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首页> 外文会议>Conference on PACS and imaging informatics >Design Challenges and Gaps in Standards in developing an interoperable Zero Footprint DI thin client for use in image-enabled Electronic Health Record solutions
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Design Challenges and Gaps in Standards in developing an interoperable Zero Footprint DI thin client for use in image-enabled Electronic Health Record solutions

机译：在开发可互操作的零占用空间DI瘦客户机以用于启用图像的电子病历解决方案中的标准设计挑战和空白

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The deployment of regional and national Electronic Health Record solutions has been a focus of many countries throughout the past decade. A major challenge for these deployments has been support for ubiquitous image viewing. More specifically, these deployments require an imaging solution that can work over the Internet, leverage any point of service device: desktop, tablet, phone; and access imaging data from any source seamlessly. Whereas standards exist to enable ubiquitous image viewing, few if any solutions exist that leverage these standards and meet the challenge. Rather, most of the currently available web based DI viewing solutions are either proprietary solutions or require special plugins. We developed a true zero foot print browser based DI viewing solution based on the Web Access DICOM Objects (WADO) and Cross-enterprise Document Sharing for Imaging (XDS-I.b) standards to a) demonstrate that a truly ubiquitous image viewer can be deployed; b) identify the gaps in the current standards and the design challenges for developing such a solution. The objective was to develop a viewer, which works on all modern browsers on both desktop and mobile devices. The implementation allows basic viewing functionalities of scroll, zoom, pan and window leveling (limited). The major gaps identified in the current DICOM WADO standards are a lack of ability to allow any kind of 3D reconstruction or MPR views. Other design challenges explored include considerations related to optimization of the solution for response time and low memory foot print.
机译：在过去的十年中，区域和国家电子病历解决方案的部署一直是许多国家关注的重点。这些部署的主要挑战是支持无处不在的图像查看。更具体地说，这些部署需要可在Internet上运行，利用任何服务点设备（台式机，平板电脑，电话，台式机，平板电脑，平板电脑，平板电脑，平板电脑等）的映像解决方案。并无缝访问任何来源的成像数据。尽管存在能够实现无处不在的图像查看的标准，但几乎没有解决方案能够利用这些标准并应对挑战。而是，大多数当前可用的基于Web的DI查看解决方案都是专有解决方案或需要特殊的插件。我们开发了基于Web Access DICOM对象（WADO）和跨企业成像影像共享（XDS-I.b）标准的基于零英尺打印浏览器的真正DI查看解决方案，以a）证明可以部署真正无所不在的图像查看器; b）找出当前标准中的空白以及开发这种解决方案的设计挑战。目的是开发一种查看器，该查看器可在台式机和移动设备上的所有现代浏览器上使用。该实现允许滚动，缩放，平移和窗口拉平（受限）的基本查看功能。当前DICOM WADO标准中发现的主要差距是缺乏允许任何类型的3D重建或MPR视图的能力。探索的其他设计挑战包括与优化解决方案有关的响应时间和低内存占用的考虑。

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