IHE (PAT) ADICAP, SEIS, SEAP, AFP 2010 IHE International 1/45

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1 (PAT) ADICAP, SEIS, SEAP, AFP 2010 International 1/45

2 DICOM WG HL (IHTSDO) CEN TC RAD TF RAD-14 RAD (APW) (APW) /45

3 A /45

4 1 () HL7 ASTM DICOM ISO IETF OASIS CLSI (HIMSS)(RSNA) (American College of Cardiology, ACC) Canada I Europe(-EUR)the European Association of Radiology (EAR) European Congress of Radiologists (ECR), the Coordination Committee of the Radiological and Electromedical Industries (COCIR) the EuroPACS Association, Groupement pour la Modernisation du Système d'information Hospitalier (GMSIH), Société Francaise de Radiologie (SFR) Deutsche Röntgengesellschaft (DRG) the Euro-PACS Association Societa Italiana di Radiologia Medica (SIRM) the European Institute for health Records (EuroRec), Association pour le Developpement de l Informatique en Cytologie et Anatomie Pathologiques (ADICAP), the Spanish Health Information Society (SEIS) the Spanish Society of Pathology (SEAP) the Societe Francaise de Pathologie (SFP) -J (METI) MEDIS - DC (JIRA) (JAHIS)(JRS)(JSRT) (JAMI) 4/45

5 1.1 ( PAT TF) ADICAP (Association pour le Developpement de I Informatique en Cytologie et Anatomie Pathologiques,) SEIS (Spanish Health Information Society,) SEAP (Spanish Society of Pathology,) SFP (Societe Francaise de Pathologie,) ( ) 1 (PAT TF-1) ( ) IT 2(PAT TF-2) IT 5/45

6 IT 1.4 ( ) ASTM DICOM HL7 IETF ISO OASIS W3C 6/45

7 2 DICOM HL7 CEN/TC251 SNOMED CT IHTSDO DICOM WG26 DICOM DICOM WSI HL7 HL International Health Terminology Standards Development Organization, IHTSDO SNOMED SNOMED SNOMED CT CEN TC 251 M/255 TC CEN/TC251 ENV 1613 ENV ENV pren : TC 251 WI :2003 E. CEN TC251 () 7/45

8 CEN TC-251 WI B DICOM WG 26 HL7, IHTSDO CEN CT 251 HL7 DICOM HL7 DICOM HL7 DICOM HL7 SIG/DICOM WG HIS 8/45

9 PAT TF-2 APW PAM CT < > TF < > < > < > ITI=IT RAD= PAT= 9/45

10 1 2 3 ITI TF IT RAD TF PAT TF-1: [ ] [PAT-1] PAT PAT TF-2 PAT PAT TF-1 2 APW CP18-PAT-APW Antonio Gonzalez PAT APW ITI ATNA 1.9 ADICAP GMSIH SEIS SEAP SFP Dr. Christel DANIEL Dr. Marcial Garcia Rojo Thomas Schrader INSERM U872 eq 20, Hospital General de Ciudad Real Department of Pathology, Charite 15 rue de lecole de medicine Avda Tomelloso s/n Chariteplatz PARIS FRANCE Ciudad Real. SPAIN 10117, Berlin GERMANY christel.daniel@spim.jussieu.fr marcial@cim.es thomas.schrader@computer.org 10/45

11 Health Level Seven, Inc. HL7 HL7 Health Level Seven, Inc PAT 1 PAT IT /45

12 1.12 (Accession Number) APW LIS DICOM 122 HL7 2.x (Anatomic Pathology Workflow) ATNA (Audit Trial and Node Authentication) LIS (Laboratory Information System) OF (Order Filler Actor) OP (Order Placer Actor) (Order) TF LIS LIS LIS 1 APW PAT-1 PAT-2 12/45

13 (Order Group) ORT (Procedure step) Requested Procedure ) DICOM (Series) (Tissue microarray) TMA WSI TMA 1,000 TMA TMA TMA ( ) ( ) ( )X-Y 5 3 E3- TMA TMA 13/45

14 1.13 ID[] ID [] ID [ (HL7)] = [ (DICOM)] [ ID] [ ID] LIS /45

15 RAD TF RAD-14 RAD-18 ID ID RAD-14 RAD [ TMA / /45

16 () PACS ( ) CT PAM APW ED CPI IT /45

17 1 ED CPI 2 APW IT CT (PAM) APW CT APW APW ITI TF PAM APW OP OF ORT 1 PAM OP OF ORT PAM PAM APW ITI TF CT APW CT IT ITI RID EUR ID PIX PSA CTPDQ ATNA PWP XDS (APW) 17/45

18 1.19 ( ) 18/45

19 1.20 PAT-1 2 () PAT-2 PAT-3 PAT-4 PAT-5 PAT-6 DICOM 19/45

20 RAD-8 RAD TF-1:2.4 RAD TF-2:4.8 RAD -10 DICOM GSPS RAD TF-1:2.4 RAD TF-2:4.10 RAD-14 RAD TF-1:2.4 RAD TF-2:4.10 RAD-16 RAD TF-1:2.4 RAD TF-2:4.10 RAD-43 DICOM RAD TF-1:2.4 RAD TF-3: /45

21 2 (APW) 2.1 [PAT-1] [RAD-10] [RAD-43] [PAT-4] [RAD-14] [RAD-16] [RAD-10] [PAT-5] [PAT-6] [RAD-8] [PAT-3] (APW) (PAT-1) R TF-2:4 (PAT-2) R TF-2:5 (PAT-1) R TF-2:4 (PAT-2) R TF-2:5 (PAT-3) R TF-2:6 (PAT-4) R TF-2:7 (PAT-5) R TF-2:8 (PAT-6) R TF-2:9 (PAT-5) R TF-2:8 (RAD-10) R TF-2:4.10 (RAD-80) R TF-2:4.8 (PAT-6) R TF-2:9 21/45

22 (PAT-4) R TF-2:7 (RAD-10) R TF-2:4.10 (RAD-8) R R TF-2:4.8 (RAD-43) R TF-2:4.43 (RAD-14) R TF-2:4.14 (RAD-16) R TF-2:4.16 (RAD-14) R TF-2:4.14 (RAD-16) R TF-2:4.16 (RAD-10) R TF-2:4.10 (RAD-43) R TF-2:4.43 (PAT-3) R TF-2:6 1 APW ITI TF-1:7 CT 2 OP OF ORT ITI TF-1:14 PAM UML PAT-3 PAT-1 PAT-1 PAT /45

23 PAT PAT-1 PAT-2 PAT-7 [PAT-1] [PAT-3] [PAT-1] [PAT-3] [PAT-1] [PAT-3] ID ID 23/45

24 (PAT-5) RAD-8 RAD-10 [PAT-1] [PAT-1] [PAT-4] [PAT-3] [PAT-5] [PAT-6] [RAD-8] [PAT-6] [RAD-10] [PAT-1] [PAT-3] /45

25 2.2.3 RAD-14RAD-16 ID ID ID RAD-43 RAD-10 (RAD-14) (RAD-16) (RAD-43) (RAD-10) /45

26 Luke Sammy Sammy -6 2 PAT-1 DP07110 Terri DP07110-A DP07110-B AP DP07110-C AP DP07110-D 12L DP07110-E 8 DP07110-F 2 PAT-1 2 PAT-4 A 2 PAT ID ID ID(OF) ID ID ID P Luke OR123 DP07110 DP07110-A: ( ) DP07110-A-1 DP07110-A-1-1 FS DP07110-A-1-2 H&E DP07110-A-1-2 DP07110-A H&E DP07110-A-1-3 DP07110-A H&E DP07110-A-1-4 DP07110-A H&E DP07110-A-5 DP07110-A-5-1 H&E (WSI) DP07110-A /45

27 DP07110-A-6 DP07110-A-6-1 H&E (WSI) DP07110-A-6-2 DP07110-A-7 DP07110-A-7-1 H&E DP07110-A-8 DP07110-A-8-1 H&E DP07110-B DP07110-B-1 DP07110-A-5-1 H&E DP07110-B-2 DP07110-B-2-1 H&E DP07110-B-3 DP07110-B-3-1 H&E DP07110-B-4 DP07110-B-4-1 H&E DP07110-B-5 DP07110-B-5-1 H&E DP07110-B-6 DP07110-B-6-1 H&E DP07110-B-7 DP07110-B-7-1 H&E DP07110-B-8 DP07110-B-8-1 H&E DP07110-C AP DP07110-C-1 DP07110-C-7-1 H&E DP07110-D AP DP07110-D-1 DP07110-D-1-1 H&E DP07110-E 12L DP07110-E-1 DP07110-E-1-1 H&E DP07110-F 8 DP07110-F-1 DP07110-F H&E(WS1) DP07110-F H&E A (DP07110-A: ) 2 PAT-5 27/45

