CARESTREAM PACS 11.0 CARESTREAM PACS Workflow Manager The CARESTREAM PACS Workflow Manager provides distributed storage and workflow management capabilities, automating workflow and data management, and creating a convenient and efficient working environment for users and administrators. This component maintains the global enterprise database, manages all the DICOM online storage, coordinates near- and off-line storage, controls RIS connectivity and synchronization 1, reconciles patient information, initiates pre-fetches, and automatically routes images and information quickly and efficiently throughout the enterprise. Highly modular, configurable and easy to upgrade, the Workflow Manager allows CARESTREAM PACS to provide flexible and smart workflow to clinics, hospitals or healthcare institutions. Highlights Centrally managed, physically distributed storage and workflow capabilities provide flexibility and increase productivity while minimizing network load Configurable solutions for distributed enterprises that share information while remaining independent Central database and configurable worklists provide access to pertinent information for any local or remote data IHE support 2 Configurable rules-based routing engine ensures information is available at the right time and at the right location Configurable, automated database management tools maintain integrity of the central database Caters to digital image storage/archiving needs by offering a choice of desired storage media, capacity, and configuration Highly modular system design ensures easy expansion to accommodate growing storage needs Intelligent management software minimizes hardware costs by implementing load balancing, metadata synchronization, and local or centralized data storage, allowing image data to be available in an optimal manner to the entire enterprise Open, standards-based system guarantees easy integration and interoperability with other systems Privacy-Enabled system supports privacy and security initiatives Centralized user management, including permission-based security management tool Workflow Management CONNECTIVITY Full DICOM standard support (see DICOM Conformance Statement), including DICOM storage and query/retrieve Service Class Provider (SCP) o DICOM image types supported include: CT, MR, CR, RF, XA, NM, US, DR, DX, MG, VL, PT, RT, and SC HL-7 connectivity to HIS/RIS via CARESTREAM PACS IS Link Software option 1
RIS SYNCHRONIZATION 1 Patient identity and demographics verification against HIS/RIS records Matching of imaging studies with corresponding orders and results Full patient and study data synchronization with RIS database Changes to patient and order data in the RIS are propagated to PACS Pre-fetch triggers based on order and schedule data Radiology reports are stored in the CARESTREAM PACS database in one report (E-Report) together with the key images and reading statistics; therefore, reports are available independently of the RIS connectivity Merge and split of patient data at study, series, and image level Automatic and manual RIS synchronization DICOM Study Content Notification to RIS AUTOMATIC DATA ROUTING Configurable, "event driven" rules-based automated routing of medical data throughout the enterprise: o To DICOM nodes o To long-term storage devices Pre-defined actions are automatically executed based on specific events (e.g. study arrived backup to the information management solution, execute external script, etc.). Configurable routing rules are filtered by DICOM image header information values or HL-7 data received from RIS Actions/Routing commands may be configured at specific times of the day or after a specified time delay Configurable aliases and user groups allow actions to be executed on groups of users simultaneously Automatically trigger distribution of clinical information (E-Reports) o Automatic e-mail construction and distribution of E-reports, with an optional URL link back to the full study or key images via the CARESTREAM PACS Email Suite o Automatically burn/print self-playing CDs of imaging studies and reports via CARESTREAM PACS CD Direct Suite Configure new events (Generic Probe) into the info router to trigger routing (good for 3 rd party product integrations) Execute customized scripts as a result of events trapped by the info router WORKLIST MANAGEMENT Centralized, enterprise-wide worklist configuration and management, including an endless number of steps (statuses); automatically move data from one status to the next Worklist filters and preferences follow user s login Single virtual interpretation worklist supports global views of all studies throughout the enterprise Worklists can be built based on filtered views of the global database Configurable worklist engine allows customized workflow for each and every site All CARESTREAM PACS Client users work in a synchronized manner users are aware of patient or study data changes provided by RIS (e.g. study patient update), modality (e.g. new image arrival), radiologist (e.g. annotation), or clinician (e.g. Sticky Notes) Locking mechanism prevents studies from simultaneously being modified throughout the enterprise 2
STREAMING Images are loaded in progressive quality over slow lines Enables relatively fast loading time when working remotely over slow lines (internet, ADSL) The user can start reading and processing the images before the entire data set has arrived, with all existing functionalities Interactive image loading is adjusted according to user scrolling Loaded images are visually lossless; can be completed to true lossless with a mouse click No additional hardware is required integral part of the PACS SUPERPACS TM ARCHITECTURE The new SuperPACS Architecture provides a comprehensive solution for multi-site reading In the SuperPACS Architecture workflow grid, there are some additions to the patient matching, synchronization process and streaming behavior For more information and details, please refer to the SuperPACS Architecture sell sheet E-REPORTS E-reports include the following: o Patient demographic data o RIS report data o Key images o PACS exam statistical data produced by the radiologists during the reporting process E-reports are automatically distributed (CDs or E -mails) to clinicians or referring physicians and always available upon request: o Contains a summary of the exam in a single MHTML file o Images are embedded in a single file in JPEG rather than provided as separate attachments in original form o E-report is stored as a structured report attached to the study STICKY NOTES Provides the ability to add textual notes to a study, which are available to all users during the reporting process thus providing paper-less inter-department communication Sticky Notes configurable permissions (create, edit, delete) by PACS administrator at a central location NON-DICOM SUPPORT WFM supports storing of non-dicom objects IHE XDS compliant DOCUMENT AGENT Enables importing of any non-dicom object into the PACS (DOC, PDF, CDA, WMV, AVI and other XDS formats) Imported documents can be merged to an existing patient or a new one PRE/POST-FETCHING AND PUSH TECHNOLOGY Pre-fetch requests to the information management solution to move data from near-line to online based on information provided by HIS/RIS via CARESTREAM PACS IS Link Software Late pre-fetch (post -fetch) requests to the information management solution to immediately move data from near-line to online as soon as the study is stored in Workflow Manager Pre-fetch from foreign archives through DICOM Push technology data is pushed in advance from online storage to the local cache of specific reading stations; pushed studies are then user-selected 3
