Can CDMI emancipate an interoperable medical records cloud ecosystem?

PREFACE: This is just a thought, an idea. I am by no means an expert in this area. I have researched this to inspire a thought process of how we can bring together 2 disparate worlds of medical records and imaging with the emerging cloud services for healthcare.

Healthcare has been moving out of its archaic shell in the past few years, and digital healthcare technology and services are booming. And this movement is part of the digital transformation which could eventually lead to a secure and compliant distribution and collaboration of health data, medical imaging and electronic medical records (EMR).

It is a blessing that today’s medical imaging industry has been consolidated with the DICOM (Digital Imaging and Communications in Medicine) standard. DICOM dictates the how medical imaging information and pictures are used, stored, printed, transmitted and exchanged. It is also a communication protocol which runs over TCP/IP, and links up different service class providers (SCPs) and service class users (SCUs), and the backend systems such as PACS (Picture Archiving & Communications Systems) and RIS (Radiology Information Systems).

Another well accepted standard is HL7 (Health Level 7), a similar Layer 7, application-level communication protocol for transferring and exchanging clinical and administrative data.

The diagram below shows a self-contained ecosystem involving the front-end HIS (Hospital Information Systems), and the integration of healthcare, medical systems and other DICOM modalities.

Hospital Enterprise

(Picture courtesy of Meddiff Technologies)

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