Abstract
The aim of this paper is to report on the implementation of radiology and related information technology standards to feed big data repositories and so to be able to create a solid substrate on which to operate with analysis software. Digital Imaging and Communications in Medicine (DICOM) and Health Level 7 (HL7) are the major standards for radiology and medical information technology. They define formats and protocols to transmit medical images, signals, and patient data inside and outside hospital facilities. These standards can be implemented but big data expectations are stimulating a new approach, simplifying data collection and interoperability, seeking reduction of time to full implementation inside health organizations. Virtual Medical Record, DICOM Structured Reporting and HL7 Fast Healthcare Interoperability Resources (FHIR) are changing the way medical data are shared among organization and they will be the keys to big data interoperability. Until we do not find simple and comprehensive methods to store and disseminate detailed information on the patient’s health we will not be able to get optimum results from the analysis of those data.
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References
Health IT Legislation | Policy Researchers & Implementers | HealthIT.gov. https://www.healthit.gov/policy-researchers-implementers/health-it-legislation. Accessed 7 June 2016
Affordable Care Act—HealthCare.gov Glossary, HealthCare.gov. https://www.healthcare.gov/glossary/affordable-care-act/. Accessed 15 June 2016
Seidman J, Garrett P. EMR vs EHR—what is the difference? Health IT Buzz [Online]. https://www.healthit.gov/buzz-blog/electronic-health-and-medical-records/emr-vs-ehr-difference/. Accessed 15 June 2016
Methods for De-identification of PHI| HHS.gov. http://www.hhs.gov/hipaa/for-professionals/privacy/special-topics/de-identification/index.html. Accessed 15 June 2016
HITPC group, HITPC_Health_Big_Data_Report_FINAL.pdf. https://www.healthit.gov/sites/faca/files/HITPC_Health_Big_Data_Report_FINAL.pdf. Accessed 9 June 2016
Logical Observation Identifiers Names and Codes (LOINC®)—LOINC. http://loinc.org/. Accessed 9 June 2016
IHTSDO, SNOMED CT. http://www.ihtsdo.org/snomed-ct. Accessed 9 June 2016
RxNorm Pharmacology Codes, https://www.nlm.nih.gov. https://www.nlm.nih.gov/research/umls/rxnorm/. Accessed 10 June 2016
Terminologies-systems—FHIR v1.0.2. https://www.hl7.org/fhir/terminologies-systems.html. Accessed 11 June 2016
HL7 Standards Product Brief—HL7 Version 3 Standard: Common Terminology Services (CTS), Release 1. http://www.hl7.org/implement/standards/product_brief.cfm?product_id=10. Accessed 10 June 2016
HL7 Standards Product Brief—HL7/ASTM Implementation Guide for CDA® R2—Continuity of Care Document (CCD®) Release 1 [Online]. http://www.hl7.org/implement/standards/product_brief.cfm?product_id=6. Accessed 10 June 2016
Clunie DA (2000) DICOM structured reporting. PixelMed Pub, Bangor
DICOM Homepage Standard parts, dicom.nema.org. http://dicom.nema.org/standard.html. Accessed 14 June 2016
Imaging reports using HL7 clinical document architecture [Online]. ftp://medical.nema.org/medical/dicom/current/output/pdf/part20.pdf. Accessed 10 June 2016
ISO/HL7 27932:2009—Data Exchange Standards—HL7 Clinical Document Architecture, Release 2, ISO. http://www.iso.org/iso/home/store/catalogue_tc/catalogue_detail.htm?csnumber=44429. Accessed 10 June 2016
Extensible Markup Language (XML). https://www.w3.org/XML/. Accessed 10 June 2016
HL7 Standards Product Brief—CDA® Release 2. http://www.hl7.org/implement/standards/product_brief.cfm?product_id=7. Accessed 10 June 2016
Reference Information Model (RIM) Downloads, HL7 Reference Information Model. http://www.hl7.org/implement/standards/rim.cfm. Accessed 14 June 2016
Schema—W3C. https://www.w3.org/standards/xml/schema. Accessed 14 June 2016
