IHE-J 病理細胞診 WG
活動報告・予定
２００６－２００９

2006/8/1

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IHE-J 病理細胞診 WG
２００６年度活動
１．海外との連携
1月 米国 DICOM WG26 HL7 SIG会合
6月 スペイン WG26会合
7月 ハンガリー 欧州IHE-E USE CASE会合
8月 WG6へDICOM提案
米国 WG２６ 会合（APIII)バンクーバー
11月 米国 WG26 シカゴ CAP
３．広報活動日本病理学会、日本臨床細胞学会、日本テパソロジー研究会
発表 日本医療情報学会 CARS２００６ 日本テレパソロジー研究会

2006/8/1

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IHE-J 病理細胞診 WG
２００６年

２０07年

2008年

2009年

組織診 SWF
DICOM
HL7
コネクタソン
実装デモ細胞診
WSI(VM)検討
剖検 検討
その他TMA
皮膚科TB
2006/8/1

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Image DICOM file
Requested Procedure 1
Patient

Requested Procedure 2

Sp1

Study 1 : Specimen 1 (naevus 1)
Serie: grossgrossimaging
Series11: :Sp1
Sp1Se1:image

Series 2 : Sp1BaSl1Se1: large images

Sp1Ba

Sp1BaS1
Series 3 : Sp1BaSl1Se2 : still images

Series 4 : Sp1BaSl1Se3 : large images

Sp1BaS2
Sp1Bb
Series 5 : Sp1BbSl1Se1 : still images

Sp1BbS1

2006/8/1

Study 2 : Specimen 2 (naevus 2)

4Pathology Workflow : Specimen
collection and pathology study order
Care unit
Patient
DemographicSource

IT 30 & 31 :Patient Identity
Feed & Encounter
Management

Patient Administration
Management (PAM)from IT

2006/8/1

PAT 1: Placer order
Order Placer
Order Filler/
Report Manager
Pathology departement

5Pathology Workflow :Blocks and slides management /Image acquisition

Order Filler/
PAT 4 : Modality Procedure Report Manager
Step Management
Performed
Procedure Step
Manager

PAT 3 : Modality WL provided
Acquisition
Modality

PAT 9 : Image
Availibility Query

PAT 10: Modality Image Stored
Image Manager/
Image Archive
RAD 14 &16 : Query/Retrieve image
Image
Display
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Pathology Workflow
Report editing

PAT 6 : Workitem Management
Order Filler/
Report Manager
PAT 5 : Reporting WL
ReportProvided
CreatorPAT 7 : Report Management
ReportRepositoryRAD-26 & 27 : Query Retrieve Report
ReportDisplay
2006/8/1

7Microscopic ROI Image

Proposal

VL

DICOM tag

Facility

M

Name of Facility

Institution ID(0008,0080)

PatientM
M
M
M

Patient's Name
Patient ID
Patient's Birth Date
Patient's Sex

Patient's Name
Patient ID
Patient's Birth Date
Patient's Sex(0010,0010)(0010,0020)(0010,0030)(0010,0040)

M

Unique identifier for the Study.

Study Instance UID(0020,000D)

LIS assigned number, use DICOM acc num
attribute
Date sample obtained clinicallyTime sample obtained clinicallyDate Sample received in Pathology dept
Time sample received in Pathology dept

(0020,0010)

PATIENTSTUDYAccession

M

Accession Number

OO

Operation Date
Operation TimeAccession Date
Accession TimeSERIES(0008,0020)(0008,0030)

Series UID
PartBlockM
M
M
M

Accession Number
Specimen Sequence
Part ID
Name of Organ
Collection Procedure
Part collection date/timeM(histoligy) Block Number
Fixation and processing
Description/localization

Glass SlideM
M

Other series stuff
M
M
M
M

Slide Number
Stain Method
Section Method
slide type, coverslip
Performing physician nameOperator's Name
Operator's IDObservation Date
Observation Time
Modality
Manufacturer
Station Name

? Need to repeat(0040,050A)
Specimen Sequence(0040,0550)
Identifier A, B or 1, 2 etc(0040,0551)
Sequence of SNOMED Code and Local Code or (Biopsy, Operation, Smear,etc
Study Description(0008,1030)>Slide Identifier
Series Description
Parafine, Frozen, Stamp, etc.

