Long-term experience with setup and implementation of an IHE-based image management and distribution system in intersectoral clinical routine

Autor: R. Brandner, Ulrike Kutscha, Andre Schröter, Uwe Engelmann, Antje Brandner, Oliver Heinze, Florian Schwind, Heiko Münch, Björn Bergh
Rok vydání: 2018
Předmět:
Diagnostic Imaging
Process management
020205 medical informatics
Computer science
Data management
Interoperability
Biomedical Engineering
Health Informatics
02 engineering and technology
Health informatics
030218 nuclear medicine & medical imaging
Computer Communication Networks
03 medical and health sciences
DICOM
0302 clinical medicine
Germany
Component (UML)
0202 electrical engineering
electronic engineering
information engineering
Electronic Health Records
Humans
Radiology
Nuclear Medicine and imaging
business.industry
General Medicine
Computer Graphics and Computer-Aided Design
Computer Science Applications
Systems Integration
Workflow
Hospital Information Systems
System integration
Interdisciplinary Communication
Surgery
Computer Vision and Pattern Recognition
Cache
business
Confidentiality
Software
Zdroj: International Journal of Computer Assisted Radiology and Surgery. 13:1727-1739
ISSN: 1861-6429
1861-6410
DOI: 10.1007/s11548-018-1819-2
Popis: Sharing of medical data is crucial for the proper treatment of patients as it could reduce the risk of duplicated medical tests and speed up the care process if all documents are readily available. Despite great technical progress, sharing patient data while maintaining full control over the process in an intersectoral (in Germany, this describes the different actors in the healthcare system consisting of clinic, ambulatory care, etc.) setting remains a particular challenge. This paper focuses on the successful implementation of a privacy compliant, standards-based image-management component of a personal electronic health record. Over a 5-year period, a sharing system based on readily available IHE profiles constructed around XDS has been built. It was necessary to create interfaces for the existing hospital sub-systems to become part of the network. Specifically, the imaging workflow had to be adapted to allow for fast and easy access to DICOM images utilizing a flexible web-based image viewer. In addition to the standard XDS workflow, an Imaging Cache was established which combines the Imaging Document Source and Consumer to guarantee fast and streaming-based access to all images in the network observing the high security standards of the hospital network. The authors of this paper have proven that it is possible to build a fast and reliable sharing system based on IHE profiles using most of the transactions of XDS-I with some adaptions to the clinical workflow. Primary hospital systems were enabled by building adapters to overcome lack of IHE compatibility. The established system embraces the existing security mechanisms in hospital networks while connecting patients and referring physicians from outside in a secure and convenient manner. A state-of-the-art sharing system that is used in a productive clinical environment has been established and is ready to grow with more partners. The system is the basis for an elaborated interdisciplinary collaboration where data, and in particular images, can now be shared between medical professionals.
Databáze: OpenAIRE
Externí odkaz: