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The Image Management initiatives are intended to provide an integrated approach to the storage, management, retrieval, and presentation of imaging studies of DUHS patients. The first focus of this effort is to upgrade the image storage and retrieval systems of the Cardiac Catheterization Laboratory. This project has two specific phases. The basic specifications are noted below, with much more detail in the associated RFP (request for proposal) and schematic diagram [see links below].
Phase 1. Upgrade of the cardiac cath image file server and associated components to a DICOM compatible, multi-terabyte server system. - on-line access to >6 months of cardiac cath studies - <30 second access to 5-10 years of cardiac cath studies - access to studies throughout DUHS via the Duke Intranet - capability of exporting studies to other formats (.jpeg, .avi formats) - implementation of data integrity / disaster recovery / redundancy measures - compliance with HIPAA regulations
Phase 2. Creation of a wide-area network of our referring sites. - uploading of studies from outside institutions to Duke (e.g., Alamance, Danville, Lumberton, mobile cath labs) independent of vendor equipment - long-term storage of outside studies (on the Duke PACS system) of patients referred to Duke for admission - "reverse referral" of studies back to referring providers Phase 1 will thus provide real-time access throughout Duke to cardiac cath studies without the physical limitations of the current system. The goal of Phase 2 is to create a single-source database for both Duke and external cardiac cath studies, to eliminate lost studies (and our reliance on conventional mail services), facilitate referrals, augment communications, and bolster the role of Duke as a preferred provider in our extended community.
Key personnel: Jon Gardner, Jimmy Tcheng, Paul Debien, Mike Sketch, Kevin Harrison, Marti Taylor, Annette Moore, Laurie Vancamp
October 2002 status update
Duke contracted this summer with Philips Medical Systems to install the Philips Inturis Suite application. Hardware and software upgrades will be installed in the individual cardiac catheterization and electrophysiology laboratories beginning in mid November. The target “go-live” date for the storage of all new cardiac cath studies is January 1, 2003. Shortly thereafter, client software will be distributed to desktop computers on the inpatient floors, outpatient clinics, and physician offices of the Heart Center. Phase 2 will follow shortly thereafter in the first quarter of 2003.
Future plans: the ultimate goal is to provide a seamless environment for the clinician to access all cardiac imaging modalities. This will be accomplished in collaboration with installation of the Philips Excelera suite and by using context management tools (single user login / single patient context). The plan is to approach the integration of other imaging modalities (echocardiography, MR/CT, and nuclear medicine) later into 2003 / 2004.
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The content and information posted
in this web are proprietary to Duke University Health System. Questions,
comments, suggestions, or problems regarding this web site should be directed to
James E. Tcheng, MD. |
