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From Cinefilm to Compact DiscFrom Cinefilm to Compact Disc
1 Film1 Film 20 CD20 CD
FROM THE CINE-WORLD TO A CD-R WORLD
CINE DIGITAL
ONLINE REGISTRATIONON 35 MM CINEFILM
ONLINE REGISTRATIONON 35 MM CINEFILM
OFF-LINE TRANSFERTO RECORDABLE CD
OFF-LINE TRANSFERTO RECORDABLE CD
NEAR FILM ARCHIVENEAR FILM ARCHIVE NEAR CD ARCHIVENEAR CD ARCHIVE
REMOTE LONG-TERM FILM STOREREMOTE LONG-TERM FILM STORE REMOTE LONG-TERM CD STOREREMOTE LONG-TERM CD STORE
BEYOND CD-R TO A REAL DIGITAL IMAGING WORLD
CINE DIGITAL
ONLINE REGISTRATIONON 35 MM CINEFILM
ONLINE REGISTRATIONON 35 MM CINEFILM
BACKGROUND TRANSFERTO NETWORK
BACKGROUND TRANSFERTO NETWORK
NEAR FILM ARCHIVENEAR FILM ARCHIVE NETWORK SERVER & RAID NETWORK SERVER & RAID
REMOTE LONG-TERM FILM STOREREMOTE LONG-TERM FILM STORE DIGITAL LONG-TERM ARCHIVEDIGITAL LONG-TERM ARCHIVE
DICOM Cardiovascular PACS UKKiel Step 3
Conference & TeachingWorkstationsPed Cardiology
WorkstationsAdult Cardiology
DCI DCIINTEGRIS INNOVA INTEGRIS SONOS 5000
CATH A CATH B CATH C CATH D CATH PED ECHO
Viewer Viewer Viewer Viewer Viewer Viewer
LAN LAN LAN
WorkstationsCardiac Surgery
DICOM Server Cluster & RAID
DICOM Archive(Hierarchical Storage Management)
CD Production(Multiple, Automatic)
TelemedicineExt. Institutions
30 LnsISDN
HO
SP
ITA
L E
TH
ER
NE
T10
0 M
b/s
Sw
itch
ed
DICOM Interchange Standard for CardiologyDICOM Interchange Standard for Cardiology
Medical Imaging Application
DICOM Application Entity( SOP, File Format, DIR ... )
CD-R Media and Data FileSpecifications
&&
Storage MediumStorage Medium Storage ProtocolStorage Protocol
Integrated CardiologyIntegrated Cardiology
Angioscopy
Angiography
Echo
IVUS
Waveforms
DICOM Provides- Integration
- Synchronisation- Structured Reporting (SR)
Images - Curves - Calculations / Measurements - Protocols - Results - Reports
Cardiac MR ProtocolsMR
VL
XA
US
US
WV
SR
Patient Patient ComplaintComplaint
Nuclear StudyNuclear Study
LabsLabsCathCathHemoHemo
Interventional ProcedureInterventional Procedure
EchoEcho
PhysicianPhysician( History)( History)
ECGECG
CardiologistCardiologist(History, Findings)(History, Findings)
Patient Pathway in CardiologyPatient Pathway in Cardiology
Integrated CardiologyIntegrated Cardiology
Angioscopy
Angiography
Echo
IVUS
Waveforms DICOM Provides
- Integration- Synchronisation
- Structured Reporting (SR)
Images - Curves - Calculations / Measurements - Protocols - Results - Reports
Cardiac MR Protocols
HISHIS CISCIS LABLAB PACSPACS CCU-PDMSCCU-PDMS
Problems
Serious Integration Challenges in Healthcare:Serious Integration Challenges in Healthcare:
• Systems need Information other systems haveSystems need Information other systems have
• But, systems communicate poorly or not at allBut, systems communicate poorly or not at all
• Systems use other than DICOM StandardSystems use other than DICOM Standard
• Result: - tedious, inefficient workflows Result: - tedious, inefficient workflows - data that is inconsistent or unavailable - data that is inconsistent or unavailable
• Responsibility for information flow between systems Responsibility for information flow between systems and between departments, is often unclear.and between departments, is often unclear.
Integrated CardiologyIntegrated Cardiology
Angioscopy
Angiography
Echo
IVUS
Waveforms DICOM Provides
- Integration- Synchronisation
- Structured Reporting (SR)
Images - Curves - Calculations / Measurements - Protocols - Results - Reports
Cardiac MR Protocols
HISHIS CISCIS LABLAB PACSPACS CCU-PDMSCCU-PDMS
DICOM . . HL 7 . . IETF . . W3C . . . . . . .DICOM . . HL 7 . . IETF . . W3C . . . . . . .
Integrating the Healthcare Enterprise
Applying the IHE Framework to Cardiology
What is IHE about?
• It’s an initiative promoting and supporting the integration of systems in the healthcare enterprise.
• Integration Goal: Improve the efficiency and effectiveness of clinical practice by:– Improved Information Flow– Advanced Multi-System Functions
