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Why ?

MILLENSYS Web-Based PACS and Reporting Solution

Vision Tools Workspace

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.Vision Tools Workspace

Intranet HL7Integration

With RIS/HIS

DICOM Modalities

Internet

Vision Tools Workspace Servers

Vision Tools WorkspaceFor Radiologists

Vision Tools WorkspaceFor Operators

Vision Tools WorkspaceFor Clinicians Vision Tools Workspace

For Mobiles and Tablets

Vision Tools WorkspaceFor Home Viewing

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.Why Vision Tools Workspace?

Easy Setup / Easy Operation• High availability Web PACS servers with heart-beat technology is all what we need• Single Web based administrator for the whole solution

Ideal For Roaming Users• Same login profile anywhere• Browser Independent• OS Independent

Built For The Enterprise• Multi-branch hospitals• Tele-radiology and Telemedicine Sites• Using only internet protocols in communications• No firewall or network security limitations

Security• Secure support using SSL communications

Same GUI for All User• Use of the same tool for radiologists, operators, clinicians and home viewing users

Cost Efficiency• Easy licensing makes it cost effective for wide range of users

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Fundamentals

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. Web / Non-Web PACS?

Client/Server Application

Web Enabled Application

HTML5Web Based Application

Technology

Complexity

Enterprise Compatibility

Security

Cost

Web Based Application

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.Client/Server vs. Web Based

Web Based PACS Client/Server PACSInternet Browser Based Application Based

One Database Multiple Databases

Same application for every body in/out of the hospital

Multiple applications for radiologists, technicians and clinicians, home viewing

Single-node web based administration Multi-node administration

Concurrent or unlimited licensing License per seat or per user

Uses internet/intranet communication Uses DICOM / Network communication

No need for firewall configuration Lot of configuration with firewall

Low risk for virus attacks High risk for virus attacks

Scalable and Built for Enterprise Limited scalability

Easy upgradability Long time to upgrade

Support cloud computing SAAS technology Is not built for cloud

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.Cloud Computing and Virtualization

Cloud service is identified by : • It is sold on demand• it is elastic (a user can have as much or as little of a

service as they want at any given time)

• the service is fully managed by the provider (the consumer needs nothing but a personal computer and Internet access).

Virtualization is the creation of a virtual (rather than actual) version of something, such as an operating system, a server, a storage device or network resources.

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Vision Tools Workspace

The All-in-one PACS and Reporting Solution

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.Vision Tools Workspace

One Solution , Vision Tools Workspace PACS from MILLENSYS

Share Clinical Notes

Referring Physician

Portal

Support (Win, Mac, iOS Android, etc.)

devices

Patients Portal

Zero-Foot-Print Viewer for clinicians

Support multiple internet

browsers.

High Availability

Archive

Web-basedAdministrator

Share studies with

consultants

Report from anywhere

Advanced Viewer for diagnosis

Doctors Worklist

management

Heart-Beat Monitoring

Rule based archive ,

compression and routing

View and Report from Tablets and

mobiles

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.Workspace, Connectivity

Intranet HL7Integration

With RIS/HIS

DICOM Modalities

Internet

Vision Tools Workspace Servers

Vision Tools WorkspaceFor Radiologists

Vision Tools WorkspaceFor Operators

Vision Tools WorkspaceFor Clinicians Vision Tools Workspace

For Mobiles and Tablets

Vision Tools WorkspaceFor Home Viewing

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. Workspace, Tele-radiology Workflow

Internet

Hospital / scanning FacilityTele-radiology Facility

1. Hospital Send images to mini-pacs router2. Hospital send clinical information of studies through mini-pacs router GUI3. Mini-pacs router compress and auto-route images to tele-radiology facility4. Tele-radiology receive studies and distribute them to radiologists through Vision Tools Workspace GUI5. Radiologists view studies, read clinical notes attached to studies, diagnose and write reports6. Radiologists can require extra clinical notes from hospital or ask consultant opinion though Vision Tools

Workspace GUI7. Reports are validated and verified / signed by consultations.8. Reports automatically sent back to acquisition hospital to deliver to patient.9. Billing calculations and reports can be generated from tele-radiology facility for hospital and radiologists charge

