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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 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
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
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
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
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
ECG Physician ( History) Nuclear Study Cardiologist (History, Findings) Hemo Cath Labs Echo Interventional Procedure Patient Pathway in Cardiology Patient Complaint
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
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.
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
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