Innovations in Cardiology Technical Committee: Updates and Standards
Explore the latest updates from the IHE Cardiology Technical Committee, focusing on profiles, workflows, and standards for cardiac imaging and reporting. Delve into the development of standardized templates, referral triggers, and ECG workflows to enhance clinical decision support in cardiology practices. Collaboration with other domains and alignment with EHR lexicons are key priorities discussed in the meetings.
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Presentation Transcript
IHE Cardiology Technical Committee Profile update for DICOM WG1 Nov. 4, 2009
IHE-C 2010 work overview Update on IHE-C Planning committee Chairs Dr. Alan Katz (ACC), Dr. David Slotwiner ( HRS) Technical committee Chairs Tom Dolan ( Philips) Antje Schroeder ( Siemens) Profiles for 2011 Connectathon (PC voting rank) Cardiology Report Content (1) ECG Workflow (2) Image enabled office (3) EP-implant workflow (4) WhitePaper for 2010 delivery (5) Key milestones Public comment April 26 2010 -June 1 2010 Trial Implementation text June 15 2010 Connectathon January 2011 5/8/2025 2 IHE Cardiology TC Meeting
Cardiology Report Content Based on the Health Policy Statement on Structured Reporting and the associated Key Data Element Definition for Cardiac Imaging from the ACC a standard template for Cardiac Imaging Reports should be developed Key use case: Cardiac Referral Trigger for clinical decision support Existing Standards and Profiles IHE Evidence Document and DICOM SR templates (Cath, Echo, Stress, ) XDS-MS for medical summaries for referral and consultation report content HL7 CDA Basic Diagnostic Imaging Report Implementation guide Discussion Close coordination with Radiology and PCC domain necessary Just Cardiac Imaging Report Has to be harmonized with the EHR lexicon work of the ACC Informatics Committee. 5/8/2025 3 IHE Cardiology TC Meeting
Resting ECG Workflow Define a profile similar to Scheduled Workflow to address patient registration, ordering of a resting 12 lead ECG test, performing the test, reporting and storage of the ECG data in a standardized format Key use case: Similar workflows as described in scheduled workflow, but used for resting ECG Existing Standards and Profiles Based on actors and transactions of scheduled workflow. Intermittently connected acquisition device needs to be covered. Discussion Focus on resting ECG only Which Dicom wave form standard to use Access to demographics outside of scheduled workflow 5/8/2025 4 IHE Cardiology TC Meeting
Image Enabled Office Address integration of medical imaging equipment into an office environment, in order to fulfill the meaningful use criteria for image integration in 2015 Key use case: Scheduling, Image acquisition, reporting, access to EMR, document exchange with referring physicians in an ambulatory cardiology office. Existing Standards and Profiles IHE workflow profiles like ECHO, CATH, SWF, STRESS IHE Evidence Document and Key Image Note profiles IHE XDS, XDS-I, XDS-MS, PIX, PDQ profiles for cross enterprise sharing of information DICOM WADO Discussion Further clarification on scope needed Address ECG use in this context White paper or profile Since it is crucial for meaningful use criteria 2013/2015, it should be tested at Connectathon in 2011 5/8/2025 5 IHE Cardiology TC Meeting
EP-implant Workflow EP implant Lab is a multi-modality environment and uses equipment from multiple vendors, which up to now are mostly unconnected. Coordinating the different devices within the EP lab and the information exchange between them is the objective of this profile. Key use case: Information management and device coordination during device implantation in the EP Lab. Existing Standards and Profiles IHE workflow profiles like CATH IHE Evidence Document IHE XDS-MS (medical summaries) IHE RID (Retrieve Information for Display) Discussion Workflow or Document exchange: It was decided that this would be a workflow profile Scope boundary issues might be necessary to split into two parts: Data exchange in EP lab and reporting 5/8/2025 6 IHE Cardiology TC Meeting
3D/4D Echo Workflow Whitepaper Define clinical use case on storage and display of 3D Echocardiograms. This includes coordination with DICOM working groups to develop presentations states. Key use case: Exchange 3D US data between Scanner, PACS and Post Processing workstation for image review and 3D measurements Existing Standards and Profiles DICOM Supplement 43 IHE Echocardiography Workflow Discussion Handling of the blending pipeline in order to adequately display the different data types Lack of nD presentation state object to represent derived views Supplement 43 was only recently approved, nevertheless it would be good to start working on this right away. 5/8/2025 7 IHE Cardiology TC Meeting