Vision Tools WorkspaceServer

Mini-PACS Router

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Heart Beat

PACS Server

CompressionStore / Archive Routing Deletion

Database Server Images / Reports / Documents Storage

Web Server

DICOM Modalities (DICOM Store)Vis

ion

To

ols

Wo

rksp

ace

Str

uct

ure

Downloader

Images Reports Key Images ClinicalNotes

User GUI

Server SideOperation

Modality

ShareStudies

Patient Jacket

Image Viewer2D / 3D

Reporting ToolTemplate / Dictation

Document Import / Scanning

Web based ViewerImages/Reports

Vision Tools WorkspaceCore Design and Architecture

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.Workspace, Space for everyone

WorklistAnd Tools

Vision Tools MultiViewAdvanced Processing WS Radiologist PC

Advanced Viewer

AdvancedReporting

Radiologist PC

WebViewer

Web Reporting

Clinician PC

Mobile Viewer

Mobile Reporting Tablet / Mobile

Advanced Viewer

AdvancedReporting

Teleradiology PC

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.Vision Tools Workspace, Single GUI Concept

Mobile Viewing

Radiologist WS

Clinical Viewing

Surgical Viewing

Home Viewing

Radiographer WS

QC WS

One GUIFor the

Enterprise

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No need for special communication ports

Database Server

Web-FTP Server

PACS Server

SQL Communication

Port

Http+ FTP Ports

Dicom Communication

Port

Only http / https ports

Vision Tools Workspace, Web Protocols

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. Vision Tools Workspace, Push/Pull Technology

Connect Retrieve Worklist

Download Studies Diagnose Report Log-Out

Pull

Connect SearchWorklist

View Studies Diagnose Report Log-Out

Push

Work with both Push and Pull methods with a single solution

Studies are pushed from the Main server to local diagnostic workstation to eliminate downloading waiting time

Studies are downloaded on-demand fom the Main server to local diagnostic workstation

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High Availability

Workspace Server cluster

Cost Effective PACS Solution With RAID-5 Storage reaching 98.5% up-time

Vision Tools Workspace, Availability

Clustered Archiving Solutions with load balancing technologies to reach 99.99% up time for PACS Storage and provide full redundancy for patient data.

Cost Effective

Workspace Single Server

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Vision Tools WorkspaceComponents

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• Priority queuing for emergency studies

• Secure over the Internet and HIPAA compliant

• Auto-routing between acquisition and reporting facilities

• Multi- compression methods (JPEG, JPEG2000, lossy/lossless)

• Handles transmission of studies and reports.

• Short term archive in hospitals

• Long Term archive in Data Center

• Clustered Solution to get 99.9% uptime

• Monitors the Round-trip time for studies

• Assure the delivery of studies when link failure

• Resume transmission automatically when link is up

Vision Tools Workspace, PACS Server

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. Vision Tools Workspace, Users Worklist Management

• Run on multiple Web Browsers (IE, Firefox)

• Customized worklist with user profile through pre-stored search filters

• On-demand viewing study by study of batch downloading of group of studies to be cashed on local PC and this view them locally.

• Add / Read clinical notes for studies

• Share clinical notes between multiple servers in case of tele-radiology or remote diagnosis operations.

• Share studies between users for consultations and second opinion

• Import other documents (doc, pdf, jpg, …etc. ) with study and ability to scan documents and upload it to the server to be shared with the study.

• Burn studies to local CD/DVD.

• Send studies to other dicom nodes

• Merge/Edit Studies (for Q.C. purpose)

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• Multiple screen layouts and visual hanging protocols

• Display static and dynamic studies• Oblique, Bi-Oblique and Curved MPR/MIP• Slice Locator / Pilot Image for CT/MRI• Multiple Measurements• Image Processing and Annotations• 3D Reconstruction / Advanced Visualization

Options• Printing on DICOM and A4 Printers

Vision Tools Workspace, Advanced Viewing

• Dispersed downloading technology to speed up image retrieval

• User defined image compression for rapid download so that user can retrieve fast lossy compressed images then get the full resolution lossless images in one mouse click

• Smart image retrieval , user can navigate any image in study while study being downloaded.