Schematron. http://www.schematron.com/. Accessed: 14 June 2016
CDA Guideline Validation. http://cda-validation.nist.gov/cda-validation/downloads.html. Accessed 14 June 2016
HL7 Standards Product Brief—HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes. http://www.hl7.org/implement/standards/product_brief.cfm?product_id=379. Accessed 14 June 2016
Structured Documents—Products. http://www.hl7.org/Special/committees/structure/products.cfm. Accessed 14 June 2016
Marcheschi P, Mazzarisi A, Dalmiani S, Benassi A (2004) HL7 clinical document architecture to share cardiological images and structured data in next generation infrastructure. Comput Cardiol 2004:617–620
Marcheschi P, Mazzarisi A, Dalmiani S, Benassi A (2005) New standards for cardiology report and data communication: an experience with HL7 CDA release 2 and EbXML. Comput Cardiol 2005:383–386
Yun JH, Kim IK (2007) Processing HL7-CDA entry for semantic interoperability. In: International conference on convergence information technology, pp 1939–1944
A.6.2 Transcoded HL7 CDA Release 2 ‘Diagnostic Imaging Report’. [Online]. http://dicom.nema.org/medical/Dicom/2015a/output/chtml/part20/sect_A.6.2.html. 10 June 2016
IANA Media Types. http://www.iana.org/assignments/media-types/media-types.xhtml. Accessed 15 Sept 2016
NEMA—The Association of Electrical Equipment and Medical Imaging Manufacturers. http://www.nema.org/pages/default.aspx. Accessed 15 Sept 2016
Zeilinger G, Montgomery O, Evans D, Willer F, Viswanathan S, Bowles T (2010) The dcm4che project homepage, Technical report, dcm4che. org
Eichelberg M, Onken M, Thiel A. OFFIS DCMTK—DICOM toolkit [Online]. http://dicom.offis.de/dcmtk.php.en. Accessed 10 June 2016
PixelMed Publishing™ [Online]. http://www.pixelmed.com/index.html#PixelMedJavaDICOMToolkit. Accessed 10 June 2016
Digital imaging and communications in medicine (DICOM) supplement 65: chest computer-aided detection SR SOP class [Online]. ftp://medical.nema.org/medical/dicom/final/sup65_ft.pdf. Accessed 10 June 2016
Integrating the Healthcare Enterprise® (IHE) [Online]. http://www.ihe.net/. Accessed 10 June 2016
Scheduled workflow—IHE wiki [Online]. http://wiki.ihe.net/index.php/Scheduled_Workflow. Accessed 10 June 2016
Key image note—IHE wiki [Online]. http://wiki.ihe.net/index.php/Key_Image_Note. Accessed 10 June 2016
Simple image and numeric report—IHE wiki [Online]. http://wiki.ihe.net/index.php/Simple_Image_and_Numeric_Report. Accessed 10 June 2016
Reporting workflow—IHE wiki [Online]. http://wiki.ihe.net/index.php/Reporting_Workflow. Accessed 10 June 2016
Radiation exposure monitoring—IHE wiki [Online]. http://wiki.ihe.net/index.php/Radiation_Exposure_Monitoring. Accessed 10 June 2016
Skodras A, Christopoulos C, Ebrahimi T (2001) The JPEG 2000 still image compression standard. Sig Process Mag IEEE 18(5):36–58
Foos DH, Muka E, Slone RM, Erickson BJ, Flynn MJ, Clunie DA, Hildebrand L, Kohm KS, Young SS (2000) JPEG 2000 compression of medical imagery. In: Proceedings of SPIE 3980, medical imaging 2000: PACS design and evaluation: engineering and clinical issues, vol 85. doi:10.1117/12.386390
HL7, “HL7 Standards Product Brief—HL7 Version 3 Standard: Clinical Decision Support; Virtual Medical Record (vMR) Logical Model, Release 2.” http://www.hl7.org/implement/standards/product_brief.cfm?product_id=338. Accessed 11 June 2016
FHIR®—Fast Healthcare Interoperability Resources [Online]. https://www.hl7.org/fhir/. Accessed 13 June 2016
JavaScript object notation [Online]. http://www.w3schools.com/json. Accessed 13 June 2016
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Marcheschi, P. Relevance of eHealth standards for big data interoperability in radiology and beyond. Radiol med 122, 437–443 (2017). https://doi.org/10.1007/s11547-016-0691-9
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DOI: https://doi.org/10.1007/s11547-016-0691-9