Eingespielt: sektorenübergreifende Bilddatenintegration – DICOM Link Exchange (DLX) DIN/TS 19455. Ein Überblick

Marc Kämmerer; Uwe Engelmann; Rainer Eßeling; Lucas Gasenzer; Ingmar Gergel; Daniel Haak; Markus Henkel; Michael Herbrik; Thomas Jumpertz; Rainer Kasan; Klaus Moritz; Michael Müller; Bernhard Renger; Sascha Romatzeck; Samrend Saboor; Raimund Schneider; Florian Schwind; Anna Stadler; Jens M Theysohn; Gerald Weisser; Sergej Werbolowski; Matthias Stefan May

doi:10.1055/a-2548-1836

RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren, Table of Contents

Rofo
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

Authors

Marc Kämmerer

¹Innovation Management, VISUS Health IT GmbH, Bochum, Germany (Ringgold ID: RIN695249)
Uwe Engelmann

²NEXUS/CHILI GmbH, Dossenheim, Germany
Rainer Eßeling

³Clinic for Radiology, University Medical Center Münster, Münster, Germany
Lucas Gasenzer

⁴Radiology Center Bremen, Bremen, Germany
Ingmar Gergel

⁵mbits imaging GmbH, Heidelberg, Germany
Daniel Haak

⁶Product Management, VISUS Health IT GmbH, Bochum, Germany (Ringgold ID: RIN695249)
Markus Henkel

⁷Professional Society of the German Radiologists e.V., München, Germany
Michael Herbrik

⁸easyRadiology AG, Köln, Germany
Thomas Jumpertz

⁹Sales, Sectra, Köln, Germany
Rainer Kasan

¹⁰Digithurst Bildverarbeitungssysteme GmbH & Co. KG, Büchenbach, Germany
Klaus Moritz

¹¹Phönix-PACS GmbH, Freiburg im Breisgau, Germany
Michael Müller

⁵mbits imaging GmbH, Heidelberg, Germany
Bernhard Renger

¹²Department for diagnostic and interventional Radiology, University Medical Center TU Munich, Munich, Germany
Sascha Romatzeck

¹³DEKOM Engineering GmbH, Hamburg, Germany
Samrend Saboor

¹⁴Connected Care, Siemens Healthineers AG, Forchheim, Germany (Ringgold ID: RIN42406)
Raimund Schneider

¹⁵Digithurst Image Processing Systems GmbH & Co. KG, Büchenbach, Germany
Florian Schwind

²NEXUS/CHILI GmbH, Dossenheim, Germany
Anna Stadler

¹⁶Dedalus HealthCare Ges.m.b.H., Wien, Austria
Jens M Theysohn

¹⁷Institute for Diagnostic and Interventional Radiology and Nuclear Medicine, University Hospital Bergmannsheil Bochum, Bochum, Germany

¹⁸Institute for Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany (Ringgold ID: RIN39081)
Gerald Weisser

¹⁹Radiologie, BG Clinic Ludwigshafen, Ludwigshafen, Germany
Sergej Werbolowski

⁸easyRadiology AG, Köln, Germany
Matthias Stefan May

²⁰Radiologisches Institut, University Medical Center Erlangen, Erlangen, Germany

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

Full Text

References

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