Translating DICOM to FHIR

Digital Imaging and Communications in Medicine (DICOM) is the communication standard for imaging and related metadata in healthcare. 

Sounds nice to have one standard, right? But DICOM can be complex, and it may not give you the holistic view of the patient you’re hoping for. As an alternative, you can leverage our Redox FHIR® API to translate DICOM messages to FHIR® for a modern, easier way to interact with medical imaging and metadata. 

Not supported with data on demand

Just a note that translating DICOM to FHIR® isn’t supported with data on demand.

Who needs DICOM

Redox can benefit customers on the receiving side of the DICOM data exchange for different scenarios, including: 

  • providers that need to interpret any kind of imaging or related metadata;
  • providers that want to view a patient’s historical imaging without needing previous provider interpretations; or
  • health tech vendors consuming imaging data for AI learning or processing.

How it works

We use the FHIR® ImagingStudy resource to translate imaging metadata to FHIR®. Redox serves as the intermediary for passing the information, but Redox doesn’t process the original images so that we can avoid latency on our end. But here’s how the DICOM to FHIR® queries generally go: 

  1. You send a query to Redox for a patient’s imaging results. 
  2. Redox queries the healthcare organization’s web service to find the original image on the Picture Archiving and Communications System (PACS) server. 
  3. The PACS server sends a response to Redox with the URL for the storage location of the image. 
  4. Redox returns to you the endpoint URL for the image (within the FHIR® Endpoint resource, which is referenced in ImagingStudy). 
  5. You send a query to the endpoint URL to retrieve the original image.

Translated operations

Redox can translate these DICOM operations:

DICOM Operation
Description
WADO-RS
This operation exchanges PS3.10 files or separated metadata and bulk data, which gives you the ability to retrieve entire studies and series rather than needing to send multiple queries for individual instances. With Redox, this is the operation we translate when you query for the location of a patient’s imaging results.
QIDO-RS
This operation exchanges databases or registries of DICOM objects. With Redox, this is the operation we translate when you query an endpoint URL for the original imaging results.

What we don't support

  • any -WS or STOW operations 
  • any DICOM viewers
  • a sandbox of images

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