RSNA is planning a demonstration at its 2009 Annual Meeting to showcase recent developments in radiology informatics, standards-based interoperability and image sharing. The demonstration will use IHE profiles for image exchange based on Web Services transactions. A key element of the demonstration will be that patients maintain control of their imaging information via personal health records. Commercial vendors and research organizations are invited to participate in the demonstration and potentially in additional image sharing projects.

The RSNA is also in the process of planning an Image Exchange Pilot Project employing the newly updated IHE XDS-I profile and personal health records (PHRs).  It is our intent to use the same technical approach for the Image Sharing Demonstration at RSNA 2009 as will be used in the planned pilot project.

The IHE Cross-enterprise Document Sharing for Imaging (XDS-I) profile for exchange of medical images and associated reports will be at the heart of the 2009 Image Sharing Demonstration. Image exchange is critical for improving the efficiency and quality of radiology and will address significant current issues such as acquisition of redundant studies (when prior studies are not easily accessible) and problems encountered in transmission of images via removable media (such as CDs). The IHE Radiology Technical Committee will publish an updated version of the XDS-I profile in late June that is closely aligned with the XDS.b profile published last year by the IHE IT Infrastructure Technical Committee.

The demonstration will show additional features, such as ordering of radiology procedures using standardized terms defined by the RadLex radiology terminology project. Reports used in the demonstration will be generated in standardized structured templates developed by the RSNA Radiology Reporting Committee. Dose information will be captured and submitted to a dose registry for analysis using the IHE Radiation Exposure Monitoring (REM) profile. Medical images and related information will also be anonymized and exported for imaging clinical trials and development of educational materials using the IHE Teaching File and Clinical Trial Export (TCE) profile and software developed by the RSNA MIRC project.

We are thus requesting expressions of interest from developers of commercial radiology and health information systems, as well as from research institutions developing proof-of-concept systems in the following categories:

• Patient Registration and Hospital Information Systems
• Modality Devices
• Radiology Information Systems and Picture Archiving and Communications Systems
• Reporting Systems, including Speech Recognition
• Radiology Billing Systems
• Health Information Exchange Infrastructure
• Personal Health Record Systems
• Data Registries

• Ordering and scheduling radiology exams and billing using standardized RadLex procedure codes
• Generation of structured reports in standardized templates with content featuring RadLex controlled terminology
• Creation and communication of dose monitoring information using the IHE Radiation Exposure Monitoring (REM) profile
• Export of data for clinical trials and teaching file development using the IHE Teaching File and Clincal Trials Export (TCE) profile
• Authoring and management of teaching files with the RSNA MIRC and Clinical Trials Processor (CTP) profile
• Sharing of images and reports across care sites and personal health record systems using the newly update IHE XDS-I profile