title: Implementation methods of medical image sharing for collaborative health care based on IHE XDS-I profile.
abstract: IHE XDS-I profile proposes an architecture model for cross-enterprise medical image sharing, but there are only a few clinical implementations reported. Here, we investigate three pilot studies based on the IHE XDS-I profile to see whether we can use this architecture as a foundation for image sharing solutions in a variety of health-care settings. The first pilot study was image sharing for cross-enterprise health care with federated integration, which was implemented in Huadong Hospital and Shanghai Sixth People's Hospital within the Shanghai Shen-Kang Hospital Management Center; the second pilot study was XDS-I-based patient-controlled image sharing solution, which was implemented by the Radiological Society of North America (RSNA) team in the USA; and the third pilot study was collaborative imaging diagnosis with electronic health-care record integration in regional health care, which was implemented in two districts in Shanghai. In order to support these pilot studies, we designed and developed new image access methods, components, and data models such as RAD-69/WADO hybrid image retrieval, RSNA clearinghouse, and extension of metadata definitions in both the submission set and the cross-enterprise document sharing (XDS) registry. We identified several key issues that impact the implementation of XDS-I in practical applications, and conclude that the IHE XDS-I profile is a theoretically good architecture and a useful foundation for medical image sharing solutions across multiple regional health-care providers.
authors.affiliation: Chinese Academy of Sciences , Shanghai Institute of Technical Physics, Laboratory for Medical Imaging Informatics, 500 Yu Tian Road, Shanghai 200083, China.
authors.forename: Jianguo
authors.initials: J
authors.lastname: Zhang
authors.affiliation: Chinese Academy of Sciences , Shanghai Institute of Technical Physics, Laboratory for Medical Imaging Informatics, 500 Yu Tian Road, Shanghai 200083, China.
authors.forename: Kai
authors.initials: K
authors.lastname: Zhang
authors.affiliation: Chinese Academy of Sciences , Shanghai Institute of Technical Physics, Laboratory for Medical Imaging Informatics, 500 Yu Tian Road, Shanghai 200083, China.
authors.forename: Yuanyuan
authors.initials: Y
authors.lastname: Yang
authors.affiliation: Chinese Academy of Sciences , Shanghai Institute of Technical Physics, Laboratory for Medical Imaging Informatics, 500 Yu Tian Road, Shanghai 200083, China.
authors.forename: Jianyong
authors.initials: J
authors.lastname: Sun
authors.affiliation: Chinese Academy of Sciences , Shanghai Institute of Technical Physics, Laboratory for Medical Imaging Informatics, 500 Yu Tian Road, Shanghai 200083, China.
authors.forename: Tonghui
authors.initials: T
authors.lastname: Ling
authors.affiliation: Chinese Academy of Sciences , Shanghai Institute of Technical Physics, Laboratory for Medical Imaging Informatics, 500 Yu Tian Road, Shanghai 200083, China.
authors.forename: Mingqing
authors.initials: M
authors.lastname: Wang
authors.affiliation: McMaster University , Faculty of Health Sciences, Department of Clinical Epidemiology and Biostatistics, 1280 Main Street West, Hamilton, Ontario L8S 4K1, Canada.
authors.forename: Peter
authors.initials: P
authors.lastname: Bak
keywords: IHE XDS-I profile; picture archiving and communication system; regional health-care services; solutions for image sharing and exchange
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