10,59 00,00 10,59 7,47 6,42 Many Topics 5,34 6,83

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2 Many Topics

3 IHE 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. 3

4 JiveX Medical Archive Next Generation Archiving Solutions

5 VISUS Technology Transfer GmbH short overview 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 5

6 VISUS in Germany Schleswig-Holstein Kunden: 27 Hamburg Mecklenburg-Vorpommern Kunden: Kunden: 17 1 Bremen Kunden: Niedersachsen 7 Brandenburg Berlin Kunden: 59 Kunden: 1423 Sachsen-Anhalt Kunden: 13 Nordrhein-Westfalen Kunden: 368 Sachsen Thüringen Kunden: 28 Kunden: 19 Hessen Rheinland-Pfalz Kunden: 41 Kunden: 36 Saarland Kunden: 7 Bayern Baden-Württemberg Kunden: 89 Kunden: 58 6 JiveX Marktanteil Bis 10% 10 bis 30% Über 30% Top Installation

7 VISUS Worldwide EMRAM Stage 6 Hospitals in the NL Amphia Hospital, Breda Maasstad Hospital, Rotterdam Sint Lucas Andreas Hospital, Amsterdam Ziekenhuis Groep Twente, Hengelo & Almelo 7

8 Medical Archive The Situation

9 Everything was better in the old days? 9 Quelle: ZDF

10 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 Word, Excel, 10

11 Medical Archive The domains 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,...) 11

12 Situation in most Hospitals at the Moment Various IT Solutions for Findings, Archiving and Diagnosing FINDINGS EHR Documents Paper / Scan Documents Images Videos Bio Signals ARCHIVE EHR / HIS Document Archive/ VNA Image Archive Video Archive Bio Signal Archive VIEWER 12

13 Universal Viewer Currently discussed in the Hospitals FINDINGS EHR Documents Paper / Scan Documents Images Videos Bio Signals ARCHIVE EHR / HIS Document Archive/ VNA Image Archive Video Archive Bio Signal Archive UNIVERSAL VIEWER 13

14 Medical Archive How could the situation be changed? FINDINGS EHR Documents Paper / Scan Documents images Videos Bio Signals MEDICAL ARCHIVE: All medical Information in one Vendor neutral and IHE compliant Archive and Format! VIEWER: 14

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17 Acquisition of Non-DICOM sources 17

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21 Scanning and printing processes ECG Stress-ECG Lungfunction Test EEG Hearing Test Reports Intensive Care 21

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24 Input of digitally produced documents 24

25 HL7 Gateway ADT, MDM, ORU und CDA ORU MDM, CDA Transmission of patientdemographic information ADT Storing objects from the information system (Source) HIS JiveX notification incoming objects transmission of requested objects MDM ORU, CDA HL7 notify 25

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27 Mobile viewing ECG mit CT-Information 27

28 Integration into primary applications 28

29 Overview Input DICOM / HL7 and Non-DICOM sources HL7 MDM ORU/CDA DICOM Sources File Import Service PDF Print Gateway Analog Modality Gateway Analog Modality Gateway AV ECG Modality Gateway DICOM Worklist Scanner Printer Digital Camera Non-DICOM Video signals Signals /Non- DICOM 29

30 Integration HIS Department Systems PACS Acquisition DICOM data(pacs) analogue image data analogue video daten ECG data Findings in PDF- format HL7- formats Automated imports Agfa Cerner ChipSoft Epic Medasys Endobase (Olympus) Viewpoint (GE) CARDDAS (GE) Xcelera (Philips) Agfa Carestream GE Philips Siemens Cross- Communication Medical Archive Portalsolution DICOM IHE XDS Long term archive Scan paperfile Medical devices Operation WORM SAN/NAS inhouse Data Center Scan service providers ECG PDMS EEG Pulmonary funtion test Storz (AIDA) Richard Wolf Maquet Olympus 30

31 Summary 31

32 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 Word, Excel, 32

33 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

34 The Everything future begins! was better in the old days? 34

35 35 Thank you very much for your attention!

36 Questions? 36 US.com

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38 Christian Wolf Sales Consultant / Medical Archive 38