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How to connect PACS to the different RIS/HIS

How to connect PACS to the different RIS/HIS

Maryam Zibaeefard, Dr. Afshin Niakan, Maryam Zibaeefard, Dr. Afshin Niakan,

HISHIS

RISRIS

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Health Systems•The 3 main systems should be able to transfer common data between them

PACSPACS

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Health communication standards

• HL7: Standard for the exchange, management and integration of electronic healthcare information

• DICOM: Standards for medical imaging

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DICOM Mission• Achieve compatibility and improve

workflow between imaging systems and other information systems

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DICOM Information Model

Patient

Study Study

Series Series Series Series

Image

Image

Image

Image

Image

Report

Report

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DICOM Information Model

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PACS Network

• The system is capable of communicating over a local or wide-area network in conformance with DICOM standard.

Frame Grabber

PACS Gateway

Local area net

CT

MRI

USs

WSs

hospital clinics surgeryrooms

WAN

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PACS Network

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Why to connect HIS/RIS and PACS

• Prevent errors that can result in study data loss.

• Eliminating data entry at the modality and in consequence, increasing speed and simplicity of imaging procedure.

• Enabling exams to start on time.

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DICOM Solution: Work list server

• Two Health system standards:• HL7• DICOM

• DICOM is preferred because HL7-aware systems are rare in IRAN.

• DICOM specification offers Worklist service class concept.

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Payvand Work list managerData entry in RIS/HIS

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Payvand Worklist manager• Retrieving work list at the modality

Request Work list

Work list tables

RIS/HIS Program

DICOM Communication

DICOM Communicati

on

PACS Server(Archive Server + DICOM Server)

DICOM Work list Server

Database

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Payvand Work list manager benefits

• Run as a windows service• Capable to be integrated with any

Windows-based HIS/RIS• Fully in conformance with DICOM standard• No need for Hl7-aware HIS/RIS

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Etelaresani Peyvand Dadeha

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