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KMID : 0603720130190040293
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Journal of Korean Society of Medical Informatics
2013 Volume.19 No. 4 p.293 ~ p.300
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XDS-I Gateway Development for HIE Connectivity with Legacy PACS at Gil Hospital
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Simalango Mikael Fernandus
Kim Young-Chul
Seo Young-Tae
Choi Young-Hwan
Cho Yong-Kyun
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Abstract
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Objectives: The ability to support healthcare document sharing is imperative in a health information exchange (HIE). Sharing imaging documents or images, however, can be challenging, especially when they are stored in a picture archiving and communication system (PACS) archive that does not support document sharing via standard HIE protocols. This research proposes a standard-compliant imaging gateway that enables connectivity between a legacy PACS and the entire HIE.
Methods: Investigation of the PACS solutions used at Gil Hospital was conducted. An imaging gateway application was then developed using a Java technology stack. Imaging document sharing capability enabled by the gateway was tested by integrating it into Gil Hospital’s order communication system and its HIE infrastructure.
Results: The gateway can acquire radiology images from a PACS storage system, provide and register the images to Gil Hospital’s HIE for document sharing purposes, and make the images retrievable by a cross-enterprise document sharing document viewer.
Conclusions: Development of an imaging gateway that mediates communication between a PACS and an HIE can be considered a viable option when the PACS does not support the standard protocol for cross-enterprise document sharing for imaging. Furthermore, the availability of common HIE standards expedites the development and integration of the imaging gateway with an HIE.
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KEYWORD
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Health Information Exchange (HIE), Cross-Enterprise Document Sharing for Imaging (XDS-I), Picture Archiving and Communication System (PACS), Digital Imaging and Communications in Medicine (DICOM), Web Access to DICOM Persistent Objects (WADO)
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