28 2 DP07110-A-5-1 H&E DP07110-F H&E 2 PAT-5 DICOM 122 DP07110-A-5-1 DP07110-A DP07110-A-5 DP07110-A-5-1H&E(WSI) DP07110-F-1-1 DP07110-F 8 DP07110-F-1 8 DP07110-F H&E(WSI) DICOM PAT-1 PAT Barbara Summy Summy 6 2 PAT-1 DP07120 Terri DP07120-A 1 DP07120-B 2 DP07120-C 2 PAT-4 2 PAT-4 A (DP07120-A ) 2 PAT-5 28/45

29 3.1-2 ID ID ID(OF) ID ID ID P : Barbara OR234 DP07120 DP07120-A ( ) DP07120-A-1 DP07120-A-1-1 DP07120-A-1-2 (HE) DP07120-A-1-3 HE DP07120-A-2 DP07120-A-3 DP07120-A-3-1 HE DP07120-A-3-2 HER2 DP07120-A-4 DP07120-A-4-1 HE 1 2 WSI DP07120-A-5 DP07120-A-5-1 HE DP07120-A-6 DP07120-A-6-1 HE DP07120-A-7 DP07120-A-7-1 HE DP07120-B 1 DP07120-C 2 DP07120-BC DP07120-BC-1 * 1 LN1- LN2 * 1 DP07120-BC-1 * 2 LN1- LN2 * 2 DP07120-BC-1 LN1- LN2 HE DP07120-BC-1-1 * 1 HE * 1 WSI DP07120-BC-1-1 * 2 LN1-LN2 HE * DP07120-A-4-1:HE PAT-5 29/45

30 ID ID ID DP07120-A-4-1 DP07120-BC-1-1 * HE * 2 * 2 PAT-5 ( ) ID ID ID ID ID DP07120-BC-1-1 * 1 DP07120-BC-1-1 * 2 ID DP07120-BC-1-30/45

31 2 PAT-1 PAT P Natalia OR345 DP07130 DP07130-A DP07130-A-1 ( ) DP07130-A-1-1 HE DP07130-A-2 DP07130-A-2-1 HE DP07130-A-3 DP07130-A-3-1 DP07130-A-3-1 HE DP07130-A-4 DP07130-A-4-1 HE(WS1) DP07130-A-5 DP07130-A-5-1 HE DP07140 DP07140-A DP07140-A-1 DP07140-A-1-1HE(WSI) Peter Summy Summy Terri DP PAT Pakkun Eisaku 2 Eisaku 31/45

32 PAT-1 DP07210 Terri DP07210-A DP07210-B DP07210-C D1 DP07210-D D2 2 PAT ID ID ID(OF) ID ID ID P Pakkun OR456 - DP07210 DP07210-A DP07210-A-1 DP07210-A-1-1 HE(WSI) DP07210-B DP07210-B-1 DP07210-B-1-1 HE DP07210-C D1 DP07210-C-1 DP07210-C-1-1 HE DP07210-D D2 DP07210-D-1 DP07210-D-1-1 HE (DP07210-A-1-1 HE) 2 PAT-5 2 PAT-1 PAT Pakkun Eisaku Eisaku 2 Eisaku 32/45

33 PAT-1 DP07220 Terri DP07220-A DP07220-B DP07220-C DP07210-D DP07220-E D1 DP07220-F D2 2 PAT ID ID ID(OF) ID ID ID P Pakkun OR456 - DP07220 DP07220-A DP07220-B DP07220-C DP07220-D DP07220-E D1 DP07210-F D2 DP07220-ABCDEF-1 DP07220-ABCDEF-1-1 HE DP07220-ABCDEF-1-1 * 1 HE * (WSI) DP07220-ABCDEF-1-1 * 2 HE * (WSI) DP07220-ABCDEF-1-1 * 3 HE * DP07220-ABCDEF-1-1 * 4 HE * DP07220-ABCDEF-1-1 * 5 HE * D1 DP07220-ABCDEF-1-1 * 6 HE * D (DP07220-ABCDEF-1-1 * 1--D1-D2 HE * DP07220-ABCDEF-1-1 * 2--D1-D2HE * ) 2 PAT-5 33/45

