1. PACS and application in Friendship Hospital

2. I. PACS overview

3. PACS Picture Archiving and Communication System Analog Film System Digital PACS System

4. Patient Registration Take an exam Confirm Patient Information Take order into Reading room Collecting film Sending film and report Receiving film Viewing film and approval Taking film Quality control Hanging Film I. PACS overview WORKFLOW WITHOUT PACS

5. Improved workflow, With PACS it is dramatically simplified and quick. 15% more patient through put BEFOREAFTER USING PACS

6. II. International Standards

7. Digtal Imaging and Communications in Medicine DICOM Modalities from different manufactures Management by different PACS Products of medical equipments DICOM DICOM Ability to communicate / connect Ability to communicate / connect - DICOM Why is DICOM ?  Need for digital images  Need for archiving / converting digital images (PACS)  Need for Pre - Processing  Need for Interoperability among providers  Need for comunication through network/ media Standards for processing, storing, printing and converting information in Medical International standards

8. Health Level 7 HL7 What is HL7? HL7 is standard protocol for converting electronic data in HL7 is standard protocol for converting electronic data inmedicine Standards messgaes Standards messgaes - ADT, Order Entry, Observations reporting, Patient referral, - ADT, Order Entry, Observations reporting, Patient referral, Patient Care, Scheduling, Medical records/info Patient Care, Scheduling, Medical records/info International standards - HL7

9. Interoperability in Friendship Hospital Patient Registration Order Entry HL7 interface (ADT,ORM) Schedule & Check-In patient Examination in Modality (MWL) PACS archive Images ready for review Diagnostic Report by Radiologist Report ready for distribution Patient CD publishing (Image + Report) HIS/EMRRIS/PACS

10. DICOM HL7 DICOM Storage : DICOM Query/Retrieve DICOM Print DICOM JPEG, J2K DICOM DIR DICOM SR DICOM GSPS, GSDF DICOM NLS DICOM Security DICOM MWL, MPPS DICOM Storage : DICOM Query/Retrieve DICOM Print DICOM JPEG, J2K DICOM DIR DICOM SR DICOM GSPS, GSDF DICOM NLS DICOM Security DICOM MWL, MPPS ADT : patient information ORM: order information ORU: report information DFT: billing information ADT : patient information ORM: order information ORU: report information DFT: billing information PACS: standards

11. III. PACS system in Friendship Hospital

12. Planning Beds: 480 Real Beds: 558 Department: 39 Exams: 1200/day FRIENDSHIP HOSPITAL

13. Medical equipment connect with PACS CT: 4ch, 64ch CR:1 C-Arm: 1 DR: 1 US: 8 Endoscopy:a 5 MR: 1.5T XA: 7 TOTAL: 28 Film Scanner: 1 Angio: 1 Print: 4

14. Architect of PACS server in Friendship Hospital Fast Ethernet Switch SAN Switch Clinical Display Workstation Main Storage Acquisition Server Web Server Broker Server DB Backup Server Storage monitoring Server L4 Switch Database Server Fast Ethernet Switch Modality Backup Server Backup Storage Backbone Switch PACS ServerSL DB,Image Server1 Acq Server Web Server Broker Server Backup Server1 DB Bkup Server Storage Mon Svr1

15. Radiology Department: 5 sets of Reading Workstations - 2 Color Monitor + 2 x 3 Mega pixel monitor and 1 x 5 Mega pixel flat panel Diagnostic Grayscale Monitors Workstations

16. Thank you!