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759 VI New Imaging Applications and Technologies

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759 VI New Imaging Applications and Technologies

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    1. 759 VI – New Imaging Applications and Technologies

    2. 2 Introductions Scott Madsen, Chief of Clinical Services Larry Carlson, Project Manager for VistA Imaging Maryann Shovestul, Project Manager for VistA Imaging Dr Ruth Dayhoff, MD, VHA, VistA Imaging

    3. 3 Development Team

    4. 4 Other Key Imaging Staff

    5. 5 Year in Review During FY10 the following patches were released or are soon to be released MAG*3*54 DICOM Maintenance IV MAG*3*101 VistARad Maintenance V MAG*3*93 Clinical Display Maintenance II MAG*3*111 Broker Security Enhancements MAG*3*83 VistA Imaging Exchange Service MAG*3*53 DICOM Import RA*5*90 Radiology Order and Exam API MAG*3*90 VistARad Maintenance MAG*3*94 Clinical Capture Maintenance MAG*3*108 Import API MAG*3*49 HL7 ADT Interface RA*5*47 Standardize VistA RIS Messaging Interface MAG*3*39 Background Processor Enhancements MAG*3*114 Telereader Configurator MAG*3*66 DICOM Query Retrieve MAG*3*98 Site Storage Utilities

    6. 6

    7. 7 Document and Ancillary Imaging

    8. 8 Document and Ancillary Imaging

    9. 9

    10. 10 Filmless Radiology

    11. 11 Filmless Radiology

    12. 12

    13. 13 VA/DoD Image Sharing

    14. 14 VA/DoD Image Sharing

    15. 15

    16. 16 Core Infrastructure

    17. 17 Core Infrastructure

    18. 18 Core Infrastructure

    19. 19 Core Infrastructure

    20. 20 Core Infrastructure

    21. 21

    22. 22 Storage Architecture

    23. 23 Storage Architecture

    24. 24

    25. 25 Telemedicine

    26. 26 Telemedicine

    27. 27

    28. 28 The Basic Elements of Telemedicine for Many Different Specialties

    29. 29 New Features for Telemedicine New Specialties TeleDermatology TelePathology TeleWound Care Ability to Create DICOM Standard Images in VistA Imaging Improved TeleReader Capabilities Annotations New Graphical Interface for TeleReader Configuration New Terminologies Body Parts Laterality Study Description

    30. 30 Primary Care Clinic Visit No dermatologist is available A consult is ordered Photographs are taken and attached to local consult at the clinic Regional dermatologist can take the case Similar procedure if a dermatologist requests a Second Opinion

    31. 31 Provider Orders a Teledermatology Consult

    32. 32 Dermatology Images are Transferred to VistA Imaging Import Directory

    33. 33 Select and Capture Images Individually or in Batch Mode

    34. 34 DICOM Images Created Automatically When Capture Button Clicked Only two pieces of information must be provided by the user:

    35. 35 Imported Images Stored in DICOM Format Information placed in DICOM Image Header Patient and study information Allows information to be a permanent part of the image Still necessary to put ruler in the camera shot to gauge size

    36. 36 TeleReader Configuration Tools Enhanced

    37. 37 Reading Studies with TeleReader Lock the study

    38. 38 Imaging, CPRS & Telereader Automatically Open to Patient

    39. 39 Image Annotation

    40. 40 Templates Can Be Used in Resulting the Consult

    41. 41 Specialist Documents Observations in Interfacility Consult

    42. 42 Consult Completed in CPRS

    43. 43 Completed Study Appears on TeleReader READ List

    44. 44 Many Emerging Bio Technologies May Benefit from Telemedicine Capabilities New non-invasive melanoma screening using skin heat signatures (JHU) New glaucoma testing techniques that identify chemical changes in the cells at an early stage that indicate glaucoma is present (VACPTVL) Use of fluorescent and magnetic tags to identify tumor cells and reduce those remaining after treatment (UCSD)

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