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DOI: 10.1055/a-2548-1836
Review

Imported: Cross-Sectoral Image Data Integration – DICOM Link Exchange (DLX) DIN/TS 19455. A Review

Article in several languages: deutsch | English
Marc Kämmerer
1   Innovation Management, VISUS Health IT GmbH, Bochum, Germany (Ringgold ID: RIN695249)
,
Uwe Engelmann 
2   NEXUS/CHILI GmbH, Dossenheim, Germany
,
Rainer Eßeling
3   Clinic for Radiology, University Medical Center Münster, Münster, Germany
,
Lucas Gasenzer
4   Radiology Center Bremen, Bremen, Germany
,
Ingmar Gergel
5   mbits imaging GmbH, Heidelberg, Germany
,
Daniel Haak
6   Product Management, VISUS Health IT GmbH, Bochum, Germany (Ringgold ID: RIN695249)
,
Markus Henkel
7   Professional Society of the German Radiologists e.V., München, Germany
,
Michael Herbrik
8   easyRadiology AG, Köln, Germany
,
Thomas Jumpertz
9   Sales, Sectra, Köln, Germany
,
Rainer Kasan
10   Digithurst Bildverarbeitungssysteme GmbH & Co. KG, Büchenbach, Germany
,
Klaus Moritz
11   Phönix-PACS GmbH, Freiburg im Breisgau, Germany
,
Michael Müller
5   mbits imaging GmbH, Heidelberg, Germany
,
Bernhard Renger
12   Department for diagnostic and interventional Radiology, University Medical Center TU Munich, Munich, Germany
,
Sascha Romatzeck
13   DEKOM Engineering GmbH, Hamburg, Germany
,
Samrend Saboor
14   Connected Care, Siemens Healthineers AG, Forchheim, Germany (Ringgold ID: RIN42406)
,
Raimund Schneider
15   Digithurst Image Processing Systems GmbH & Co. KG, Büchenbach, Germany
,
Florian Schwind
2   NEXUS/CHILI GmbH, Dossenheim, Germany
,
Anna Stadler
16   Dedalus HealthCare Ges.m.b.H., Wien, Austria
,
Jens M Theysohn
17   Institute for Diagnostic and Interventional Radiology and Nuclear Medicine, University Hospital Bergmannsheil Bochum, Bochum, Germany
18   Institute for Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany (Ringgold ID: RIN39081)
,
Gerald Weisser
19   Radiologie, BG Clinic Ludwigshafen, Ludwigshafen, Germany
,
Sergej Werbolowski
8   easyRadiology AG, Köln, Germany
,
Matthias Stefan May 
20   Radiologisches Institut, University Medical Center Erlangen, Erlangen, Germany
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Abstract

Background

The use of download links instead of physical patient CDs requires new standards that are able to integrate these virtual media into clinical processes.

Method

Due to the challenges in practice, a DIN working group on QR codes and online availability of image data was launched in 2023 by the German Radiological Society (DRG) and the Professional Association of German Radiologists (BDR). Its members, i.e. users and manufacturers, developed solutions with a focus on state-of-the-art technology, fulfilment of legal requirements, practical usability, and implementability. Additional framework conditions to be considered were data transfer as an HTTP link and the use of ZIP containers with a mandatory IHE PDI media structure that can optionally be supplemented by an IHE XDM media structure.

Results and Conclusion

The results are summarized in DIN/TS 19455 DICOM Link Exchange (DLX), which defines the content of the media for the transmission of access data, the content and format of the virtual patient CDs, as well as an OpenAPI-based interface for automated data access. In addition, DIN/TS establishes the minimum functional requirements for manual data access.

DICOM Link Exchange enables the integration of virtual patient CDs in clinical processes and has the potential to replace physical data media. In combination with the MIO Image Report and the use of the gematik email service KIM for data transmission, there is now the possibility of a nationwide digital exchange of radiological images and reports without a complex infrastructure.

Key Points

  • DLX enables the integration of virtual patient CDs in clinical workflows.

  • DLX has the potential to replace physical patient CDs.

  • DLX can speed up digitalization in healthcare.

Citation Format

  • Kämmerer M, Engelmann U, Eßeling R et al. Imported: Cross-Sectoral Image Data Integration – DICOM Link Exchange (DLX) DIN/TS 19455. A Review. Rofo 2025; DOI 10.1055/a-2548-1836

Keywords

PACS - teleradiology - digital radiography


Publication History

Received: 23 January 2025

Accepted after revision: 18 February 2025

Article published online:
17 March 2025

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