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Many Topics

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IHE

3

IHE (Integrating the Healthcare Enterprise)

An organization of users and manufacturers which aim to

standardize the data exchange between IT systems in the health

sector and to harmonize

Only when all internal objects are organized in a standard

architecture and format, you can realize a simple process-oriented

communication to the outside.

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JiveX Medical Archive Next Generation Archiving Solutions

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VISUS Technology Transfer GmbH

• 15 years experience in managing radiological images

• More than 12 years experience in hospital-wide Image and Data

Management

• 760 customers Germany / over 1000 worldwide

• Made in Germany

short overview

5

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VISUS in Germany

JiveX Marktanteil Bis 10%

Über 30%

10 bis 30%

Rheinland-Pfalz

Kunden: 36

Bayern

Kunden: 89

Brandenburg

Kunden: 14 Sachsen-Anhalt

Kunden: 13

Hamburg

Kunden: 17

Baden-Württemberg

Kunden: 58

Bremen

Kunden: 7

Saarland

Kunden: 7

Hessen

Kunden: 41

Schleswig-Holstein

Kunden: 27

Thüringen

Kunden: 19

Niedersachsen

Kunden: 59

Nordrhein-Westfalen

Kunden: 368

Berlin

Kunden: 23

Sachsen

Kunden: 28

Mecklenburg-Vorpommern

Kunden: 1

Top Installation

6

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VISUS Worldwide

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EMRAM Stage 6 Hospitals in the NL

Amphia Hospital, Breda

Maasstad Hospital, Rotterdam

Sint Lucas Andreas Hospital, Amsterdam

Ziekenhuis Groep Twente, Hengelo &

Almelo

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Medical Archive

The Situation

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Everything was better in the old days?

Quelle: ZDF 9

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Standardization Currently not consistently

10

Image Data

• DICOM

• Non-DICOM (e.g. JPEG, TIFF, JPEG2000, …)

Video Data

• DICOM

• Non-DICOM (e.g. MPEG, AVI, …)

Signals

• DICOM

• Non-DICOM (e.g. aECG, SCP ECG, XML, …)

Documents

• HL7 MDM, CDA / DICOM PDF

• PDF, PDF/A

• Word, Excel, …

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Medical Archive The domains

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X-ray, CT/MRI,

Angio, Mammo

Ultrasonics,

endoscopy, ECG

Documentation of

operations

Image- documentation

Medical findings

which are only printed

(Hearing Test, EEG, …)

Teeth-, Mouth- and

Jaw-medicine

Ophthalmology Histology

External and internal

findings in hard copy

External and internal

findings in paper

Findings of external systems

(Philips, GE, Olympus,...)

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Paper / Scan

Documents Images Bio Signals Videos EHR

Documents

FINDINGS

ARCHIVE

VIEWER

EHR / HIS

1

Image

Archive

3

Document

Archive/ VNA

2

Bio Signal

Archive

5

Video

Archive

4

Situation in most Hospitals at the Moment Various IT Solutions for Findings, Archiving and Diagnosing

12

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Paper / Scan

Documents Images Bio Signals Videos EHR

Documents

FINDINGS

ARCHIVE

UNIVERSAL

VIEWER

EHR / HIS

1

Image

Archive

3

Document

Archive/ VNA

2

Bio Signal

Archive

5

Video

Archive

4

Universal Viewer Currently discussed in the Hospitals

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Medical Archive How could the situation be changed?

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images EHR

Documents

FINDINGS

ARCHIVE:

VIEWER:

MEDICAL

ARCHIVE:

All medical Information in one

Vendor neutral and IHE compliant Archive and Format!

VIEWER:

Paper / Scan

Documents Videos Bio Signals

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Acquisition of Non-DICOM sources

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Scanning and printing processes

21

• ECG

• Stress-ECG

• Lungfunction Test

• EEG

• Hearing Test

• Reports

• Intensive Care

• …

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23

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Input of digitally produced documents

24

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HL7 Gateway ADT, MDM, ORU und CDA

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JiveX HIS

ORU

MDM,

CDA

ADT

Transmission of patient-

demographic information

Storing objects

from the information

system (Source)

HL7

notify MDM

ORU,

CDA

notification

incoming objects

transmission of

requested objects

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Mobile viewing ECG mit CT-Information

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Integration into primary applications

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Overview Input DICOM / HL7 and Non-DICOM sources

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Printer Scanner Digital Camera Non-DICOM Video signals

Signals /Non-DICOM

PDF Print

Gateway

File Import

Service

Analog Modality

Gateway

Analog Modality

Gateway AV

ECG Modality

Gateway

DICOM

Worklist

DICOM Sources

HL7 MDM ORU/CDA

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Integration

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HIS

• Agfa

• Cerner

• ChipSoft

• Epic

• Medasys

• …

Department Systems

• Endobase (Olympus)

• Viewpoint (GE)

• CARDDAS (GE)

• Xcelera (Philips)

• …

PACS

• Agfa

• Carestream

• GE

• Philips

• Siemens

• …

Scan paperfile

• Scan service

providers

• …

Medical devices

• ECG

• PDMS

• EEG

• Pulmonary funtion

test

• …

Acquisition

• DICOM data(PACS)

• analogue image data

• analogue video daten

• ECG data

• Findings in PDF- format

• HL7- formats

• Automated imports

Operation

• Storz (AIDA)

• Richard Wolf

• Maquet

• Olympus

• …

Medical Archive

Long term archive

• WORM SAN/NAS

inhouse

• Data Center

• …

Cross-

Communication

• Portalsolution

• DICOM E-Mail

• IHE XDS

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Summary

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Standardization It is possible with DICOM, HL7!

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Image Data

• DICOM

• Non-DICOM (e.g. JPEG, TIFF, JPEG2000, …)

Video Data

• DICOM

• Non-DICOM (e.g. MPEG, AVI, …)

Signals

• DICOM

• Non-DICOM (e.g. aECG, SCP ECG, XML, …)

Documents

• HL7 MDM, CDA / DICOM PDF

• PDF, PDF/A

• Word, Excel, …

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Benefits

• Data consistency by IHE compliant standardization allows a real

standardization and reduces the complexity of IT infrastructure.

• Through the consistent use of standards (DICOM / HL7 / IHE) created

an information hub for many actors in the health sector.

• IHE compliant archiving helps to communicate simply internally and

externally.

• Independence (Format)

33

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The future begins!

34

Everything was better in the old days?

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Thank you very much for your attention!

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Questions? www.VIS

US.com

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38

Christian Wolf

Sales Consultant / Medical Archive