(0040,06FA)(0008,103E)

Operators' Name
Operator Identification Sequence
Acquisition Date
Acquisition Time
Modality
Manufacturer
Station Name

(0008,1070)(0008,1072)(0008,0022)(0008,0032)(0008,0060)(0008,0070)(0008,1010)

IMAGE
ImageM

2006/8/1

MMM
M

Image UID
Magnification of Obj. Lens
NA of Obj. Lens
Illimination Method
Light Source
Polarizer
Excitation Filter
Emissition Filter
Image Number
Image Center Point Coordinates Sequence>X Offset in Slide Coordinate System>Y Offset in Slide Coordinate System>Z Offset in Slide Coordinate System
Image Pixel Spacing
Number of PIXEL X
Number of PIXEL Y
Compression
Compression Ratio

Magnification
NA
BF, FL, PL
Hal, Hｇ, Xe, LED. Laser
Polarizer
Excitation Filter
Emissition Filter
Instance Number
Image Center Point Coordinates Sequence>X Offset in Slide Coordinate System>Y Offset in Slide Coordinate System>Z Offset in Slide Coordinate System
Image Pixel Spacing
Rows
Colums(0020,0013)(0040,071A)(0040,072A)(0040,073A)(0040,074A)(0040,08D8)(0028,0010)(0028,0011)

Lossy Image Compression
Lossy Image Compression Ratio(0028,2110)(0028,2112)(0022,0016)

8

Gross Image of Organ
FacilityM

Proposal

VL

DICOM tag

Name of Facility

Institution ID(0008,0080)

M
M
M
M

Patient's Name
Patient ID
Patient's Birth Date
Patient's Sex

Patient's Name
Patient ID
Patient's Birth Date
Patient's Sex(0010,0010)(0010,0020)(0010,0030)(0010,0040)

M
M
M

STUDY
Accession Number
Accession Date
Accession Time

Study ID
Study Date
Study Time(0020,0010)(0008,0020)(0008,0030)

Specimen Accession Number
Specimen Sequence>Specimen Identifier(0040,050A)(0040,0550)(0040,0551)

Patient

AccessionSpecimen
M
M
M
M
Image
M
M
M
M
M
M
M
M

2006/8/1

Specimen Accession Number
Specimen Sequence
Specimen ID
Name of Organ
Collection Procedure
IMAGE
Observer's Name
Observer ID
Observation Date
Observation Time
Modality
Manufacturer
Station Name
Image Number
Image Pixel Spacing
Number of PIXEL X
Number of PIXEL Y
Compression
Compression Ratio

Biopsy, Operation, Smear,etc
Operators' Name
Operator Identification Sequence
Acquisition Date
Acquisition Time
Modality
Manufacturer
Station Name
Instance Number
Image Pixel Spacing
Rows
Colums(0008,1070)(0008,1072)(0008,0022)(0008,0032)(0008,0060)(0008,0070)(0008,1010)(0020,0013)(0040,08D8)(0028,0010)(0028,0011)

Lossy Image Compression
Lossy Image Compression Ratio(0028,2110)(0028,2112)

9•••••••••••••••••••••••••••••••ACQUISITION CONTEXT (to see with Microscopes Vendors+++)Lens name
Mag value
N.A. of lens (effective resolution)
Optical adapter
Transmission medium : oil, water, etc
Refraction index of the medium (numeric)Illumination type (fluorescence, bright field, etc)
Excitation (wavelength of the laser) (repeated item)
EmissionLight source (tungstene, laser, led, halogen, etc)
Light Path Filter
Light intensity (voltage value)
Polarizer Y/N (for amyloid analysis for example)
Polarizer position
Analyser/polarizer (crystal diagnostic in joint effusion, for example)
Condenser type
Condenser aperture
Calibration image
ECQUIPMENT MODULE
Name of the microscope
Name of camera
de-Bayering algorithm
Camera cable(Add these items or repeat the general module equipment)
SPECIMEN MODULE IDENTIFICATION
Specimen preparation
Specimen fixation
Microscope slide type, thickness
Coverslip type, thickness if glass
Staining (sequence of stains), allow multiple

2006/8/1

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出来るだけ単純化されたWF
Technician / Pathologist

ADT

Order Placer

2006/8/1

Pathology
Order Filler/
Department
Scheduler/
ReportManager/
ReportRepository

Pathology
Evidence
CreatorPathology
ReportCreatorMacroCamera

Image Archive/ ImageManagerMicroscope Camera

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IHE-J Definition in Optical Microscopy
Ｐａｔｉｅｎｔ
Order

Specimen
1

SERIESGross ImageSTUDYPACSで共有管理
HISで共有管理 IMAGESERIES

Pathologist
1

Block

Slide

ROI Image
1
ROI Image2

Pathologist
Report 2Block

ROI Image
3
ROI Image
4

Pathologist SERIES
2
2006/8/1
Specimen
2

必須撮影
必須保存

12
任意撮影
任意保存

IHE-J Definition in WSI Microscopy
IMAGE

Ｐａｔｉｅｎｔ
Order

Specimen
1

SERIESGross Image

STUDY
IMAGE

SERIES

Block
1Glass Slide
HEWSI

IMAGE
Reconstructed
Observation

ROI Image1

HISで共有管理

ROI Image2

PACSで共有管理

Glass SlidePAS

STUDY

2006/8/1
Specimen
2

Block
2

必須撮影
必須保存

13
任意撮影
任意保存