LIGHTWEIGHT DIRECTORY ACCESS PROTOCOL (LDAP) SUPPO RT Support for the use of an external directory service via LDAP o LDAP server authenticate CARESTREAM PACS Client user logins o LDAP servers include Microsoft s Active Directory and Sun s iplanet o LDAP servers contain user account information, containing the sole location where user accounts are created and administered DICOM PRESENTATION STATE SUPPORT Supports store and retrieve of presentation state, only requiring storage of the Presentation State metadata Improves the performance of store operations and storage space utilization The presentation state configuration may be set for each server using the DICOM Configuration Tool Generated key images are stored using DICOM Presentation State Database Management PATIENT MATCHING Automatic configurable mechanism ensures data integrity of the database for CARESTREAM PACS Customized site ID mechanism allows data segregation based on source imaging device Configurable matching rules allow the system extensive flexibility in managing patient and study information DICOM PARSING (MAPPI NG) Automatic tool allows mapping of specified DICOM tags to different/multiple tags Includes support for 3 rd party vendors private tags Provides easy mechanism for standardization of data from multiple modalities and formats that do not support DICOM modality worklist AUTO-DELETE Automatic online storage cleanup based on configurable rules with different priorities Configurable deletion rules allow indefinite storage of particular data online (ke y images, teaching, files, etc.) WEB-BASED SYSTEM ADMINISTRATION GUI, Web-based administration tools Provides remote monitoring, troubleshooting and administration functions to authorized individuals PRIVACY-ENABLED SYSTEM Centralized security management and user permissions Includes numerous features to support privacy and security initiatives: o Centralized user management o Encryption support o Protection of remote clients o Audit trails o Access control mechanisms o Disaster recovery 4
Storage Management STORAGE LAYERS Supports endless number of storage tiers: o Online (local fast, expensive FC disks or RAID) o Additional tiers utilizing a variety of disks such as SATA or Centera o Off-line (removed media) storage Workflow Manager controls its own internal online storage manager, as well as distributed workflow (each manages a local dis k or RAID) that may be configured to minimize network load Coordinates activities with the information management solution that manages near- and off-line storage devices 3 including: o RAID o Tape libraries o Shelf storage of media taken off-line o Storage Service Provider (SSP) archives o Enterprise storage systems Units of storage can be added in increments as exam volume and storage needs increase CENTRALLY MANAGED DISTRIBUTED STORAGE Central database manages storage components that may be centralized or physically distributed Provides a single, unified global view and access of all studies throughout the enterprise All system users can participate in the global workgroup regardless of whether they are at diagnostic or web clients COMPRESSION Support for DICOM JPEG and JPEG 2000 lossy and lossless transfer syntaxes o Accepts compressed images from external sources (lossy or lossless) for the following transfer syntaxes: Baseline Lossy JPEG (8-bit) Extended Lossy JPEG (8- and 12-bit) Lossless, non-hierarchical Lossless, non-hierarchical, first-order predictor o Data is stored in the form received o Stored compressed images can be sent to devices accepting compressed images in compressed form Support for lossy compression of images upon system entry (optional) o Images are lossy compressed upon entry to system o Lossy compression upon system entry is configurable by any combination of modality, body part examined, and/or AE title of sending modality o Configuration parameters determine whether or not to perform compression, which lossy compression algorithm to use (i.e., lossy JPEG), and the degree or quality factor of the compression RAID-CENTRIC SOLUTION Access information rapidly via pull (global view) and/or push (routing) modes Migrate all data to long-term storage from system RAID as it ages Performs lossless image compression to improve storage capacity 5
FLEXIBLE CONFIGURATION OPTIONS Single Workflow Manager can accommodate a standard, single-site facility Multiple online storage managers all supervised by a central Workflow Manager can be deployed throughout the enterprise to enhance performance Satellite Workflow Managers can be configured at remote site(s) where they manage the local site and coordinate activities with the centralized Workflow Manager FAULT TOLERANCE Clustered server configurations provide maximum availability o System database (and optionally the image files) are mirrored o Each processor in the cluster has a dual connection to online storage Satellite Workflow Managers ensure remote sites can function even if central site connectivity is unavailable Online storage manager servers utilize one database across the enterprise and thus reduce database maintenance overheads Will continue to store images online if near-line storage is unavailable Will direct images to near-line storage if online is unavailable SAN SUPPORT SAN or NAS support to the desktop (not recommended) Hardware CARESTREAM PACS SERVER SUN SOLARIS 10 platforms WINTEL 2003 server ONLINE STORAGE Sun or EMC RAID 4 Footnotes: 1 Requires CARESTREAM PACS IS Link Software 2 See link to IHE compliance http://ihe.carestreamhealth.com 3 Specific storage devices may require validation or Professional Services quotation 4 Other RAID systems may be supported; contact Carestream Health for details Carestream Health, Inc. 150 Verona Street Rochester, NY 14608 MORE INFORMATION To learn more about CARESTREAM PACS, contact your Carestream Health representative, or call 1-877-865-6325 ext. 655, or visit it.carestreamhealth.com Carestream Health, Inc. 2009 CARESTREAM is a trademark of Carestream Health, Inc. P/N 8G9039 4/09