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JAHIS 病理・臨床細胞 DICOM 画像データ規約 Ver.2.0

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JAHIS 病理・臨床細胞 DICOM 画像データ規約 Ver.2.0 ＪＡＨＩＳ標準 １３－００５ JAHIS 病理・臨床細胞 DICOM 画像データ規約 Ver.2.0 ２０１３年６月 一般社団法人 保健医療福祉情報システム工業会 検査システム委員会 病理・臨床細胞部門システム専門委員会 JAHIS 病理・臨床細胞 DICOM 画像データ規約 ま え が き 院内における病理・臨床細胞部門情報システム（APIS: Anatomic Pathology Information System） の導入及び運用を加速するため、一般社団法人 保健医療福祉情報システム工業会（JAHIS）では、 病院情報システム（HIS）と病理・臨床細胞部門情報システム（APIS）とのデータ交換の仕組みを 検討しデータ交換規約（HL7 Ver2.5 準拠の「病理・臨床細胞データ交換規約 Ver.1.0」）を作成 した。 一方、医用画像の標準規格である DICOM（Digital Imaging and Communications in Medicine） においては、臓器画像と顕微鏡画像、WSI（Whole Slide Images）に関する規格が制定された。 しかしながら、病理・臨床細胞部門では対応実績を持つ製品が未だない実状に鑑み、この規格 の普及を促進すべく、まず、病理・臨床細胞部門で多く扱われている臓器画像と顕微鏡画像の規 約を 2012 年 2 月に「病理・臨床細胞 DICOM 画像データ規約 Ver.1.0」として作成した。 そして、近年、バーチャルスライドといった新しい製品の投入により、病理・臨床細胞部門に おいても大規模な画像が扱われるようになり、本規約書に WSI に関する規格の追加が急がれ、こ こに Ver.2.0 として発行する運びとなった。 本規約をまとめるにあたり、ご協力いただいた関係団体や諸先生方に深く感謝する。本規約が 医療資源の有効利用、保健医療福祉サービスの連携・向上を目指す医療情報標準化と相互運用性 の向上に多少とも貢献できれば幸いである。 ２０１３年６月 一般社団法人 保健医療福祉情報システム工業会 検査システム委員会 ＜＜ 告知事項 ＞＞ 本規約は関連団体の所属の有無に関わらず、規約の引用を明示することで自由に使用す ることができるものとします。ただし一部の改変を伴う場合は個々の責任において行い、 本規約に準拠する旨を表現することは厳禁するものとします。 本規約ならびに本規約に基づいたシステムの導入・運用についてのあらゆる障害や損害 について、本規約作成者は何らの責任を負わないものとします。ただし、関連団体所属の 正規の資格者は本規約についての疑義を作成者に申し入れることができ、作成者はこれに 誠意をもって協議するものとします。 © JAHIS 2013 i 目 次 １． はじめに .............................................................................................................................. 1 ２． 適用範囲 .............................................................................................................................. 2 ３． 引用規格・引用文献 ............................................................................................................ 3 ４． 用語定義 .............................................................................................................................. 4 ４．１． 主要用語 .................................................................................................................... 4 ４．２． 値表現(VR) .............................................................................................................. 11 ４．２．１． AE 応用エンティティ (Application Entity) .......................................... 11 ４．２．２． AS 年齢列 (Age String) .......................................................................... 11 ４．２．３． AT 属性タグ (Attribute Tag) ................................................................. 12 ４．２．４． CS コ－ド列 (Code String) ..................................................................... 12 ４．２．５． DA 日付 (Date) ........................................................................................ 12 ４．２．６． DS 10 進数列 (Decimal String) .............................................................. 13 ４．２．７． DT 日時 (Date Time) ............................................................................... 13 ４．２．８． FL 単精度浮動小数点 (Floating Point Single) .................................... 13 ４．２．９． FD 倍精度浮動小数点 (Floating Point Double) .................................... 13 ４．２．１０． IS 整数列 (Integer String) ............................................................... 14 ４．２．１１． LO 長列 (Long String) ........................................................................ 14 ４．２．１２． LT 長テキスト (Long Text) ................................................................. 14 ４．２．１３． OB その他のバイト列 (Other Byte String) ........................................ 14 ４．２．１４． OF その他の浮動列 (Other Float String) .......................................... 15 ４．２．１５． OW その他のワード列 (Other Word String) ........................................ 15 ４．２．１６． PN 人名 (Person Name) ........................................................................ 15 ４．２．１７． SH 短列 (Short String) ...................................................................... 17 ４．２．１８． SL 符号付長整数 (Signed Long) .......................................................... 17 ４．２．１９． SQ 項目のシーケンス (Sequence of Items) ........................................ 17 ４．２．２０． SS 符号付き短整数 (Signed Short)..................................................... 17 ４．２．２１． ST 短テキスト (Short Text) ............................................................... 18 ４．２．２２． TM 時間 (Time) ..................................................................................... 18 ４．２．２３． UI 固有識別子 (Unique Identifier) ................................................... 18 ４．２．２４． UL 符号なし長整数 (Unsigned Long) ................................................... 19 ４．２．２５． UN 未知 (Unknown) ............................................................................... 19 ４．２．２６． US 符号なし短整数 (Unsigned Short) ................................................. 19 ４．２．２７． UT 無制限テキスト (Unlimited Text) ................................................. 19 ４．２．２８． 注意 .......................................................................................................... 20 ４．３． データ要素タイプ ................................................................................................... 