Shanghai Area Project: Difference between revisions

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===Description===
===Description===
A number of hospitals in Shanghai are piloting the deployment of an EHR solution, based on a grid concept with a service-oriented architecture (SOA).  The first phase of the project targets the Diagnostic Imaging domain and allows seamless sharing of images and reports across the multiple hospitals.  The EHR solution is fully aligned with the IHE XDS-I integration profile and consists of three main components: Master Node, Agent Node and User Node, which are synonymous with the XDS-I registry, repository, source and consumer actors.  By using a SOA, the solution uses ebXML over secured http for all transactions within the grid.  However communication with the PACS and RIS is DICOM and HL7 v3.x.  The solution was installed in four hospitals in Shanghai and test for performance of data publication, user querying and image retrieval.  The results are extremely positive and demonstrate that an EHR solution based on a SOA with grid concept can scale effectively to serve a regional EHR implementation.
A number of hospitals in Shanghai are piloting the deployment of an EHR solution, based on a grid concept with a service-oriented architecture (SOA).  The first phase of the project targets the Diagnostic Imaging domain and allows seamless sharing of images and reports across the multiple hospitals.  The EHR solution is fully aligned with the IHE XDS-I integration profile and consists of three main components: Master Node, Agent Node and User Node, which are synonymous with the XDS-I registry, repository, source and consumer actors.  By using a SOA, the solution uses ebXML over secured http for all transactions within the grid.  However communication with the PACS and RIS is DICOM and HL7 v3.x.  The solution was installed in four hospitals in Shanghai and test for performance of data publication, user querying and image retrieval.  The results are extremely positive and demonstrate that an EHR solution based on a SOA with grid concept can scale effectively to serve a regional EHR implementation.
The EPR establishes a collaborative mechanism to group medical records according to a variety of reasons (e.g. a visit, a case) and provides document consumers (e.g. a physician, a radiologist) with an easy way to access the specific clinical documents of interest from this longitudinal cross-system record. 


Issues of progressive display with JPEG 2000 compression, and controlling/monitoring access to the EHR for security were also investigated.
Issues of progressive display with JPEG 2000 compression, and controlling/monitoring access to the EHR for security were also investigated.


Members of the University of Southern California collaborated on the project.
Members of the Shanghai Institute of Tech. Phys., Chinese Academy of Science and University of Southern California collaborated on the project.


===Publications===
===Publications===
A Grid-based Implementation of XDS-I as Part of a Metropolitan EHR in Shanghai, Zhang, J. et al., Education Exhibit LL-IN3109, RSNA 2006
A Grid-based Implementation of XDS-I as Part of a Metropolitan EHR in Shanghai, Zhang, J. et al., Education Exhibit LL-IN3109, RSNA 2006
Building Hospital EPR with IHE Technical Framework, Zhang, C. et al., Engineering in Medicine and Biology Society, 2005. IEEE-EMBS 2005. 27th Annual International Conference, pg. 5684-5686, ISBN: 0-7803-8741-4


===Contact===
===Contact===
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[[Category:Project]]
[[Category:Project]]
[[Category:China Project]]
[[Category:XDS-I Project]]

Latest revision as of 15:26, 26 November 2007

Profiles Used

  • XDS-I


Project Scope/Scale

Radiology Image and report sharing among four hospitals in Shanghai.

Timeframe/Timeline

Live testing done in 2006

Description

A number of hospitals in Shanghai are piloting the deployment of an EHR solution, based on a grid concept with a service-oriented architecture (SOA). The first phase of the project targets the Diagnostic Imaging domain and allows seamless sharing of images and reports across the multiple hospitals. The EHR solution is fully aligned with the IHE XDS-I integration profile and consists of three main components: Master Node, Agent Node and User Node, which are synonymous with the XDS-I registry, repository, source and consumer actors. By using a SOA, the solution uses ebXML over secured http for all transactions within the grid. However communication with the PACS and RIS is DICOM and HL7 v3.x. The solution was installed in four hospitals in Shanghai and test for performance of data publication, user querying and image retrieval. The results are extremely positive and demonstrate that an EHR solution based on a SOA with grid concept can scale effectively to serve a regional EHR implementation.

The EPR establishes a collaborative mechanism to group medical records according to a variety of reasons (e.g. a visit, a case) and provides document consumers (e.g. a physician, a radiologist) with an easy way to access the specific clinical documents of interest from this longitudinal cross-system record.

Issues of progressive display with JPEG 2000 compression, and controlling/monitoring access to the EHR for security were also investigated.

Members of the Shanghai Institute of Tech. Phys., Chinese Academy of Science and University of Southern California collaborated on the project.

Publications

A Grid-based Implementation of XDS-I as Part of a Metropolitan EHR in Shanghai, Zhang, J. et al., Education Exhibit LL-IN3109, RSNA 2006

Building Hospital EPR with IHE Technical Framework, Zhang, C. et al., Engineering in Medicine and Biology Society, 2005. IEEE-EMBS 2005. 27th Annual International Conference, pg. 5684-5686, ISBN: 0-7803-8741-4


Contact

Dr. J. G. Zhang, jgzhang62@yahoo.com