My latest article in Auntminnie. AI Image Pre-analysis is here, and likely to be as big as PACS and RIS transformations that happened in 2006-7 in the NHS. Let us encourage the PACS and RIS vendors to collaborate about the DICOM and HL7 standards and help quicker implementation.
One comment: it is written from a RIS-centric viewpoint, it relies on HL7 v2 transactions, technologist input to complete the study and worklist being generated by the RIS. This solution would not work with a PACS and/or EMR driven worklist, but the workflow is similar, just replacing the v2 with different transactions such as MPPS and/or Instance Availability.
Thanks Herman. Really appreciate a comment coming from you
I dont think it is limited to a RIS driven worklfow. Most reporting worklists over the world--whether in RIS, teleradiology platform, EMR, VR or a standalone worklist solution would recieve HL7 ORM message--status complete--i.e image acquisition completed by the technician/radiographer to allow the next step of workflow to start--i.e reporting.
With the AI Platform added to the reporting workflow-- Status "Complete"--will trigger AI Image Analysis Status "Partial Results Available" from AI Platform --will send the exam to the human reporting worklist--RIS, PACS, Standalone, VR, EMR etc
Yes I have stuck to HL7 ORM messaging --as this is universally adopted by all vendors. I agree this may change in future
I do hope RIS, PACS, AI Platforms and Reporting Worklist providers will collaborate around the simple HL7 standards and allow the entry of AI Platforms rapidly into the reporting worklfow to enhance patient care.
One more comment: why not use the ORU instead of the ORM to report on AI results? You have the same capabilities in the ORU as it also has the OBX segment, and ORU is more "results" based vs ORM is more about the "order". Also, IHE EBIW profile uses ORU for results so it seems to fit more into the "mainstream".
Hi Herman, This workflow is for “decision support AI”- Class 2 as per FDA approval. Here the final report will still be from a human reporter. ORM message will trigger the human reporting workflow. Class 2 is the majority of the AI software currently approved. I am keen that these appear fairly rapidly into our reporting workflow-rather than wait for the Class 3 products.
Class 3 AI where there is no need for a human reporter will issue an ORU.