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PhD 2014

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by

Luís Ribeiro

on 12 July 2014

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Transcript of PhD 2014

June 27, 2014
Platform for on-demand medical imaging
exchange communities

Luís S. Ribeiro
Carlos Costa

often operate as isolated islands
H
ealthcare institutions
by
John Donne
"No man is an island"
Partial view of the patient’s health history

Lack of resource efficiency

Reduced cross-cooperation

Health Records are exchanged by patient hand

(...)
Problems
First

Solutions
Ad-hoc exchange communities
Tailored to one reality
Lack of interoperability
IHE main goal: INTEROPERABILITY
Integrating the Healthcare Enterprise
Affinity Domain
Regional Healthcare Information
Organization
XDS, PIX, PDQ, ATNA, BPPC...
Building Blocks:
Building blocks:
XCA, XUA, XCPD...
Regional Healthcare Information
Organization
What about the
Effort
?
XDS*
PIX
PDQ
ATNA
XCA
BPPC
XUA
XCPD
Complex Integration Profiles...
Other
issues
Document formats supported

Terminologies (e.g. SNOMED CT)

Privacy policies/Patient Consent

Certificate Assignment/Distribution

Multiple vendors/Legacy systems

Record Linkage challenges
"Searchability"
?
S
ymmetric
S
earchable
E
ncryption
x
Dome

Cross-Domain Medical Information Exchange
Launches
IHE
affinity domains
on the public
Cloud
architecture
Proof-of-concept template
x
Dome Framework

Configuration
Secure
Terminology definition
Certificate distribution
Access control
Privacy policies
Multi-vendor
Claim testing
XCA-ready
Legacy-ready
Interoperability
Highly Available
Flexible
Monitoring
Patient consent
Auditable
Emergency-ready
Convenient
Install
&
configure
What
about
Confidentiality
?
On-demand
XML
P
osterior
P
layfair
S
eachable
E
ncryption
PPSE ciphering process
PPSE querying process
If Random pick factor > 25%
100%
M
ean
A
verage
P
recision
x
Dome Framework

Performed work
xDome server, client and IS
PACS Cluster:
enabling legacy systems on xDome
XADi Central Server:
XDS-I + PIX
DARR:
Audit and accountability
PPSE:
Data confidentiality
XDS-I Dicoogle Plugin:
document consumer
Developed components:
15 Publications:
1 book chapter
5 Journals
9 Conferences
Acknowledgments
Financial Support
Thank you!
Distributed c-move
Fault-tolerant
Performance
Common baseline
Affinity domain templates
Legacy integration (
PACS Cluster
)
Discover&Exchange Records (
XADi
)
Accountability (
DARR
)
Cross-community integration (
XCA
)
x
Dome

features
Document Suggestion
PIX + XDS-I
Federation Gateway
XCA
Centralized Audit
Full transcript