Diego Gicovate, PhD
Diego Gicovate, PhD
Diego Gicovate, PhD
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<strong>Diego</strong> <strong>Gicovate</strong>, <strong>PhD</strong><br />
Hadassah PACS Director<br />
Dir Radiology Informatics Laboratory (R.I.L.)<br />
Hadassah University Hospitals<br />
IsraPACS congress organizer<br />
Member of DICOM Committee WG 17<br />
Independent Biomedical Informatics Consultant<br />
© <strong>Diego</strong> <strong>Gicovate</strong> 2010
PACS CONCEPTS<br />
PACS (Picture Archival<br />
Communication Systems)<br />
•Not a software<br />
•Not a server<br />
•Not a way to work<br />
All together<br />
PACS = HOSPITAL CRITICAL SYSTEM<br />
IMAGE STORAGE & DELIVERY<br />
STUDY<br />
COMPARISSION<br />
TELERADIOLOGY<br />
PDI = PATIENT CD STUDY STATISTICS<br />
© <strong>Diego</strong> <strong>Gicovate</strong> 2009<br />
WORKFLOW<br />
CONTROL
BASIC HOSPITAL WORKFLOW<br />
EXAM<br />
RESERVATION<br />
ACEPTANCE<br />
PATIENT HIS-RIS<br />
MWL<br />
MODALITY<br />
© <strong>Diego</strong> <strong>Gicovate</strong> 2009<br />
DICOM<br />
IMAGE<br />
PRODUCTION<br />
DICOM<br />
IMAGES
THE CONCEPT OF MODALITY<br />
Any medical/veterinary device capable to<br />
acquire or create any kind of images, movies<br />
or waves .<br />
© <strong>Diego</strong> <strong>Gicovate</strong> 2009
© <strong>Diego</strong> <strong>Gicovate</strong> 2009
© <strong>Diego</strong> <strong>Gicovate</strong> 2009
BASIC PACS WORKFLOW<br />
Paper scanning<br />
Photo, others CDs<br />
HIS/RIS<br />
WEB VIEWER<br />
MWL<br />
Images<br />
MWL<br />
PACS & RIS SERVERS<br />
© <strong>Diego</strong> <strong>Gicovate</strong> 2009<br />
Study<br />
Report<br />
WS
PACS COMPONENTS<br />
Hardware:<br />
Servers<br />
Network devices<br />
Storage<br />
Workstations<br />
Medical monitors<br />
Dictation devices<br />
Others: CD Robot / Win Printers, Paper Scanners<br />
© <strong>Diego</strong> <strong>Gicovate</strong> 2009
PACS HARDWARE<br />
WS<br />
Webviewers (PC)<br />
© <strong>Diego</strong> <strong>Gicovate</strong> 2009<br />
SWITCH<br />
STORAGE<br />
WEB<br />
SERVER<br />
SERVERS<br />
STORAGE
PACS COMPONENTS<br />
Software:<br />
DICOM server<br />
Database<br />
Broker<br />
Webserver<br />
Application software<br />
Viewer<br />
Dictation/reporting<br />
software<br />
© <strong>Diego</strong> <strong>Gicovate</strong> 2009
© <strong>Diego</strong> <strong>Gicovate</strong> 2009
© <strong>Diego</strong> <strong>Gicovate</strong> 2009
© <strong>Diego</strong> <strong>Gicovate</strong> 2009
© <strong>Diego</strong> <strong>Gicovate</strong> 2009
EXAMPLE OF PACS SYSTEM:<br />
CLUSTER SERVER<br />
© <strong>Diego</strong> <strong>Gicovate</strong> 2009
PACS TECHNOLOGY & STANDARDS<br />
DICOM (Digital Imaging<br />
Communication in<br />
Medicine)<br />
HL7 (Health Level 7)<br />
IHE protocol<br />
(Integrating Health<br />
Enterprise)<br />
DICOM communication<br />
(modalities, WS, RIS, CD robots, etc)<br />
HL7 communication (patient data<br />
& demographics, medical alerts, etc)<br />
IHE workflow (proper integration and<br />
proper procedures)<br />
© <strong>Diego</strong> <strong>Gicovate</strong> 2009
THANKS FOR YOUR ATTENTION!<br />
dgicovate@yahoo.com<br />
© <strong>Diego</strong> <strong>Gicovate</strong> 2009
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