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Many Topics
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IHE
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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
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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
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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
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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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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
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Document
Archive/ VNA
2
Bio Signal
Archive
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Video
Archive
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Situation in most Hospitals at the Moment Various IT Solutions for Findings, Archiving and Diagnosing
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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
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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
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• ECG
• Stress-ECG
• Lungfunction Test
• EEG
• Hearing Test
• Reports
• Intensive Care
• …
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Input of digitally produced documents
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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)
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The future begins!
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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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Christian Wolf
Sales Consultant / Medical Archive
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