ImageSharingNetwork

Patient’s images are acquired and interpreted by a Radiologist at a facility

Patient’s images and possibly other test results are reviewed by a specialist either at the same or a different facility

Patient’s images and report are reviewed by primary physician

Patient authorizes physicians to access Images and reports

CORE

XDS.b + Manifest via (KOS??)

Other – status, logging etc?

HL7 feedReport plugin

CFIND,CMOVE

HL7

HL7 QryReport plugin

OtherReport plugin

Edge server concept

TokenManager

Database

ImageStorage

Admin

TokenAssociation

Site person or patient?Create (Token, accession)

EdgeInterface

AdministrationManagementMonitoringConfiguration

PHRInterface

Clearning house concept

Query

Transfer (XDS.b?)

ReportsT < 30 days??

•No UI by Edge Server•No patient db by Edge server•Plugins may be separable if IT polices require it•Part or whole of Edgeserver in DMZ•How do CFIND and CMOVE know the accession number??•What if site IT just wants to send and not query as part of Local IT policy ?

CSTORE

PHR

•How does PHR query? Can we use a modified version of XDS-I with Tokens instead of Patient ID ??•Can we use XDS.b to transfer the content ?

ContentMgmt & Flow

control

Software Architecture

EdgeDevice

RISBroadcast

CSTORE

HL7

Pass thruNo UINo DB

Receiver

Database

Images&

Reports

XDSQuery

XDSTransfer

PHR

TokenWebApp

MgmtApp

CLEARINGHOUSE

Create tokensAssign Accessions to token – same app for all sites

Contentmgr

Permanent Storage

Ofc PCbackend

PACS

Administration& Management

Software Architecture2

RISBroadcast

CFINDCMOVE

HL7 Receiver

Database

Images&

Reports

XDSQuery

XDSTransfer

PHR

TokenApp

MgmtApp

Create tokensAssign Accessions to token – same app for all sites

DICOMServer

Permanent Storage

Ofc PCbackend

PACS

TransmitterTk

ResearchApp

Clinical research

Administration& Management

Acc

TemporaryImages

&Reports

Receiver

Edge Server Clearinghouse

MgmtApp

Administration& Management

Contentmgr

Database

ST*

StorageManager

Software Architecture3

RISBroadcast

HL7Receiver

Database

PHR

TokenApp

Create tokensAssign Accessions to token

Permanent Storage

PACS

Transmitter

ResearchApp

Clinical research

Edge Server

3rd PartyClearinghouse

Pure XDS.b

Store reports

CFIND,CMOVE