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

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

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Introduction/Motivation

• ????????????????? EHRs
• IHE XDS-I ??????????,??????????????????????????
• ???????????? DICOM ??? PACS ?????? PACS
• ? WAN ???,??????? DICOM ????????
• ? PACS ?????????????????,????????
• ??????????,DICOM ??????????
• IHE XDS-I ???????????????
• ???????? IHE Profile ??????
• ????????????????????????,?? Profile
  ?????????????????????

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XDS - Overview

• XDS???
• ?????????????????????????
• XDS ???????
• ???????? ????,???
• ???????????? ?? ?
• ????????? ???? ?
• ?? ???????????????????????
• ?????? ?? ????

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XDS-I Key Concepts

• ????? ???? ? ???? ?????
• ???????????
• XDS-I ????????????????????????
• XDS-I ???? ?? ???????
• ???????????????????
• ?????DICOM KOS ??

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Introduction/Motivation

• ???EHR?????????,?????????,??????????????
• ??????????EHR???,WADO ??????????DICOM?????????????
  ?
• WADO ????http??????DICOM ??
• ??????XDS-I?????URL,???http????WADO????
• ???????PACS???DICOM???
• JPIP ?????? ?? ?????????
• ??????????????????
• ?????,????????????JPIP???????

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JPIP - Overview

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

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JPIP Streaming Use Cases

• ???CT????????(?)???
• ??????
• ?????????
• ??????????
• ??????,??/????????
• ??????????????
• ???????????
• ?????
• ???????????(?)????????(?)

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DICOM Access

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

?? (ER)
XDS ???/??
DICOM
DICOM
DICOM
?????/??
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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 ???/??
????/??
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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
????/??
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WADO/JPIP Access

1. ??????
2. ????XDS-I???????????
3. WADO ????????
4. ?JPIP ??????????????????

• ?? PACS IM/IA ?? WADO
• WADO ??? ?? JPIP ???
• ???????????JPIP ?PACS ????????
• ??????? JPIP

??(ER)
XDS ???/??
????/??
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Remote Viewing

• ??Web????????
• ?? WADO ???? (KOS)
• ?JPIP ??????WADO ?????????
• ????????JPIP?????PACS??????????

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Benefits

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

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Acknowledgements

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

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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