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Key Contributors

Purpose

This guide provides an overview of available standards and a recommended approach to support the Foreign Exam Management requirements as identified below. The intent is to simplify standards selection decisions in future projects and, in turn, to promote standardization of solutions across projects by providing useful information to support decision making in a readily consumable format.

Content in this guide was summarized from the Canadian XDS Affinity Domain Implementation Guide v1.1 20140527 to provide an accessible overview of the standards selected to support the listed Use Cases.

Business Context

The Foreign Exam Management (FEM) use cases in this Guide relate to a subset Diagnostic Imaging related document sharing requirements which were addressed by the XDS Affinity domain and which are summarized in the XDS Affinity Domain Implementation Guide.

Foreign Exam Management (FEM) relates to those scenarios where a health care provider organization with local Radiology Information System (RIS) and Picture Archiving and Communication System (PACS) needs to allow users to retrieve and view an “imaging exam that was ordered, acquired, and reported on at some site external to the one where the study is currently being imported.”  (IHE IRWF Supplement for Trial Implementation)   

Although existing systems provide the means to import Foreign Exams from external sources manually, the integration of local systems with shared Diagnostic Imaging Repositories (DI-R) introduces new workflows and requirements in need of standardization, including:

Covered Use Cases

Evaluated Standards & Recommended Approach

Implementation Resources

Existing Implementations

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