Data Exchange Standards Flashcards

(38 cards)

1
Q

What and why are data exchange standards important?

A

Data communication must be according to a standard protocol in order for every party in the conversation to be understood.

A common language/protocol for data exchange.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Why are open data exchange standards important?

A

Open standards make it easier for equipment from different manufacturers to communicate with each other.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the incentives for manufacturers to use open standards for data exchange?

A

They get the biggest possible market for their equipment.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the incentives for users to use open standards for data exchange?

A

It is easier to understand how communication takes place and allows for choice of equipment across all manufacturers.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the incentives for everyone to use open standards for data exchange?

A

It makes troubleshooting easier and allows for all stakeholders to work together to develop the standard.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is DICOM?

A

Digital Imaging and COmmunications in Medicine:
A data exchange standard covering digital images and associated data. Adherence is voluntary.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is an open standard?

A

Standards must be published and available to all interested parties, potentially with conditions for access (e.g. payment). Ideally they would be non-propriety and freely available, with all interested parties contributing to the development.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the difference between a standard and the law?

A

Standards:
- Adherence (generally) voluntary
- The same wherever they are implemented
- Constantly evolving, where several versions can be active at a time
- Interpretation is by who implements it or who assesses against it

Law:
- One version of the law in effect at a time
- Interpretation of the law decided by the courts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is a DICOM element?

A

A unit of information with a defined data type and structure which are uniquely indexed by a ‘tag’ and name (e.g. a patient’s name, CT slice position, gantry angle)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is a DICOM information object?

A

Set of elements which together describe a physical entity (e.g. CT slice, digital radiograph, radiotherapy plan). A concrete example is an instance.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is a DICOM service class/group?

A

An action which can be performed on information objects (e.g. transferring data between systems, archiving, printing).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is a DICOM SOP?

A

Service Object Pair:
A defined action (service) which can be performed on a particular object (e.g. storage (service) of a CT slice (object)).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is DIMSE?

A

DICOM Message Service Element

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are some DIMSE service classes?

A

Verification C-ECHO
Storage C-STORE
Query C-FIND
Retrieve C-GET

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What subsection of the NHS deals with data standards?

A

The Data Alliance Partner NHS standards and provides guidance on the use of standards

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How is a system uniquely identified in a DICOM data exchange?

A

IP address
Port
AET (Application Entity Title)

17
Q

A workstation is used to search for and retrieve images from a PACS. Describe the DIMSE
classes involved in this process. In each case identify which of the workstation and PACS is
acting as the service user and which is the service provider.

A

C-FIND Workstation: User, PACS: Provider
C-GET/MOVE Workstation: User, PACS: Provider
C-STORE Workstation: User, PACS: Provider

18
Q

What is a DICOM UID?

A

Unique identifier which is assigned to a SOP class (contextually unique) or instances of objects (globally unique)

19
Q

How long is a DICOM UID?

A

Up to 64 characters

20
Q

What is the structure of a DICOM UID?

A

a.b.c.d.e.f.g.h.i.j
a.b = 1.2 - DICOM
c - country
d - root owner (e.g. GE)
e-j - anything as long as it is unique

21
Q

What is an integration engine?

A

Performs data mapping or conversions between input feed and outputs

22
Q

When might an integration engine be used?

A

Converting HL7 feed into multiple feeds for different versions which are compatible on different systems
Patient IDs if different systems use different master ID
Removing unsupported content

23
Q

What are the types of DICOM transfer syntaxes?

A

Implicit VR Little Endian - MANDATORY
Explicit VR Little Endian - OPTIONAL
Explicit VR Big Endian - OPTIONAL

24
Q

What is a DICOM transfer syntax?

A

A way of communicating information, and must be agreed upon prior to transfer

25
What is the organisation of DICOM instances?
Instances are grouped: Patient Study Series Instance
26
What are the benefits of DICOM?
1. Widely accepted standard format improving compatibility 2. Additional information stored with image data 3. Robust and reliable
27
What are the limitations of DICOM?
1. Conformance does not guarantee compatibility 2. Complex and broad making it difficult to interpret requirements 3. May require complex local configuration
28
What is meant by DICOM conformance?
A minimum level of implementation is required
29
What is meant by the DICOM conformance statement?
Specifies supported information objects, service classes, SOPs, communication protocols and storage protocols.
30
What is HL7?
Health Level 7 Related to the communication of messages between clinical information systems, e.g. patient demographics, scheduling, lab results, reports.
31
What are HL7 messages?
Text-based, e.g. patient name, address, lab results, radiology reports, appointments
32
What is the format of an HL7 message?
A series of segments which contain a series of composites (fields)
33
Who manages HL7?
Equipment vendors, IT department, external consultants and some clinical departments
34
When would a physicist be involved in HL7?
For physics managed systems, e.g. radiotherapy OMS, NM systems
35
What is IHE?
Integrating the Healthcare Enterprise A multi-professional group working to ensure maximum compatibility between equipment between different vendors
36
What are IHE Profiles?
Define standard ways of communicating between different systems, usually using DICOM and HL7, for particular real-world clinical applications
37
How do manufacturers demonstrate IHE fulfiment?
Participating in Connectathons Release Integration Statements describing which profiles they meet with a particular product
38
What is an example of IHE?
RT Treatment Planning has a Integration statement for how it will communicate