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From Cinefilm to Compact Disc. 1 Film. 20 CD. FROM THE CINE-WORLD TO A CD-R WORLD. CINE. DIGITAL. ONLINE REGISTRATION ON 35 MM CINEFILM. OFF-LINE TRANSFER TO RECORDABLE CD. NEAR FILM ARCHIVE. NEAR CD ARCHIVE. REMOTE LONG-TERM FILM STORE. REMOTE LONG-TERM CD STORE.

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FROM THE CINE-WORLD TO A CD-R WORLD

CINE

DIGITAL

ONLINE REGISTRATION

ON 35 MM CINEFILM

OFF-LINE TRANSFER

TO RECORDABLE CD

NEAR FILM ARCHIVE

NEAR CD ARCHIVE

REMOTE LONG-TERM FILM STORE

REMOTE LONG-TERM CD STORE


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BEYOND CD-R TO A REAL DIGITAL IMAGING WORLD

CINE

DIGITAL

ONLINE REGISTRATION

ON 35 MM CINEFILM

BACKGROUND TRANSFER

TO NETWORK

NEAR FILM ARCHIVE

NETWORK SERVER & RAID

REMOTE LONG-TERM FILM STORE

DIGITAL LONG-TERM ARCHIVE


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DICOM Cardiovascular PACS UKKiel Step 3

CATH A

CATH B

CATH C

CATH D

CATH PED

ECHO

DCI

INTEGRIS

DCI

SONOS 5000

INTEGRIS

INNOVA

Viewer

Viewer

Viewer

Viewer

Viewer

Viewer

HOSPITAL ETHERNET

100 Mb/s Switched

30 Lns

ISDN

DICOM Archive

(Hierarchical Storage Management)

DICOM Server

Cluster & RAID

CD Production

(Multiple, Automatic)

Telemedicine

Ext. Institutions

LAN

LAN

LAN

Workstations

Adult Cardiology

Workstations

Cardiac Surgery

Workstations

Ped Cardiology

Conference & Teaching


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DICOM Interchange Standard for Cardiology

Medical Imaging Application

&

DICOM Application Entity

( SOP, File Format, DIR ... )

CD-R Media and Data File

Specifications

Storage Protocol

Storage Medium


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Integrated Cardiology

Echo

Angiography

IVUS

US

US

XA

Angioscopy

Waveforms

WV

VL

DICOM Provides

- Integration

- Synchronisation

- Structured Reporting (SR)

MR

SR

Cardiac MR

Protocols

Images - Curves - Calculations / Measurements - Protocols - Results - Reports


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ECG

Physician

( History)

Nuclear Study

Cardiologist

(History, Findings)

Hemo

Cath

Labs

Echo

Interventional Procedure

Patient Pathway in Cardiology

Patient

Complaint


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Integrated Cardiology

HIS

CIS

LAB

PACS

CCU-PDMS

Echo

Angiography

IVUS

Angioscopy

Waveforms

DICOM Provides

- Integration

- Synchronisation

- Structured Reporting (SR)

Cardiac MR

Protocols

Images - Curves - Calculations / Measurements - Protocols - Results - Reports


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Problems

  • Serious Integration Challenges in Healthcare:

    • Systems need Information other systems have

    • But, systems communicate poorly or not at all

    • Systems use other than DICOM Standard

  • Result: - tedious, inefficient workflows - data that is inconsistent or unavailable

  • Responsibility for information flow between systems and between departments, is often unclear.


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Integrated Cardiology

HIS

CIS

LAB

PACS

CCU-PDMS

DICOM . . HL 7 . . IETF . . W3C . . . . . . .

Echo

Angiography

IVUS

Angioscopy

Waveforms

DICOM Provides

- Integration

- Synchronisation

- Structured Reporting (SR)

Cardiac MR

Protocols

Images - Curves - Calculations / Measurements - Protocols - Results - Reports


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Integrating the Healthcare Enterprise

Applying the IHE Framework to Cardiology


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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


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