Interoperative fundus image and report sharing in compliance with integrating the healthcare enterprise conformance and web access todigital imaging and communication in medicinepersistent object protocol

• Main Authors: Hui-Qun Wu, Zheng-Min Lv, Xing-Yun Geng, Kui Jiang, Le-Min Tang, Guo-Min Zhou, Jian-Cheng Dong
• Format: Article
• Language: English
• Published: Press of International Journal of Ophthalmology (IJO PRESS) 2013-12-01
• Series: International Journal of Ophthalmology
• Subjects: picture archiving and communication system; teleophthalmology; integrating the healthcare enterprise; web access to DICOM persistent object
• Online Access: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3874532/
• ISSN: 2222-3959; 2227-4898

<b>AIM:</b>To address issues in interoperability between different fundus image systems, we proposed a web eye-picture archiving and communication system (PACS) framework in conformance with digital imaging and communication in medicine (DICOM) and health level 7 (HL7) protocol to realize fundus images and reports sharing and communication through internet.<b>METHODS:</b> Firstly, a telemedicine-based eye care work flow was established based on integrating the healthcare enterprise (IHE) Eye Care technical framework. Then, a browser/server architecture eye-PACS system was established in conformance with the web access to DICOM persistent object (WADO) protocol, which contains three tiers.<b>RESULTS:</b>In any client system installed with web browser, clinicians could log in the eye-PACS to observe fundus images and reports. Multipurpose internet mail extensions (MIME) type of a structured report is saved as pdf/html with reference link to relevant fundus image using the WADO syntax could provide enough information for clinicians. Some functions provided by open-source Oviyam could be used to query, zoom, move, measure, view DICOM fundus images.<b>CONCLUSION:</b>Such web eye-PACS in compliance to WADO protocol could be used to store and communicate fundus images and reports, therefore is of great significance for teleophthalmology.