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Ignace Wautier – Healthcare IT Business Development Manager
CLINICALCOLLABORATIONPLATFORM
A SMARTER WAY FORWARD
Once it was simple
Once imaging was radiology.
WEB VIEWER
RADIOLOGY DIAGNOSTIC VIEWING
ARCHIVE
RADIOLOGYSERVICE
RADIOLOGY INFORMATION SYSTEM
A SMARTER WAY FORWARD
Once imaging was radiology.
Then it became more complex.
WEB VIEWER
RADIOLOGY DIAGNOSTIC VIEWING
ARCHIVE
RADIOLOGYSERVICE
RADIOLOGY INFORMATION SYSTEM
WEB VIEWER
RADIOLOGY DIAGNOSTIC VIEWING
ARCHIVE
RADIOLOGYSERVICE
RADIOLOGY INFORMATION SYSTEM
SITE 1 SITE 2WEB VIEWER
RADIOLOGY DIAGNOSTIC VIEWING
ARCHIVE
RADIOLOGYSERVICE
RADIOLOGY INFORMATION SYSTEM
SITE x
A SMARTER WAY FORWARD
...and more shared
WEB VIEWER
RADIOLOGY DIAGNOSTIC VIEWING
ARCHIVE
RADIOLOGYSERVICE
RADIOLOGY INFORMATION SYSTEM
ADVANCED APPS3D VESSEL FUSION
+ Web review expanded.New apps added to pacs...
A SMARTER WAY FORWARD
Advanced tools added...
WEB VIEWER
RADIOLOGY DIAGNOSTIC VIEWING
ARCHIVE
RADIOLOGYSERVICE
RADIOLOGY INFORMATION SYSTEM
+
STRUCTURED MULTIMEDIA REPORTING
RADIOLOGY INFORMATION SYSTEM
+
ADVANCED APPS3D
VESSEL
FUSION
VOLUME TOMO
CARDIO
LESION...and more.
OTHER CLINICALSERVICES
New results included in the report.
A SMARTER WAY FORWARD
...and more departments
WEB VIEWER
...and other departments requires capture and archive.RADIOLOGY
DIAGNOSTIC VIEWING
ARCHIVE
RADIOLOGYSERVICE
+
RADIOLOGY INFORMATION SYSTEM
OTHER CLINICALSERVICES
MOBILE CAPTURE AND REVIEW
ENTERPRISE VENDOR NEUTRAL ARCHIVE
STRUCTURED MULTIMEDIA REPORTING
ADVANCED APPS3D
VESSEL
FUSION
VOLUME TOMO
BRAIN PERF
CARDIO
LESION
ECG VIEW
+
New tools...
A SMARTER WAY FORWARD
To reach a full Enterprise Imaging Platform
CLINICAL VIEWERADVANCED APPS
RADIOLOGY DIAGNOSTIC VIEWING
STRUCTURED MULTIMEDIA REPORTING
RADIOLOGYSERVICE
3D
VESSEL
FUSION
VOLUME TOMO
BRAIN PERF
CARDIO
LESION
RADIOLOGY INFORMATION SYSTEM
CARDIOSERVICE
MEDICALPHOTO
SERVICE
ENDOSERVICE
OTHER CLINICALSERVICES
ENTERPRISE VENDOR NEUTRAL ARCHIVE
MOBILE CAPTURE AND REVIEW
ECG VIEW
Patient
A SMARTER WAY FORWARD
A multi site, multi domain, standards based clinical data & workflow sharing and reporting platform
Patient Centric
Repository
Mobile Device
Every web
Device
Frame Grabber
Device
Business Dashboard
Context Integration (URL)
Universal Viewer
Patient Portal
CollaborationPortal
Clinical Acquisition
Management
CreatePatient
CreateOrder Acquire Archive View Report Distribut
e
A SMARTER WAY FORWARD
Meta data is stored, indexed in a Registry for easy and
fast management
1. Using Standards when available.
2. Efficient & Secured Web Services
3. Image Enable EHR – Embedded4. Efficient Life Cycle
Management5. Multi-Patient ID (MPI – PIX)6. XDS Registry
XDS adapter
Relevant Clinical Data
Ingestion Interface
HL7
DICOM
File Share
Web Services
Patient Centric
Repository
A SMARTER WAY FORWARD
What are the trends?
A SMARTER WAY FORWARD
Snapshot of today
INTERNET USERS
ARE GROWING
MOBILE CONNECTIONSARE GROWING
SOCIAL MEDIACONTACTS ARE
GROWING
A SMARTER WAY FORWARD
Trends
Lack of
experts
Teleradiology, telemedicine and second
opinion - simple
solutions
Regional
projects
Exchange & Sharing needs
between connected hospitals
Cross reporting
and clinical pathwayCollaboration
needs between “on
demand” doctors
Patient
empowermentConsumer needs very
simple to be used
A SMARTER WAY FORWARD
Innovative services
A SMARTER WAY FORWARD
Efficient sharing services are required
Patient Mobile Services
Telemedicine services
Global Analytics Services
Clinical Repository Services
Cross/home reporting radiology services
A SMARTER WAY FORWARD
Multimedia Reporting...
I make an analysis of the aortha and I report the stenosys data in the report
I check a region and I automatically insert the recist value in the report
The Modality sends the dose values and I include them automatically in the report
RIS
PACSManages the imaging and thanks to the
advanced integrated tools
supports the diagnosis creating
the structured report
Required to manage the
department and the schedluing.
A SMARTER WAY FORWARD
...using native apps.
3D and volume rendering App
Automatic Registration
Fusion and PET/CT App
Vessel Analysis App
Cardiac App
Lesion Management App
MPR/MIP App
Mammo e Tomo AppBrain Perfusion App
A SMARTER WAY FORWARD
Multimedia Reporting Anywhere
A SMARTER WAY FORWARD
The power of together
Clinician to specialist Clinician to patient
A SMARTER WAY FORWARD
Is it Real in Europe? Is it Proven?
NHS Scotland• Country wide PACS
solution with access Anywhere, Anytime
Cheshire & Merseyside• Regional Radiology Service• Access to complete
regional history• Cross-Site Reporting
Cobalt• Referring Image &
Report Access & Distribution
• Patient empowerment
Spire• Private multisite Cloud
PACS Service• Cross-Site Reporting &
Home Reporting
Reggio Emilia• Enterprise Clinical Data
acquisition, Management, distribution & collaboration
SAS• The largest PACS in
Europe• Multi site with cross
reporting
A SMARTER WAY FORWARD
Telemedicine and second opinion
Family of the
children
Pediatric doctors
“Quick link to professional doctors”
Ship doctor
A SMARTER WAY FORWARD
Experience from Gaslini and MSC cruises
“One way to send all imaging data.”
ECG
UltrasoundSurgery
Picture
A SMARTER WAY FORWARD
Proven innovation towards Collaboration
2D to 3D volumetric registration
Introduction of Native 3D in PACS
2004First Vendor Neutral Archive installed
10 Cloud data centers managing 80+M studies 2+ Petabytes
Single patient worklist connects largest HMO
Flexible, mobile enterprise access
Patient portal
Native reporting and oncology follow-up
Clinical Collaboration Platform
13 Cloud data centers15.000.000.000+ Studies
2005
2008
2009
2010
2011 2012
2013
2014
2015
Cloud
With the Clinical Collaboration Platform , Our focus is on enabling those responsible for
managing, providing, receiving, and reimbursing care with the ability to access, share, and collaborate around clinical data in order to reduce costs and
improve service delivery ”
“
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