – In case of endoscopic workfow, we now are involved in developing HL 7 messages for the study.