XDS-I Gateway Development for HIE Connectivity with Legacy PACS at Gil Hospital.
10.4258/hir.2013.19.4.293
- Author:
Mikael Fernandus SIMALANGO
1
;
Youngchul KIM
;
Young Tae SEO
;
Young Hwan CHOI
;
Yong Kyun CHO
Author Information
1. GE Healthcare IT Korea Technology Center, Incheon, Korea. YoungHwan.Choi@ge.com
- Publication Type:Case Report
- Keywords:
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)
- MeSH:
Archives;
Delivery of Health Care;
Indonesia
- From:Healthcare Informatics Research
2013;19(4):293-300
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.