1. Image & Report Sharing Workflow
Cypher IT Ltd
Image & Report Sharing Workflow
bbRad
Marco Crispini
bbRad
RCR PACS & Teleradiology group
Newquay, 30th March 2007
Cypher IT Ltd

2. Introductions Cypher IT Ltd Marco Crispini Cypher IT Ltd bbRad
Small company
Big product

3. Objectives Cypher IT Ltd What we’re doing - ‘workflow’ Why workflow?
How does bbRad achieve this?
Where?
Strategic fit
Summary
Questions
Main audience

4. What we’re doing Cypher IT Ltd Export, transfer and import of
Images
Reports
Clinical request details
Automation - ‘Full Workflow Functionality’
Export – getting the information out (and collated together)
Transfer – a bit of connectivity/encryption
Import – the workflow bit

5. Why workflow? Clinical scenarios
Cypher IT Ltd
Why workflow? Clinical scenarios
Cross-site shared services
Patient referrals
Remote review/consultation
Remote reporting
MDTs
PACS & RIS data migration
Referrals may be:
From another Trust
From a Wave 1 ISTC
From a Wave 2 Provider (Wave2 go-live is from Monday!)
‘Drip-feed’ data migration eg from legacy RIS / PACS

6. Why workflow, not plain DICOM?
Cypher IT Ltd
Why workflow, not plain DICOM?
DICOM has been around for years
Gets an image to a destination on your network
Getting the identifiers right
Tying up the report & request details
Timeliness & automation

7. Why workflow? Benefits Cypher IT Ltd
Exploit ALL your PACS/RIS benefits
Desktop integration, RIS worklists, VR
Comparators, MDT prep
Orthopaedic templating
Reformats/CAD
View foreign images exactly the same way as locally acquired images

8. How does bbRad achieve this?
Cypher IT Ltd
How does bbRad achieve this?
Query for local patient identifier – by nhs no or demographics
Wear order comms ‘hat’ to generate order – creates folder to drop images into
Update dicom header & send to PACS – wearing modality ‘hat’ – doubele archvie to DC
Generate update message with report to send report into RIS (which then cascades into PACS)

9. Where? Cypher IT Ltd Portsmouth (Queen Alexandra)
Ortho shared across Royal Hospital Haslar
Wave 1 ISTC from Mercury Healthcare
MDTs from Chichester
Southampton (Southampton General)
Referrals incl emergency neuro from Guernsey
Neuro from Chichester
Mercury link live this month
Haslar for just over 1 year – over 30,000 examinations. At 20 mins per CD = 10,000 man-hours saved
Auto-reports already, report feed switched on next quarter
Chichester is new - awaiting confirmation from CfH whatever that means?
Southampton took basic functionality – without RIS interfacing
Guernsey – live for 2 months – low volume – 50 studies per month
Chichester is new

10. Where? Cypher IT Ltd United Bristol (Bristol Royal Infirmary)
MDTs, referrals & shared services from North Bristol
MDTs & referrals from RUH Bath
Hammersmith (Charing Cross)
Remote reporting from Vista MRI
Came through in mid-March
Hammersmith already live for image transfers; interfacing work with their RIS to get clinical request details

11. Strategy Cypher IT Ltd The Interface between Private & NHS
Catalogue Item NHS – NHS within England
Cross cluster / Cross-border
Including
Private hospitals
Mobile services (eg MR)
Wave 1 ISTCs
Wave 2 services
Catalogue means sub-contracting to LSPs and/or their sub-contractors
Progress with Fujitsu in the South:
Architecture
DataCentre functionality
Messaging
FJ need scale – defined requirements from CfH, change control, etc
Early days of relationships with CSC (NWWM), Agfa, BT/London providers, etc

12. Summary Cypher IT Ltd It is available now
It does what it says on the tin
Users like it
-----Original Message-----
From: Southampton University Hospitals NHS Trust.neuroreg
Sent: 15 February :52
To:
Subject: replacing imlink
I just wanted to feedback that we have started receiving images from Guernsey through PACS. This is far superior to the imlink not only because it is far more user friendly and one less system to fail, but much more importantly because it is accessible from any terminal and hence n theatre the place it is needed most and the images are much more versatile (we can identify which slice is which on the scout views which previously meant it was impossible to assess the level).
Diederik Bulters

13. Cypher IT Ltd
Questions?