ICS35.240.8011Datatransmissionrequirementsformedicalimagecloudplatformbasedoncentralizedstorage（征求意見稿）IDB11/TXXXXX—XXXX前言 II 12規(guī)范性引用文件 3術語和定義 4縮略語 5傳輸要求 6數(shù)據(jù)要求 附錄A（規(guī)范性）影像檢查JSON數(shù)據(jù) 附錄B（規(guī)范性）影像檢查JSON數(shù)據(jù) 6DB11/TXXXXX—XXXXII前本文件按照GB/T1.1—2020《標準化工作導則起草。本文件由北京市衛(wèi)生健康委員會提出并歸口。本文件由北京市衛(wèi)生健康委員會組織實施。本文件起草單位：本文件主要起草人：言第1部分：標準化文件的結構和起草規(guī)則》的規(guī)定DB11/TXXXXX—XXXX1醫(yī)療機構基于集中存儲的影像云平臺共享數(shù)據(jù)接入技術要求本文件規(guī)定了區(qū)域醫(yī)學影像云平臺傳輸共享影像數(shù)據(jù)的數(shù)據(jù)范圍、傳輸方式、傳輸協(xié)議、傳輸及時性、安全措施、傳輸數(shù)據(jù)和文件要求。本文件適用于醫(yī)療機構及區(qū)級影像平臺面向集中存儲的醫(yī)學影像云平臺的共享放射影像數(shù)據(jù)的傳輸。2規(guī)范性引用文件下列文件中的內容通過文中的規(guī)范性引用而構成本文件必不可少的條款。其中，注日期的引用文件，僅該日期對應的版本適用于本文件；不注日期的引用文件，其最新版本（包括所有的修改單）適用于本文件。GB/T39725信息安全技術健康醫(yī)療數(shù)據(jù)安全指南3術語和定義下列術語和定義適用于本文件。3.1醫(yī)學數(shù)字成像和通信標準digitalimagingandcommunicationsinmedicine，DICOM是醫(yī)學成像領域的國際標準，用于處理、存儲、傳輸和共享醫(yī)學圖像及相關信息。它允許不同制造商的設備之間進行互操作，并確保在整個醫(yī)療保健中實現(xiàn)一致的數(shù)據(jù)交換。4縮略語下列縮略語適用于本文件。5傳輸要求5.1傳輸方式應通過專線網絡將共享數(shù)據(jù)上傳至區(qū)域影像云平臺。5.2傳輸協(xié)議5.2.1應通過DICOM協(xié)議，向區(qū)域影像云平臺上傳影像文件（DICOM格式）。DB11/TXXXXX—XXXX25.2.2應通過HTTP協(xié)議向區(qū)域影像云平臺上傳影像診斷報告（PDF文件）以及影像檢查JSON數(shù)據(jù)，上傳前應通過接口認證鑰匙進行身份認證，數(shù)據(jù)應采用國密算法加密。5.3傳輸及時性5.3.1應在影像診斷報告審核通過后啟動數(shù)據(jù)上傳。5.3.2應在影像診斷報告審核通過后1h內完成影像診斷報告和影像檢查JSON數(shù)據(jù)的上傳。5.3.3應在影像診斷報告審核通過后6h內完成影像文件的上傳。5.4安全措施應按照GB/T39725中數(shù)據(jù)使用安全責任與安全措施要點的要求，實施安全保護措施。6數(shù)據(jù)要求6.1數(shù)據(jù)范圍傳輸至區(qū)域影像云平臺的共享數(shù)據(jù)，應包括受檢者接受影像檢查所生成的放射影像文件（DICOM格式）、由影像醫(yī)師給出的影像診斷報告（PDF文件）、影像檢查JSON數(shù)據(jù)。6.2影像文件影像文件應包括薄層影像、關鍵幀影像、定位影像、劑量頁等，采用DICOM標準格式傳輸。6.3影像診斷報告影像診斷報告應采用PDF文件格式，應與打印給受檢者的紙質報告一致。6.4影像檢查JSON數(shù)據(jù)6.4.1數(shù)據(jù)內容影像檢查JSON數(shù)據(jù)應包含與影像檢查相關的醫(yī)療機構信息、科室信息、醫(yī)師信息、設備信息、受檢者基礎信息、受檢者就診信息、病歷信息、影像診斷報告文本信息等。6.4.2數(shù)據(jù)結構影像檢查JSON數(shù)據(jù)結構應符合附錄A的要求。6.4.3數(shù)據(jù)字段影像檢查JSON數(shù)據(jù)字段應符合附錄B.1與附錄B.2的要求。DB11/TXXXXX—XXXX3影像檢查JSON數(shù)據(jù)結構A.1影像檢查JSON數(shù)據(jù)結構見表A.1。表A.1影像檢查JSON數(shù)據(jù)結構{"ExamId":"string","USCI":"string","HospitalCode":"string","HospitalName":"string","HospitalBranchCode":"string","Order":{"AccessionNumber":"string","ApplyDepartmentName":"string","ApplyDepartmentCode":"string","ApplyDepartmentNameStd":"string","ApplyDepartmentCodeStd":"string","ApplyDoctorName":"string","ApplyDoctorCode":"string","ApplyTime":"2020-08-0808:08:08","CheckInTime":"2020-08-0808:08:08","DeviceAETitle":"string","DeviceCode":"string","DeviceName":"string","DeviceManufacturer":"string","DeviceModel":"string","ExamRoom":"string","ExecDepartmentCode":"string","ExecDepartmentName":"string","ExecDepartmentCodeStd":"string","ExecDepartmentNameStd":"string","ExecDoctorCode":"string","ExecDoctorName":"string","HisOrderCode":"string","ModalityCode":"string","Note":"string",DB11/TXXXXX—XXXX4"RegisterTime":"2020-08-0808:08:08","Status":"string","Suggestion":"string","Procedures":[{"CheckItemCode":"string","CheckItemName":"string","BodyPartCode":"string","BodyPartName":"string""CheckItemCodeStd":"string","CheckItemNameStd":"string","BodyPartCodeStd":"string","BodyPartNameStd":"string"}]},"Visit":{"AllergyHistory":"string","BedNumber":"string","ClinicalDiagnosis":"string","ClinicalNumber":"string","DiseaseHistory":"string","InpatientNumber":"string","OtherDiagnosis":"string","LaboratoryReport":"string","MedicalRecordNumber":"string","PastHistory":"string","PatientType":"string","Symptom":"string","Sign":"string","VisitSerialNumber":"string"},"Patient":{"Address":"string","AgeDisplay":"string","DateOfBirth":"string","Email":"string",5"Gender":"string","IdNo":"string","IdNoType":"string","Name":"string","Note":"string","PatientId":"string","Telephone":"string"},"Report":{"ApproveDoctorCode":"string","ApproveDoctorName":"string","ApproveDoctorCertificateNo":"string","ApproveTime":"2020-08-0808:08:08","CriticalType":"string","Findings":"string","Impression":"string","IsCritical":false,"PositiveStatus":0,"SubmitDoctorCode":"string","SubmitDoctorName":"string","SubmitTime":"2020-08-0808:08:08"},"Study":{"ImageCount":0,"StudyDate":"2020-08-0808:08:08","StudyInstanceUIDs":[],"StudyDescription":"string"}}DB11/TXXXXX—XXXX6影像檢查JSON數(shù)據(jù)字段表B.1影像檢查JSON數(shù)據(jù)字段是就診單號_檢查項目編號是是是是及檢查檢驗互認數(shù)據(jù)字典》“院區(qū)代碼表”是是否是是是是否是7是否否否否否是是是是否否是是否是是）：否是