FHIR und die Anwendung in IHE & DICOM - HL7 Austria – HL7 … · · 2017-06-09 RESTful DICOM...

© 2014 HL7 ® International. Licensed under Creative Commons. HL7 & Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.

FHIR und die Anwendung in IHE & DICOM

René Spronk

Trainer/Tutor

Ringholm bv (Niederlande)

eMail: [email protected]

Web: http://www.Ringholm.com


FHIR

Anwendung in DICOM

1. DICOMWeb (RESTful DICOM)

2. Abstimmung der Inhalte der FHIR

Resourcen

2


RESTful DICOM Transport

PACS

Viewer Get Metadata

Return metadata

Se

ve

ral se

con

ds

ove

r G

ig/E

Once metadata is received, the viewer can figure out what images it needs

Get Image #1-2000

Return Images #1 - 2000

Patient Study

Series Series Series

SOP Instances SOP Instances SOP Instances

x

Metadata

Voice Clip

Image

Private

Attributes

PACS


DICOMWeb (RESTful DICOM)

Web, mobile, and integration friendly

Metadata separated from image data

Fetch

Simple URL-based search (UID based); Parse

XML or JSON response

1. Download metadata, subset of images

2. Download rest of study in background

Upload

New evidence / artifacts, entire studies


DICOMweb Components

Query

(QIDO)

Retrieve

(WADO)

Store

(STOW)

Slide: Don Dennison


QIDO-RS then WADO-RS

6

GET https://dicomweb.myhospital.com/studies/?00100010=THOMPSON

Accept: application/json

Retrieve URL (0008,1190) contained in response:

"00081190": { "vr": "UT",

"Value": [ "https://dicomweb.myhospital.com/studies/

1.2.392.200036.9116.2.2.2.1762893313.1029997326.9473" ] }

GET https://dicomweb.myhospital.com/studies/

1.2.392.200036.9116.2.2.2.1762893313.1029997326.9473

Accept: multipart/related; type=image/jpeg

QIDO

WADO


STORE-WS, Details POST myserver/studies/1.2.3.4

multipart/related; type=application/dicom

multipart/related; type=application/dicom+xml

multipart/related; type=application/dicom+json

7 (additional details on the reasons that the SOP instances weren’t accepted )


Web based Image Capture (IHE WIC)

Key use case:

Uniform way of uploading of non-dicom

images/videos

8

Image Manager

Image Manager Image Capturer


9

Patient

Device

Media

ImagingStudy


ImagingStudy Resource

10

Classic XDS-I: KOS Object


FHIR

Anwendung in IHE

1. IHE PDQm Profil

2. IHE MHD Profil

11


Use Cases for ‘mobile’ profiles

Mobile devices used by physicians (for

example: a mobile app for electronic patient

charts)

Web based EHR/EMR applications

A health portal securely exposing data to

browser based plugins,

Medical devices

12


PDQ Profile Patient Demographics Query

Patient Demographics

Supplier


Consumer

Patient demographics

Query [ITI-47] (HL7 v3)



Mobile Patient Demographics

Query [ITI-78] (FHIR)


Supplier


Consumer




Supplier


Consumer

Mobile Patient Demographics

Query [ITI-78] (FHIR)


PDQm Query Parameters

14


Profiled PDQm Response Model

15

<extension url="http://pdqm-sample:8080/ITI-78/Profile/pdqm#mothersMaidenName"> <valueHumanName> <family value="Smith"/> <given value="Mary"/> </valueHumanName> </extension>


16

IHE XDS/MHD Profiles Mobile access to Health Docs.

Document

Creator

Document

Repository

Document

Registry

Query

Documents

Retrieve

Document

Set

Register Document Set

Provide & Register

Document Set

XDS

Document

Consumer

Document

Recepient

Document

Source

Document

Responder

MHD

Document

Consumer

Put Document Dossier

Find Document Dossier

Get Document Dossier

Get Document


DocumentReference Resource

Classic XDS: ebRM based XDS DocumentEntry metadata


DMS/Repository

XDS Registry

PACS/VNA

EHR

ImagingStudy ImagingStudy

ImagingStudy ImagingStudy

condition

FHIR+MHD+RESTful DICOM

Media

Patient condition

Media

Composition

provider

observation

medication patient

LIST

ImagingStudy

encounter provider

Document

Reference

document

Reference


Status of these standards

IHE

MHD: ‘trial implementation’ status

WIC: Draft for Comment 2015

www.ihe.net/Technical_Frameworks

HL7 FHIR: ‘draft standard for trial use’

www.hl7.org/fhir

RESTful DICOM (sup 161,163, 166): final

medical.nema.org

19


20

Fragen?

FHIR und die Anwendung in IHE & DICOM - HL7 Austria – HL7 … · · 2017-06-09 RESTful DICOM...

Documents

Transcript of FHIR und die Anwendung in IHE & DICOM - HL7 Austria – HL7 … · · 2017-06-09 RESTful DICOM...