?%20XDS-I%20???,??%20JPIP?%20WADO,???????????????%20EHR%20??? - PowerPoint PPT Presentation

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?%20XDS-I%20???,??%20JPIP?%20WADO,???????????????%20EHR%20???

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XDS-I JPIP WADO EHR Lev Weisfeiler Aware, Inc. Co-chair DICOM WG4 (Compression) – PowerPoint PPT presentation

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Title: ?%20XDS-I%20???,??%20JPIP?%20WADO,???????????????%20EHR%20???


1
? XDS-I ???,?? JPIP? WADO,??????????????? EHR ???
Lev Weisfeiler Aware, Inc. Co-chair DICOM WG4
(Compression) DICOM to JPEG liaison
www.aware.com/medical
2
  • ???????????????????? EHR,????????????????

3
Introduction/Motivation
  • ????????????????? EHRs
  • IHE XDS-I ??????????,??????????????????????????
  • ???????????? DICOM ??? PACS ?????? PACS
  • ? WAN ???,??????? DICOM ????????
  • ? PACS ?????????????????,????????
  • ??????????,DICOM ??????????
  • IHE XDS-I ???????????????
  • ???????? IHE Profile ??????
  • ????????????????????????,?? Profile
    ?????????????????????

4
XDS - Overview
  • XDS???
  • ?????????????????????????
  • XDS ???????
  • ???????? ????,???
  • ???????????? ?? ?
  • ????????? ???? ?
  • ?? ???????????????????????
  • ?????? ?? ????

5
XDS-I Key Concepts
  • ????? ???? ? ???? ?????
  • ???????????
  • XDS-I ????????????????????????
  • XDS-I ???? ?? ???????
  • ???????????????????
  • ?????DICOM KOS ??

6
Introduction/Motivation
  • ???EHR?????????,?????????,??????????????
  • ??????????EHR???,WADO ??????????DICOM?????????????
    ?
  • WADO ????http??????DICOM ??
  • ??????XDS-I?????URL,???http????WADO????
  • ???????PACS???DICOM???
  • JPIP ?????? ?? ?????????
  • ??????????????????
  • ?????,????????????JPIP???????

7
JPIP - Overview
  • ?????????
  • JPEG 2000, Part 9
  • ISO/IEC 15444-9
  • ITU-Rec.T.808
  • ??? DICOM ???
  • ????? 106
  • ???????????????? JPEG2000 ??
  • JPEG 2000 ??????,??DICOM???, ??????
  • JPIP ?????????,???????????????????JPEG2000 ????

8
JPIP Streaming Use Cases
  • ???CT????????(?)???
  • ??????
  • ?????????
  • ??????????
  • ??????,??/????????
  • ??????????????
  • ???????????
  • ?????
  • ???????????(?)????????(?)

9
DICOM Access
  1. ??????
  2. ????XDS-I???????????
  3. ?DICOM C-MOVE ????
  4. ???????
  5. ????PACS ????????

?? (ER)
XDS ???/??
DICOM
DICOM
DICOM
?????/??
10
WADO/JPIP Access
  1. Patient presents at ER
  2. ????XDS-I???????????
  • XDS ??(ITI-16)
  • HTTP-SOAP with SQL ??
  • ??????????URI
  • XDS ???? (ITI-17)
  • HTTP ??
  • ?? DICOM KOS ??

??(ER)
XDS ???/??
????/??
11
WADO/JPIP Access
  1. ??????
  2. ????XDS-I???????????
  3. WADO ????????
  • ?? DICOM KOS ??
  • Extract the URI to series
  • WADO http GET
  • ????URI????WADO Get??
  • ??JPIP ?????

??(ER)
XDS ???/??
http GET
http GET
http GET
????/??
12
WADO/JPIP Access
  1. ??????
  2. ????XDS-I???????????
  3. WADO ????????
  4. ?JPIP ??????????????????
  • ?? PACS IM/IA ?? WADO
  • WADO ??? ?? JPIP ???
  • ???????????JPIP ?PACS ????????
  • ??????? JPIP

??(ER)
XDS ???/??
????/??
13
Remote Viewing
  • ??Web????????
  • ?? WADO ???? (KOS)
  • ?JPIP ??????WADO ?????????
  • ????????JPIP?????PACS??????????

14
Benefits
  • ??XDS-I/WADO/JPIP
  • ??PACS (XDS-I), ?????????
  • ???WAN?????,??????
  • DICOM ??
  • DICOM ??
  • PACS ??????
  • ?????????,??????
  • ??????????????????
  • ?????????????????

15
Acknowledgements
  • ??Peter Bak?????
  • ???? DI ???????
  • ?????Infoway,DI??????
  • ???? XDS-I ???????
  • JPIP adoption as a pan-Canadian standard
    ???????

16
Acronyms
  • IHE Integrating the Healthcare Enterprise
  • EHR Electronic Health Record
  • XDS-I Cross Enterprise Document Sharing for
    Imaging
  • WADO Web Access to DICOM Objects
  • JPIP JPEG 2000 Interactive Protocol
  • PACS Picture Archiving and Communication
    Systems
  • KOS - Key Object Selection
  • WAN Wide Area Network
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