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IHE
3IHE (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
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JiveX Medical Archive
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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
Rheinland-Pfalz
Kunden: 36
Bayern
Kunden: 89
Brandenburg
Kunden: 14
Sachsen-Anhalt
Kunden: 13
Hamburg
Kunden: 17
Baden-WĂĽrttemberg
Kunden: 58
Bremen
Kunden: 7
Saarland
Kunden: 7
Hessen
Kunden: 41
Schleswig-Holstein
Kunden: 27
ThĂĽringen
Kunden: 19
Niedersachsen
Kunden: 59
Nordrhein-Westfalen
Kunden: 368
Berlin
Kunden: 23
Sachsen
Kunden: 28
Mecklenburg-Vorpommern
Kunden: 1
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VISUS Worldwide
7EMRAM Stage 6 Hospitals in the NL

Amphia Hospital, Breda

Maasstad Hospital, Rotterdam

Sint Lucas Andreas Hospital, Amsterdam

Ziekenhuis Groep Twente, Hengelo &
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Medical Archive
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Everything was better in the old days?
Quelle: ZDF
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Standardization
Currently not consistently
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
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Medical Archive
The domains
11X-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
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Paper / Scan
Documents
Images
Videos
Bio Signals
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
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Paper / Scan
Documents
Images
Videos
Bio Signals
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?
images
EHR
Documents
FINDINGS
ARCHIVE:
VIEWER:
MEDICAL
ARCHIVE:
Vendor neutral and IHE compliant Archive and Format!
All medical Information in one
VIEWER:
Paper / Scan
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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
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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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Overview
Input DICOM / HL7 and Non-DICOM sources
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Printer
Scanner
Digital Camera
Video signals
Non-DICOM
Signals /Non-
DICOM
PDF Print
Gateway
File Import
Service
Analog Modality
Gateway
Analog Modality
Gateway AV
ECG Modality
Gateway
Worklist
DICOM
DICOM
Sources
HL7 MDM
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Integration
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!
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
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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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Questions?
www.VIS
US.com
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