Wado and FHIR

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In this presentation I am discussing implementing the FHIR ImagingStudy endpoint using DICOM QIDO RS during the out-of-cycle HL7 AID meeting in Amsterdam

Transcript of Wado and FHIR

WADO AND FHIRA DICOM newbie visits SIIM2014

Ewout Kramere.kramer@furore.com

HL7 AID OOC, juni 2014

EMR Lab

PACS

Pharmacy

PACS Lab

EMR

Pharmacy

DigitalImagingandCommunicationinMedicine

"Chapter 6" 75 pagina's3.644 elements

• File format NOT an object model!

• Not normalized

DicomObject

All 3.644 attributes

• Flat structure (well, some of the datatypes are complex)

• Sets of key/value pairs• "All DICOM Objects must

include Patient, Study, Series and Image"

• FHIR: Focus on "registry" function/searching

Biggest Challenge:

Granularity

QIDO-RS

GET https://dicomweb.myhospital.com/studies/?00100010=THOMPSONAccept: application/json

QIDO-RS and then WADO-RS

"00081190": { "vr": "UT", "Value": [ "https://dicomweb.myhospital.com/studies/ 1.2.392.200036.9116.2.2.2.1762893313.1029997326.945873" ] }

Add Retrieve URL (0008,1190)

GET https://dicomweb.myhospital.com/studies/ 1.2.392.200036.9116.2.2.2.1762893313.1029997326.945873 Accept: multipart/related; type=image/jpeg

Secondary Challenges

Composition/reference• DICOM – composition only

Syntax• DateTime -> date+time• Approx. 25 datatypes need

to be converted

Now, I'll just have to finish doing it!