Data Exchange Standards Flashcards

1
Q

Why does data communication need to follow OPEN standard protocols?

A

So that each device can understand and communicate with one another, even if equipment is from different manufacturers.

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2
Q

What is an open standard?

A

A standard that is published and available to all interested parties. There may be conditions for access, such as payment or joining of an organisation.

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3
Q

What is the ideal open standard?

A

One that is non-proprietary and freely available. All interested parties should also be able to contribute to the development of the standard.

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4
Q

What incentivises manufacturers to use open standards?

A

It creates the biggest possible market for their equipment.

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5
Q

What incentivises users to use open standards?

A

It is easier to understand how communication takes place and it allows choice of the best quality equipment from all manufacturers.

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6
Q

What incentivises everyone to use open standards?

A

It makes troubleshooting significantly easier. All stakeholders work together to develop the standard.

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7
Q

Give 2 examples of open standards

A

TCP/IP
UDP

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8
Q

State 4 sources of standards

A
  • International standards organisations
  • National standards organisations
  • Professional standards
  • Corporate/organisational standards
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9
Q

State 4 differences between standards and the law

A

1) Adherence to standards is generally voluntary, unlike the law.
2) Standards are the same, regardless of where they’re implemented, whereas the law is specific to each country.
3) One version of the law is in effect at any one time but standards are constantly evolving so there may be several versions active at once.
4) Interpretation of the law is decided by courts while interpretation of standards is decided by the people who implement it.

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10
Q

What is the data alliance and partnership board (DAPB)?

A

An NHS standard that provides guidance on ICT, information governance, the use of other standards in the NHS, and many other topics (it has a very broad range). Compliance is seen as best practice and can be mandated under British law.

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11
Q

What does DICOM stand for?

A

Digital
Imaging and
COmmunications in
Medicine

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12
Q

What is DICOM?

A

A standard covering digital imaging and associated data (i.e. CT, MRI, PET, radiotherapy data, patient reports, modality worklists, etc.). It is coordinated by NEMA and is developed by multiple working groups using a consortium based approach. It is not enforced, only voluntarily adhered to.

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13
Q

What does the DICOM standard cover?

A
  • Standard data types and services
  • Transfer of data across a network
  • Storage onto media
  • Compatibility between systems (conformance)
  • Data compression
  • Security
  • Consistent standard for image display and output
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14
Q

What is a medical image?

A

A visual representation of the human body or its parts. They are used for diagnosis and treatment of diseases, or for research purposes.

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15
Q

What is a DICOM data element?

A

A unit of information with a defined data type and structure. Standard elements are uniquely indexed by ‘tag’ and name.

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16
Q

Give 3 examples of DICOM data elements

A

Patient name
CT slice position
Gantry angle

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17
Q

What is a DICOM information object?

A

A set of elements which together describe a physical entity.

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18
Q

Give 3 examples of DICOM information objects

A

CT slice
Digital radiograph
Radiotherapy plan

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19
Q

What is a DICOM service class/group?

A

An action which can be performed on DICOM information objects.

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20
Q

Give 3 examples of DICOM service classes/groups

A

Transferring data between systems
Archiving
Printing

21
Q

What is a DICOM service object pair (SOP)?

A

A defined action which can be performed on a particular DICOM information object.

22
Q

Give an example of a DICOM service object pair

A

Storage of a CT slice.

23
Q

What does DIMSE stand for?

A

[DI]COM
[M]essage
[S]ervice
[E]lement

24
Q

What are the 5 most common DIMSE service classes?

A
  • Verification (C-ECHO)
  • Storage (C-STORE)
  • Query (C-FIND)
  • Retrieve (C-MOVE / C-GET)
  • Printing
25
Who can implement DIMSE service classes?
Service class users Service class providers
26
What are the 3 ways in which a system can be uniquely identified?
- IP address or hostname - Port for receiving data - Application Entity Title (AET)
27
What are Unique Identifiers (UIDs)?
A string up to 64 characters in length. It can either be assigned to SOP classes where it must be contextually unique or assigned to DICOM information objects where it must be globally unique.
28
What does each section of a UID represent?
29
Describe the anatomy of a DICOM object
30
What is a transfer syntax?
A set of encoding rules for DICOM data exchange. They may be used for storage or network transfer. They must be agreed upon by communicating systems during initial negotiation (i.e. all systems must understand it).
31
Out of these 3 transfer syntaxes, which is mandatory: - Implicit VR little endian - Explicit VR little endian - Explicit VR big endian
Implicit VR little endian
32
How is the information in a DICOM file organised?
33
What are the 4 types of DICOM information objects?
- Radiotherapy images: planning CT scan and pre-treatment images - Radiotherapy structure set: target volumes and organs at risk - Radiotherapy plan: beam specifications - Dose
34
Define DICOM conformance
The minimum level of implementation required to conform with the DICOM standards.
35
Define DICOM conformance statement
A description of additional compliance with the DICOM standards. It specifies supported information objects, service classes, SOPs, communication protocols, and storage protocols. It also described 'private' additional objects/classes which are vendor-specific.
36
What are the 3 main benefits of DICOM?
- It is a widely accepted standard format (improved compatibility between applications and equipment supplied by different vendors) - There is additional information stored with image data, such as patient demographics or acquisition parameters - It's a robust, reliable format (all images/structure/plans are uniquely identifiable for any system)
37
What are the 3 main limitations of DICOM?
- Conformance does not guarantee compatibility so it may be difficult to determine whether two products are truly compatible - It is a complex standard with a very broad scope so may be difficult to interpret the requirements - It may require complex local configuration
38
Describe a typical DICOM network
39
Describe a typical radiotherapy network
40
Give 4 examples of DICOM 'issues'
- Incompatibility between systems - Configuration problems - Unexpected results - Proposed developments of service
41
What is Health Level 7 (HL7)?
An alternative standard to DICOM that is concerned with the communication of 'messages' between clinical information systems. This includes: - Patient demographics - Scheduling information - Lab results - Radiology reports, etc. HL7 is managed by the HL7 consortium.
42
Which 4 clinical ICT systems involve HL7 dataflow
PAS: patient administration systems RIS: radiology information systems PACS: picture archiving and communication system (also uses DICOM) OMS: oncology management system
43
HL7 messages tend to be ___ and _____ based. The messages are a series of _______ which themselves contain a series of _________ (______).
Text Number Segments Composites Fields
44
Give 6 examples of HL7 messages
- Patient name - Patient address - Patient date of birth - Lab results - Radiology reports - Appointments
45
Give 5 examples of common HL7 message segments
Message header Event segment Patient ID segment Additional demographics Next of kin
46
Does each type HL7 message type and subtype have its own defined structure?
Yes
47
What are integration engines (also known as Trust Integration Engines (TIEs))?
Systems that convert one HL7 feed into multiple feeds by performing data mapping or conversions between input feed and outputs.
48
Who manages and configures HL7?
- Equipment vendors - IT departments - External consultants - Some clinical departments - Some physicists (if medical physics systems are involved)
49
What is Integrating the Healthcare Enterprise (IHE)?
A multi-professional group working to ensure maximum compatibility between equipment from different vendors. IHE profiles define standard ways of communicating between different systems, usually using DICOM and HL7 for particular, real-world clinical applications.