Format of Medical Imaging Reports for Exchange and Distribution

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Type Standard / Implementation Specification Standards Process Maturity Implementation Maturity Adoption Level Federally required Cost Test Tool Availability
Standard
Final
Production
Rating 5
No
Free
Yes
Implementation Specification
Final
Production
Rating 1
No
Free
No
Limitations, Dependencies, and Preconditions for Consideration Applicable Value Set(s) and Starter Set(s)
  • DICOM defines both its own encoding of reports and templates for encoding narrative reports and machine-generated output as DICOM Structured Reports (SR) for use within imaging systems.
  • DICOM Part 20 is an implementation guide for HL7 CDA r2.
  • DICOM also defines a Diagnostic Imaging Report HL7 CDA Template, which is intended to supersede the C-CDA Diagnostic Imaging Report.
  • Secure Communication – create a secure channel for client-to- serve and server-to-server communication.
  • Secure Message Router – securely route and enforce policy on inbound and outbound messages without interruption of delivery.
  • Authentication Enforcer – centralized authentication processes.
  • Authorization Enforcer – specifies access control policies.
  • Credential Tokenizer – encapsulate credentials as a security token for reuse  (e.g.,  – SAML, Kerberos).
  • Assertion Builder – define processing logic for identity, authorization and attribute statements.
  • User Role – identifies the role asserted by the individual initiating the transaction.
  • Purpose of Use - Identifies the purpose for the transaction.

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