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PACS and application in Friendship Hospital

PACS and application in Friendship Hospital. I. PACS overview. I. PACS overview. PACS. P icture A rchiving and C ommunication S ystem. Analog Film System. Digital PACS System. Patient Registration. Taking film. Hanging Film. Quality control. Collecting film. I. PACS overview.

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PACS and application in Friendship Hospital

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  1. PACS and application in Friendship Hospital

  2. I. PACS overview

  3. I. PACS overview PACS PictureArchiving and Communication System Analog Film System Digital PACS System

  4. Patient Registration Taking film Hanging Film Quality control Collecting film I. PACS overview WORKFLOW WITHOUT PACS Confirm Patient Information Take order into Reading room Take an exam Viewing film and approval Sending film and report Receiving film

  5. AFTER USING PACS BEFORE Improved workflow, With PACS it is dramatically simplified and quick. 15% more patient through put

  6. II. International Standards

  7. - DICOM International standards DICOM DigtalImaging and Communications in Medicine Standards for processing, storing, printing and converting information in Medical Why is DICOM ? • Need for digital images • Need for archiving / converting digital images (PACS) • Need for Pre - Processing • Need for Interoperability among providers • Need for comunication through network/ media Modalities from different manufactures Management by different PACS Products of medical equipments DICOM Ability to communicate / connect

  8. - HL7 International standards HL7 Health Level 7 What is HL7? • HL7 is standard protocol for converting electronic data in • medicine • Standards messgaes • - ADT, Order Entry, Observations reporting, Patient referral, • Patient Care, Scheduling, Medical records/info

  9. Interoperability in Friendship Hospital HIS/EMR RIS/PACS PACS archive Images ready for review Patient Registration Examination in Modality (MWL) Diagnostic Report by Radiologist Order Entry Report ready for distribution HL7 interface (ADT,ORM) Schedule & Check-In patient Patient CD publishing (Image + Report)

  10. PACS: standards • DICOM Storage : • DICOM Query/Retrieve • DICOM Print • DICOM JPEG, J2K • DICOM DIR • DICOM SR • DICOM GSPS, GSDF • DICOM NLS • DICOM Security • DICOM MWL, MPPS DICOM • ADT : patient information • ORM: order information • ORU: report information • DFT : billing information HL7

  11. III. PACS system in Friendship Hospital

  12. FRIENDSHIP HOSPITAL • Planning Beds: 480 • Real Beds: 558 • Department: 39 • Exams: 1200/day

  13. Medical equipment connect with PACS TOTAL: 28 CR:1 DR: 1 CT: 4ch, 64ch MR: 1.5T XA: 7 C-Arm: 1 Angio: 1 • US: 8 Film Scanner: 1 Endoscopy:a 5 Print: 4

  14. Architect of PACS server in Friendship Hospital Fast Ethernet Switch Clinical Display Workstation Acquisition Server Backbone Switch L4 Switch SAN Switch Database Server Main Storage Web Server Broker Server Backup Server Modality Fast Ethernet Switch Backup Storage DB Backup Server Storagemonitoring Server

  15. Workstations • Radiology Department: 5 sets of Reading Workstations • - 2 Color Monitor + 2 x 3 Mega pixel monitor and 1 x 5 Mega pixel flat panel Diagnostic Grayscale Monitors

  16. Thank you!

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