34 ID(DP07220-ABCDEF-1-1 DP07220-ABCDEF-1-1 * 2 DP07220-ABCDEF-1-1 * 3 DP07220-ABCDEF-1-1 * 4 DP07220-ABCDEF-1-1 * 5 DP07220-ABCDEF-1-1 * 6) ID(DP07220-ABCDEF-1-1) 2 PAT-1 PAT-2 34/45

35 Benard Paul 2 S1 S1 Paul 2PAT-1 DP07310 Terri DP07310-A S1 DP07310-B S5 2PAT-1 2PAT ID ID ID(OF) ID ID ID P Bernard OR567 DP07310 DP07310-A S1 DP07310-A-1 HE(WSI) DP07310-B S5 DP07310-B-1 HE DP07310-B-2 HE(WSI) DP07310-B-3 HE DP07310-B-4 HE (DP07310-A-1 S1 HE DP07310-B-2 S5 HE) 2PAT-5 2PAT-1 PAT-3 35/45

36 Catherine Gina Gina Gina 2PAT-1 2PAT-1 DP07320 Terri DP07320-AB-1 2PAT ID ID ID(OF) ID ID ID P Bernard OR678 DP07320 DP07320-AB-1 DP07320-AB-1 * 1 PAP * 1 DP07320-AB-1 * 2 PAP * (DP AB-1 * 1 - PAP * 1 DP07320-AB-1 * 2 -PAP * 2) 2PAT-3 2PAT-1 PAT-3 36/45

ID ID ID 3.3-3 2 ID[DP07320-AB-1 * 1() DP07320-AB-1 * 2( )] ID(DOP07320-AB-1) 3.

37 ID ID ID ID[DP07320-AB-1 * 1() DP07320-AB-1 * 2( )] ID(DOP07320-AB-1) Pauline 2PAT-1 A07400 Terri A07400-A A07400-B A07400-C A07400-D 2PAT-1 2PAT ID ID ID(OF) ID ID ID P Pauline OR135 A07400 A07400-A A07400-A-1 A07400-A-1-1 HE(WSI) A07400-B A07400-B-1 A07400-B-1-1 HE A07400-C 37/45

38 A07400-C-1HE A07400-D A07400-D-1 A07400-D-1-1 HE(WSI) A (DP07400-A) 2PAUT-5 (A07400-A-1-1H&E A07400-D-1-1 HE 2PAT-1 PAT TMA ID TMA ID TMA TMA ID ID ID(OF) ID ID (TMA ID) ID ID ID P Luke DP07100 DP07110-A-5 DP-TMA510-1/DP07110-A-5 DP-TMA510-1/DP07110-A-5: H&E( ) TMA 1 2 TM DP-TMA510/DP07110-A-5:H&E 2PAT-5 38/45

39 2 PAT-1 PAT-3 ( ) ( ) ( ) ( ) ( ) ( ) ( ) ID ( ) ID ID ID ID TMA DP-TMA510 ID DP-TMA510-1/DP7110-A-5 ID DP-TMA510-1/ 39/45

40 A DICOM WG26 HL7 SIG SS2.1 DICOM 122-v ID ID ID 1 2 ID ID cm 30 cm 1 LIS /45

41 1 1 IS 2 DICOM 1 ID 1:N DICOM 1 1 ID ID HL7 2.5 SPM- SAC 1 1 SPM SPM-2 ID SPM SPM ID ID SPM ID SAC A-1 41/45

42 ( ) A A ID ID 2 1 ID ID ID A /45

43 A LIS ID A B ID ID 2 ID ID 2 ID ID ID ID A /45

44 A-4 2 ID ID ID ID ID A TMA A.5 TMA TMA ID X-Y E3 TMA 44/45

45 ( ) ( ) ( ) ( ) ( ) ( ) ( ) ID ( ID) ID ID ID A-5 TMA 45/45

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