REST-based APIs: Overview and Progress Since #SIIM14

Transcription

1 REST-based APIs: Overview and Progress Since #SIIM14 #DICOMweb, HL7 #FHIR and More Brad Genereaux Agfa HealthCare DICOM WG-27 Industry

2 Disclosures Employee of Agfa HealthCare DICOM Committee Co-Chair

3 A long way since #SIIM14

4 The Paradigm is Shifting The era of PUSH is ending LIS PACS Nurse Call Pharmacy Billing EMPI HIS Reporting Admit JOHN DOE Surgery CPOE RIS Order CT Staff Scheduling EHR Portal

5 The Paradigm is Shifting And the dawning of the PULL begins Nurse Call LIS PACS Pharmacy Billing EMPI Reporting HIS Admit JOHN DOE Surgery CPOE RIS Order CT Staff Scheduling EHR Portal

6 What s Available? DICOMweb Images Image metadata Imaging workflow HL7 FHIR Patients Orders Reports Other medical record data Everything Else IHE SWIM Non-healthcare APIs

7 What is DICOMweb? PACS VNA XDS Image Processors DICOMweb DICOMweb DICOMweb DICOMweb DICOMweb EMR Teaching Systems Research Patients Care Teams

8 DICOMweb Services Query QIDO-RS (Query based on ID for DICOM Objects) DICOM PS Retrieve WADO-RS (Web Access of DICOM Objects) DICOM PS Store STOW-RS (Store over the web) DICOM PS Tasks UPS-RS (Worklist Service) DICOM PS Server Info Capabilities Service DICOM PS

9 DICOMweb Query Example What studies do you have for John Doe? Study Date Link Abdomen CT Jan. 17, 2014 Chest CR Mar. 23, QIDO-RS 9

10 DICOMweb Retrieve Example Show me images for the Abdomen CT WADO-RS

11 DICOMweb Store Example Store this image Stored STOW-RS 11

12 DICOMweb Tasks Example What do I need to do today? Study Date Link Abdomen CT Abdomen CT May 29, 2015 May. 29, UPS-RS 12

13 DICOMweb Server Info Example What can you do for me? Query Retrieve Store Tasks Server Info QIDO-RS (Query based on ID for DICOM Objects) DICOM PS WADO-RS (Web Access of DICOM Objects) DICOM PS STOW-RS (Store over the web) DICOM PS UPS-RS (Worklist Service) DICOM PS Capabilities Service DICOM PS Capabilities 13

14 DICOMweb Data Structures <DicomAttribute Tag=" " VR="DT" Keyword="StudyDate"> <Value number="1"> </value> </DicomAttribute> <DicomAttribute Tag=" " VR="CS" Keyword="ModalitiesInStudy"> <Value number="1">ct</value> </DicomAttribute> <DicomAttribute Tag=" " VR="PN" Keyword="PatientName"> <PersonName number="1"> <SingleByte> <FamilyName>Doe</FamilyName> <GivenName>John</GivenName> </PersonName> </DicomAttribute> <DicomAttribute Tag=" D" VR="UI" Keyword="StudyInstanceUID"> <Value number="1"> </Value> </DicomAttribute> " ": { "vr": "DT", "Value": [" "] }, " ": { "vr": "CS", "Value": ["CT"] }, " ": { "vr": "PN", "Value": [ { "Alphabetic": { "Family": ["Doe"], "Given": ["John"] } }] }, " D": { "vr": "UI", "Value": [ } " " ] XML JSON

15 Where do I find more information? DICOM Main Site DICOMweb Reference PS3.18: Participate in DICOM

16 DICOMweb Workshop 2015

17 What is HL7 FHIR? RIS LIS Nurse Call HIS PACS Billing HL7 FHIR HL7 FHIR HL7 FHIR HL7 FHIR HL7 FHIR EHR Reporting Surgery Pharmacy

18 HL7 FHIR Resources

19 HL7 FHIR Patient Example What patients named John Doe do you have? Name DOB ID Link John Doe John Doe John Doe Apr. 17, 1975 Feb. 23, 1963 Nov. 12, <url> <url> <url> Patient 19

20 HL7 FHIR ImagingStudy Example What studies do you have for John Doe? Study Date Link Abdomen CT Jan. 17, 2014 Chest CR Mar. 23, ImagingStudy 20

21 HL7 FHIR Order Creation Example I d like to create an diagnostic order for John Doe Order created DiagnosticOrder 21

22 Where do I find more information? HL7 FHIR Site DSTU1: DSTU2: Contains ImagingObjectSelection Furore s FHIR Cheatsheet

23 What s New in IHE Radiology RRR-WF (Radiology Remote Reading Workflow) Intra- and Inter-enterprise workflow sharing using UPS-RS Groups with other DICOMweb features

24 What s New in IHE Radiology WIC (Web-based Image Capture) Uses DICOMweb s STOW-RS to enable acquisition of images using web-based protocol

25 Other IHE Radiology API Profiles IID (Invoke Image Display) Connects user to viewer to visualize an imaging study MHD-I (Mobile access to Health Documents for Imaging) RESTful access to XDS-I imaging repositories MRRT (Management of Radiology Report Templates) Query, retrieve and store templates

26 What s new in IHE ITI APIs MHD (Mobile Access to Health Documents) Refreshed to include HL7 FHIR PDQm (Patient Demographic Query for Mobile) Leverage FHIR for patient queries IUA (Internet User Authorization) Uses OAuth for validating access to health data More coming soon!

27 Where do I find more information? IHE Main Site Technical Implementation Guides

28 Bring your use cases

29 Other Medical APIs SWIM (SIIM Workflow Initiative in Medicine)

30 Interesting Non-Medical APIs Social APIs New ways to connect patients and clinicians Twilio Telephony and SMS integation Wearables Real-time notifications on-the-go

31 Thank