[Imported: Cross-Sectoral Image Data Integration - DICOM Link Exchange (DLX) DIN/TS 19455. A Review]

The use of download links instead of physical patient CDs requires new standards that are able to integrate these virtual media into clinical processes.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.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. · 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.. · 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; 197: 1279-1283.