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Distributing Images:  Cross-enterprise Document Sharing for Imaging (XDS-I)  Chris Lindop
[object Object],[object Object],[object Object],[object Object],[object Object],Abstract / Scope
Sharing Radiology Reports and Images in a Regional Health Information Network Radiology Enterprise A Radiology Enterprise B Physician Office Regional Health Information Network PACS B PACS A Radiology-to-radiology Radiology-to- Physicians
Sharing Radiology Reports and Images in a Regional Health Information Network Radiology Enterprise A Radiology Enterprise B Physician Office Regional Health Information Network Cross-Enterprise Registry ,[object Object],[object Object],[object Object],[object Object],[object Object],PACS B PACS A
Physicians and Systems within a Regional Health Network -  Routine Imaging Referral Radiology Enterprise A Radiology Enterprise B Physician Office Regional Health Information Network Cross-Enterprise Registry ,[object Object],[object Object],[object Object],Query for Documents  Register Imaging Information for sharing Prior imaging Reports & Studies Register Imaging Information for sharing
Physicians and Systems within a Regional Health Network -  Routine Imaging Referral Radiology Enterprise A Radiology Enterprise B Physician Office Regional Health Information Network Cross-Enterprise Registry Register Imaging Information for sharing Notification of Doc Availability Register Imaging Information for sharing
Physicians and Systems within a Regional Health Network for a Routine Imaging Referral Radiology Enterprise A Radiology Enterprise B Physician Office Regional Health Information Network Cross-Enterprise Registry ,[object Object],[object Object],[object Object],[object Object],[object Object],Prior Imaging Report & Study Query for documents  Imaging Report & Study Notification of Doc Availability
Value proposition ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Value proposition ,[object Object],[object Object],[object Object],[object Object],[object Object]
XDS-I Dependencies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Document  Consumer Retrieve  Document  Query  Documents Patient  Identity Source  Patient Identity  Feed  Imaging  Document Source  Document  Registry  Document  Repository Provide & Register Document Set Register Document Set Imaging Document Consumer  Retrieve Images Retrieve Presentation States Retrieve Key Image Note Retrieve Evidence Documents WADO Retrieve  XDS-I Actors and Transactions
XDS-I New Transaction requirements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Options ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sharing of Extensive DICOM Instance Set
Document Registry Document Repository Manifest Reference to image 1 DICOM Manifest Reference to image 2 Reference to image 3 Manifest Manifest Clinical Encounter Clinical IT System Query Registry Manifest Retrieve Manifest Reference to image 1 DICOM Manifest Reference to image 2 Reference to image 3 Retrieve Images Register Manifest Manifest
Sharing of  Extensive DICOM Instance Set ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sharing of Imaging Report
Radiology system Report Source Text wrapped into CDA Report   PDF Report   … .. Findings: Header : Report Type: OB / Gyn BPD  ... … .. Radiology Report Impressions : Gestational Age ...
Radiology system Report Source Document Registry Document Repository Report Report Clinical Encounter Clinical IT System Query Registry Retrieve Report Register Report Report … .. Findings : Header : Report Type: OB / Gyn BPD  ... … .. Radiology Report Impressions : Gestational Age ...
Sharing of Reports ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
XDS-I Actors / Grouping ,[object Object],[object Object],[object Object]
Linking Report to Complete Set of Images Document Repository Document Registry Study Manifest Report Document Entry Document Entry Submission Set
Linking Report to Complete Set of Images Document Repository Document Registry Document Entry Submission Set  1 Report Document Entry Submission Set  2 Study Manifest
Linking Report to Prior Images and Prior Report Document Repository Document Registry Document Entry Submission Set  3 Prior Study Manifest Document Entry Submission Set  1 Prior Report Document Entry Submission Set  2 Report Document Entry Submission Set  4 Study Manifest
Linking Report to Selected Images Radiology system Report Source … .. Findings : Header : Report Type: OB / Gyn Radiology Report Relevant Image Gestational Age ... WADO URI  Link  to image BPD  ... … ..
XDS-I Metadata ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 

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IHE Distributing Images: Cross-enterprise Document Sharing for Imaging (XDS-I)

  • 1. Distributing Images: Cross-enterprise Document Sharing for Imaging (XDS-I) Chris Lindop
  • 2.
  • 3. Sharing Radiology Reports and Images in a Regional Health Information Network Radiology Enterprise A Radiology Enterprise B Physician Office Regional Health Information Network PACS B PACS A Radiology-to-radiology Radiology-to- Physicians
  • 4.
  • 5.
  • 6. Physicians and Systems within a Regional Health Network - Routine Imaging Referral Radiology Enterprise A Radiology Enterprise B Physician Office Regional Health Information Network Cross-Enterprise Registry Register Imaging Information for sharing Notification of Doc Availability Register Imaging Information for sharing
  • 7.
  • 8.
  • 9.
  • 10.
  • 11. Document Consumer Retrieve Document Query Documents Patient Identity Source Patient Identity Feed Imaging Document Source Document Registry Document Repository Provide & Register Document Set Register Document Set Imaging Document Consumer Retrieve Images Retrieve Presentation States Retrieve Key Image Note Retrieve Evidence Documents WADO Retrieve XDS-I Actors and Transactions
  • 12.
  • 13.
  • 14. Sharing of Extensive DICOM Instance Set
  • 15. Document Registry Document Repository Manifest Reference to image 1 DICOM Manifest Reference to image 2 Reference to image 3 Manifest Manifest Clinical Encounter Clinical IT System Query Registry Manifest Retrieve Manifest Reference to image 1 DICOM Manifest Reference to image 2 Reference to image 3 Retrieve Images Register Manifest Manifest
  • 16.
  • 18. Radiology system Report Source Text wrapped into CDA Report PDF Report … .. Findings: Header : Report Type: OB / Gyn BPD ... … .. Radiology Report Impressions : Gestational Age ...
  • 19. Radiology system Report Source Document Registry Document Repository Report Report Clinical Encounter Clinical IT System Query Registry Retrieve Report Register Report Report … .. Findings : Header : Report Type: OB / Gyn BPD ... … .. Radiology Report Impressions : Gestational Age ...
  • 20.
  • 21.
  • 22. Linking Report to Complete Set of Images Document Repository Document Registry Study Manifest Report Document Entry Document Entry Submission Set
  • 23. Linking Report to Complete Set of Images Document Repository Document Registry Document Entry Submission Set 1 Report Document Entry Submission Set 2 Study Manifest
  • 24. Linking Report to Prior Images and Prior Report Document Repository Document Registry Document Entry Submission Set 3 Prior Study Manifest Document Entry Submission Set 1 Prior Report Document Entry Submission Set 2 Report Document Entry Submission Set 4 Study Manifest
  • 25. Linking Report to Selected Images Radiology system Report Source … .. Findings : Header : Report Type: OB / Gyn Radiology Report Relevant Image Gestational Age ... WADO URI Link to image BPD ... … ..
  • 26.
  • 27.