1. Why ? Vision Tools Workspace
MILLENSYS Web-Based PACS and Reporting Solution
Why ?

2. Vision Tools Workspace
Intranet
HL7
Integration
With RIS/HIS
DICOM Modalities
Internet
Vision Tools Workspace Servers
Vision Tools Workspace
For Radiologists
For Operators
For Clinicians
For Mobiles and Tablets
For Home Viewing 2

3. Easy Setup / Easy Operation
Why Vision Tools Workspace?
Easy Setup / Easy Operation
High availability Web PACS servers with heart-beat technology is all what we need
Single Web based administrator for the whole solution
Same GUI for All User
Use of the same tool for radiologists, operators, clinicians and home viewing users
Cost Efficiency
Easy licensing makes it cost effective for wide range of users
Ideal For Roaming Users
Same login profile anywhere
Browser Independent
OS Independent
Built For The Enterprise
Multi-branch hospitals
Tele-radiology and Telemedicine Sites
Using only internet protocols in communications
No firewall or network security limitations
Security
Secure support using SSL communications 3

4. Fundamentals

5. Enterprise Compatibility
Web / Non-Web PACS?
Client/Server Application
Web Enabled Application
Web Based Application
HTML5
Web Based Application
Technology
Enterprise Compatibility
Security
Complexity
Cost 5

6. Web Based PACS Client/Server PACS
Client/Server vs. Web Based
Web Based PACS
Client/Server PACS
Internet Browser Based
Application Based
One Database
Multiple Databases
Same application for every body in/out of the hospital
Multiple applications for radiologists, technicians and clinicians, home viewing
Single-node web based administration
Multi-node administration
Concurrent or unlimited licensing
License per seat or per user
Uses internet/intranet communication
Uses DICOM / Network communication
No need for firewall configuration
Lot of configuration with firewall
Low risk for virus attacks
High risk for virus attacks
Scalable and Built for Enterprise
Limited scalability
Easy upgradability
Long time to upgrade
Support cloud computing SAAS technology
Is not built for cloud 6

7. Cloud Computing and Virtualization
Cloud service is identified by :
It is sold on demand
it is elastic (a user can have as much or as little of a service as they want at any given time)
the service is fully managed by the provider (the consumer needs nothing but a personal computer and Internet access).
Virtualization is the creation of a virtual (rather than actual) version of something, such as an operating system, a server, a storage device or network resources.

8. Vision Tools Workspace
The All-in-one PACS and Reporting Solution

9. One Solution , Vision Tools Workspace PACS from MILLENSYS
Share Clinical Notes
Referring Physician Portal
Support
(Win, Mac, iOS Android, etc.) devices
Patients Portal
Zero-Foot-Print Viewer for clinicians
Support multiple internet browsers.
High Availability Archive
Web-based
Administrator
Share studies with consultants
Report
from anywhere
Advanced Viewer for diagnosis
Doctors Worklist management
Heart-Beat Monitoring
Rule based archive , compression
and routing
View and Report from Tablets and mobiles 9

10. Vision Tools Workspace
Workspace, Connectivity
Intranet
HL7
Integration
With RIS/HIS
DICOM Modalities
Internet
Vision Tools Workspace Servers
Vision Tools Workspace
For Radiologists
For Operators
For Clinicians
For Mobiles and Tablets
For Home Viewing 10

11. Workspace, Tele-radiology Workflow
Tele-radiology Facility
Hospital / scanning Facility
Vision Tools Workspace
Server
Mini-PACS
Router
Internet
Hospital Send images to mini-pacs router
Hospital send clinical information of studies through mini-pacs router GUI
Mini-pacs router compress and auto-route images to tele-radiology facility
Tele-radiology receive studies and distribute them to radiologists through Vision Tools Workspace GUI
Radiologists view studies, read clinical notes attached to studies, diagnose and write reports
Radiologists can require extra clinical notes from hospital or ask consultant opinion though Vision Tools Workspace GUI
Reports are validated and verified / signed by consultations.
Reports automatically sent back to acquisition hospital to deliver to patient.
Billing calculations and reports can be generated from tele-radiology facility for hospital and radiologists charge

12. Vision Tools Workspace Structure
Core Design and Architecture
Image Viewer
2D / 3D
Reporting Tool
Template / Dictation
Document
Import / Scanning
Web based Viewer
Images/Reports
Patient Jacket
User GUI
Clinical
Notes
Share
Studies
Images
Reports
Key Images
Downloader
Vision Tools Workspace Structure
Heart
Beat
Web Server
Database Server
Images / Reports / Documents Storage
Server Side
Operation
Compression
Store / Archive
Routing
Deletion
PACS Server
DICOM Modalities (DICOM Store)
Modality

13. Workspace, Space for everyone
Vision Tools MultiView
Advanced Processing WS
Radiologist PC
Worklist
And
Tools
Advanced
Viewer
Reporting
Radiologist PC
Web
Viewer
Web Reporting
Clinician PC
Mobile
Viewer
Reporting
Tablet / Mobile
Advanced
Viewer
Reporting
Teleradiology PC 13

14. One GUI For the Enterprise
Vision Tools Workspace
, Single GUI Concept
Radiographer WS
Radiologist WS
Clinical Viewing
QC WS
Surgical Viewing
Mobile Viewing
One GUI
For the
Enterprise
Home Viewing 14

