“Firebird” is a service that securely provides healthcare images and information to other facilities via the internet using the mechanism of cloudPDI (HS043), a standard of the Ministry of Health, Labour and Welfare of Japan.
Sending facilities convey the community IDs, the document IDs and passwords to the receiving facilities using health information tokens, which allows the receiving facilities to download the data from the repository and decrypt it.

Sender:

Select the data to be sent and the recipient. Initiate the sending process.

• A document ID and encrypted common key (password) are generated, and a Healthcare Information Token is created.
• The data is encrypted with the password, split into chunks and uploaded to a cloud-based FHIR repository along with the data ID.
• The Healthcare Information Token is encrypted with the recipient’s public key and sent securely through a separate route from the data.

Recipient:

• The Healthcare Information Token is decrypted with the private key to extract the document ID and password.
• The data is downloaded from the FHIR repository using the document ID.
• The data is decrypted with the password and saved.

The data is then imported into the internal system.

• Patients are not kept waiting.
• Receiving facilities can import data before the patient arrives.
• There is no risk of data leakage due to lost items.
• The data itself is encrypted, ensuring security.
• Reduces the burden of managing consumables.
• Can be used in conjunction with traditional disc-based operations.
• This service complies with the international HL7 FHIR standard and with the standard specifications established by the Ministry of Health, Labour and Welfare of Japan.
• Reduces the work time for image input/output.
• Images can also be sent by attaching the token as a QR code to a patient referral document (electronic or paper).

The following types of healthcare information can be securely sent to other healthcare institutions over the internet.
The receiving healthcare institution must also use Firebird to access this information.

• Healthcare images (DICOM)
• Test results (HL7 v2.5/FHIR)
• Prescriptions (HL7 v2.5/FHIR)
• Discharge summaries (FHIR)

• Exporting in-house data
  • Create datasets using applications with PDI disk creation features such as AOC7 web Export (CD/DVD).
  • Send data created with other PDI disk creation software.
  • Create datasets in conjunction with electronic healthcare records (planned)
• Selecting destination facility
  • Choose the destination using applications with CD/DVD creation features such as AOC7 web Export.
  • Alternatively, use the dedicated Firebird gateway application to specify the destination.
• Sending
  • The Firebird gateway automatically uploads the dataset to the repository and sends the Healthcare Information Token to the destination facility through a separate route.
• Receiving
  • The Firebird gateway automatically downloads, decrypts, and extracts the data from the repository upon receiving the Healthcare Information Token.
• Importing into in-house systems
  • Import received data into in-house systems (PACS, SS-MIX, electronic healthcare records) using importers such as Preludio.
• Management functions
  • Manage users
  • Display send/receive history
  • Configure various settings
• Data types that can be sent
  • Healthcare images (DICOM)
  • Test results (HL7 v2.5/FHIR)
  • Prescriptions (HL7 v2.5/FHIR)
  • Discharge summaries (FHIR)