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. Vision Tools Workspace, Multiple Features

CAD Overlay Image Stitch

Coronary Analysis

MPR/MIP Vessel Analysis Virtual Colonography3D VRT

Web Reporting

Film Design

NM SPECT

Enhanced CT/MRI

PET/CT

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Vision Tools WorkspaceClinical Viewing

• Pure 100% web-based viewing (Zero-Foot-Print Application)• Based on HTML-5 Technology• Browser independent (IE, Firefox, Chrome, Safari, Opera, …etc.)• Search worklist with pre-stored search filters• View / Add clinical notes • View images with multiple layouts • Simple image processing (Zoom, Pan, WW/WL, Measurement, Annotation …etc)• Read and write Reports

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Vision Tools WorkspaceTablet | Mobile Viewing

• Pure 100% web-based viewing (Zero-Foot-Print Application)• Based on HTML-5 Technology• Browser independent (IE, Firefox, Chrome, Safari, Opera, …etc.)• Search worklist with pre-stored search filters• View / Add clinical notes • View images with multiple layouts • Simple image processing (Zoom, Pan, WW/WL, Measurement, Annotation …etc)• Read and write Reports

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• Keep report edited drafts for medico-legal protection• Templates categorization and organization to ease operation• Compatible with Microsoft Word , Rich Text and HTML reporting• Retrieve images from PACS server (Key images or studies)• Insert images and annotations in reports• Voice Dictation and Transcription • Speech Recognition (Option)• Send Reports back to Hospitals using email , fax, dicom and HL7

Vision Tools Workspace, Web Reporting

Dictation

Transcription

Using Built-in Word Processor

(Does not need MsWord license)

Using Microsoft Word(Need MsWord license)

Using Built-in HTML Reporting

(Zero-foot-print , 100% web-based)

Multiple methods to report that suite the majority of users

Using Text Reporting for mobile

(Zero-foot-print , 100% web-based)

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. Vision Tools WorkspacePatient Portal

•Fast, Simple, Secure Sharing of images and reports with patients•Secured log-in is generated and emailed to each patient after their exam.•predefined automatic expiry for patients login by the system administrator.

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. Vision Tools WorkspacePatient Portal

•Fast, Simple, Secure Sharing of images and reports with referring physicians.•Secured log-in is generated and emailed to each referring physician.•Referring physicians will only see their cases without affecting other users studies.

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• Web administration• Single administration for

PACS/RIS• Manage user profiles• Manage user rights• View Audit logs• Manage Multi-Branches

Vision Tools Workspace, Web Administration

MiAdmin web based administrator

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. Vision Tools Workspace, Integration with HIS

Hospital Information SystemApplication “HIS”

Vision Tools Workspace Viewer

Integration

Easy Integration with any HIS application through URL calling to open imagesFrom any hospital application with Vision Tools Workspace Viewer

http://Vision Tools Workspace server/study details

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Patient Images and reports transmitted from anywhere to anywhereUsing Intranet inside the hospital for clinicians and other imaging facilities

Touch screen operations to facilitate viewing of studies in O.R.

Web viewing of images and reports all over the hospital and integration with the HIS interface.

Vision Tools Workspace, Web Distribution

Web Distribution for O.R. Web Distribution for clinicians

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. Vision Tools WorkspaceTele-radiology Workflow

TeleradiologyService Center

RequestingHospitals

Radiologists

Image Transfer

Report Transfer

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Summray

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• Pure Web-Based Technology • Same GUI for all users• Depending on Active Server Pages “ASP” Model.• Streaming with Dispersion over low band width lines.• Multiple compression methods for studies• Simple-Fast Search Results.• Resume downloading of studies when connection failure.• No need for special communication ports.• Embedded reporting tool with dictation and speech option.• Fast client Setup.• Automatic client update.• Supports of multi-branch hospitals• Built for the enterprise

Vision Tools Workspace, Summary

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Integration is the whole idea

One Patient Folder “EPR”True Electronic DeliverySmooth working EnvironmentFilmless Paperless ConceptIncreased Productivity

Vision Tools Workspace, Integration

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Thank you

Vision Tools WorkspaceMILLENSYS Web-Based PACS and Reporting Solution