21 ４．３．１． タイプ 1 必須データ要素 ........................................................................... 21 ４．３．２． タイプ 1C 条件付きデータ要素 .................................................................. 21 ４．３．３． タイプ 2 必須データ要素 ........................................................................... 21 ４．３．４． タイプ 2C 条件付きデータ要素 .................................................................. 21 ４．３．５． タイプ 3 任意選択データ要素 .................................................................... 22 ４．３．６． シーケンス内のデータ要素タイプ ............................................................... 22 © JAHIS 2013 ii ４．４． シーケンス .............................................................................................................. 23 ４．５． 属性マクロ .............................................................................................................. 24 ５． 説明的な情報 ..................................................................................................................... 25 ５．１． 標本の識別・管理 ................................................................................................... 25 ５．２． 全スライド顕微鏡画像 WSI(Whole Slide Images) ............................................... 40 ６． DICOM 画像データ構造 ........................................................................................................ 53 ６．１． 画像データ構造 ....................................................................................................... 53 ６．１．１． シングルフレーム構造 ................................................................................. 53 ６．１．２． マルチフレーム－非連結構造 ....................................................................... 54 ６．１．３． マルチフレーム－連結構造 .......................................................................... 55 ６．２． DICOM ファイルメタ情報 ......................................................................................... 57 ６．３． VL(可視光)顕微鏡画像情報オブジェクト定義 ........................................................ 60 ６．４． VL(可視光)スライド座標顕微鏡画像情報オブジェクト定義 ................................... 61 ６．５． VL(可視光)写真画像像報オブジェクト定義 ............................................................ 62 ６．６． VL(可視光)全スライド顕微鏡画像(WSI)情報オブジェクト定義 ............................. 63 ６．７． VL(可視光)全スライド顕微鏡画像(WSI)機能グループマクロ定義 .......................... 65 ７． 情報オブジェクト定義(IOD)モジュール ............................................................................ 67 ７．１． 患者モジュール (Patient Module) ...................................................................... 67 ７．２． 一般検査モジュール (General Study Module) .................................................... 72 ７．３． 一般シリーズモジュール(General Series Module) ............................................... 76 ７．４． 基準座標系モジュール (Frame Of Reference Module) ........................................ 81 ７．５． 一般的装置モジュール (General Equipment Module) .......................................... 83 ７．６． 一般画像モジュール (General Image Module) .................................................... 88 ７．７． 画像画素モジュール (Image Pixel Module) ........................................................ 98 ７．８． 収集コンテキストモジュール (Acquisition Context Module) ......................... 109 ７．９． 標本モジュール (Specimen Module) ................................................................... 112 ７．１０． VL(可視光)画像モジュール (VL Image Module) ............................................. 119 ７．１１． スライド座標モジュール (Slide Coordinates Module)................................. 125 ７．１２． SOP 共通モジュール (SOP Common Module) ..................................................... 129 ７．１３． マルチフレーム機能グループモジュール (Multi-frame Functional Groups Module) ............................................................................................................ 141 ７．１４． マルチフレームディメンションモジュール (Multi-frame Dimension Module) ......................................................................................................................... 148 ７．１５． 共通インスタンス参照モジュール (Common Instance Reference Module) .... 155 ７．１６． VL(可視光)全スライド顕微鏡画像シリーズモジュール (VL Whole Slide Microscopy Series Module) ............................................................................ 157 ７．１７． VL(可視光)全スライド顕微鏡画像モジュール (VL Whole Slide Microscopy Image Module) ............................................................................................................ 158 ７．１８． 光路モジュール (Optical Path Module) ........................................................ 166 ７．１９． マルチ解像度ナビゲーションモジュール (Multi-Resolution Navigation Module) ......................................................................................................................... 172 ７．２０． スライドラベルモジュール (Slide Label Module) ........................................ 174 ７．２１． ICC プロファイルモジュール (ICC Profile Module) ..................................... 175 ７．２２． パレットカラールックアップテーブルモジュール (Palette Color Lookup Table Module) ...........................................................................................................
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