15. No need for special communication ports
Vision Tools Workspace
, Web Protocols
No need for special communication ports
Database Server
SQL Communication Port
Http+ FTP Ports
Web-FTP Server
Dicom Communication Port
PACS Server
Only http / https ports

16. Pull Push Vision Tools Workspace , Push/Pull Technology
Work with both Push and Pull methods with a single solution
Connect
Retrieve Worklist
Download Studies
Diagnose
Report
Log-Out
Pull
Studies are downloaded on-demand fom the Main server to local diagnostic workstation
Connect
Search
Worklist
View Studies
Diagnose
Report
Log-Out
Push
Studies are pushed from the Main server to local diagnostic workstation to eliminate downloading waiting time

17. High Availability Cost Effective
Vision Tools Workspace
, Availability
High Availability
Cost Effective
Workspace Server cluster
Workspace Single Server
Cost Effective PACS Solution
With RAID-5 Storage reaching 98.5% up-time
Clustered Archiving Solutions with load balancing technologies to reach 99.99% up time for PACS Storage and provide full redundancy for patient data. 17

18. Vision Tools Workspace
Components

19. Vision Tools Workspace , PACS Server
Priority queuing for emergency studies
Secure over the Internet and HIPAA compliant
Auto-routing between acquisition and reporting facilities
Multi- compression methods (JPEG, JPEG2000, lossy/lossless)
Handles transmission of studies and reports.
Short term archive in hospitals
Long Term archive in Data Center
Clustered Solution to get 99.9% uptime
Monitors the Round-trip time for studies
Assure the delivery of studies when link failure
Resume transmission automatically when link is up

20. Vision Tools Workspace , Users Worklist Management
Run on multiple Web Browsers (IE, Firefox)
Customized worklist with user profile through pre-stored search filters
On-demand viewing study by study of batch downloading of group of studies to be cashed on local PC and this view them locally.
Add / Read clinical notes for studies
Share clinical notes between multiple servers in case of tele-radiology or remote diagnosis operations.
Share studies between users for consultations and second opinion
Import other documents (doc, pdf, jpg, …etc. ) with study and ability to scan documents and upload it to the server to be shared with the study.
Burn studies to local CD/DVD.
Send studies to other dicom nodes
Merge/Edit Studies (for Q.C. purpose)

21. Vision Tools Workspace , Advanced Viewing
Dispersed downloading technology to speed up image retrieval
User defined image compression for rapid download so that user can retrieve fast lossy compressed images then get the full resolution lossless images in one mouse click
Smart image retrieval , user can navigate any image in study while study being downloaded.
Multiple screen layouts and visual hanging protocols
Display static and dynamic studies
Oblique, Bi-Oblique and Curved MPR/MIP
Slice Locator / Pilot Image for CT/MRI
Multiple Measurements
Image Processing and Annotations
3D Reconstruction / Advanced Visualization Options
Printing on DICOM and A4 Printers

22. Vision Tools Workspace , Multiple Features
Film Design
Enhanced CT/MRI
Image Stitch
CAD Overlay
Vessel Analysis
Virtual Colonography
MPR/MIP
3D VRT
Coronary Analysis
PET/CT
NM SPECT
Web Reporting

23. Vision Tools Workspace Clinical Viewing
Pure 100% web-based viewing (Zero-Foot-Print Application)
Based on HTML-5 Technology
Browser independent (IE, Firefox, Chrome, Safari, Opera, …etc.)
Search worklist with pre-stored search filters
View / Add clinical notes
View images with multiple layouts
Simple image processing (Zoom, Pan, WW/WL, Measurement, Annotation …etc)
Read and write Reports 23

24. Vision Tools Workspace Tablet | Mobile Viewing
Pure 100% web-based viewing (Zero-Foot-Print Application)
Based on HTML-5 Technology
Browser independent (IE, Firefox, Chrome, Safari, Opera, …etc.)
Search worklist with pre-stored search filters
View / Add clinical notes
View images with multiple layouts
Simple image processing (Zoom, Pan, WW/WL, Measurement, Annotation …etc)
Read and write Reports 24

25. Vision Tools Workspace , Web Reporting
Multiple methods to report that suite the majority of users
Using Microsoft Word
(Need MsWord license)
Using Built-in Word Processor
(Does not need MsWord license)
Using Built-in HTML Reporting
(Zero-foot-print , 100% web-based)
Using Text Reporting for mobile
(Zero-foot-print , 100% web-based)
Dictation
Keep report edited drafts for medico-legal protection
Templates categorization and organization to ease operation
Compatible with Microsoft Word , Rich Text and HTML reporting
Retrieve images from PACS server (Key images or studies)
Insert images and annotations in reports
Voice Dictation and Transcription
Speech Recognition (Option)
Send Reports back to Hospitals using , fax, dicom and HL7
Transcription

26. Fast, Simple, Secure Sharing of images and reports with patients
Vision Tools Workspace
Patient Portal
Fast, Simple, Secure Sharing of images and reports with patients
Secured log-in is generated and ed to each patient after their exam.
predefined automatic expiry for patients login by the system administrator.

27. Vision Tools Workspace
Patient Portal
Fast, Simple, Secure Sharing of images and reports with referring physicians.
Secured log-in is generated and ed to each referring physician.
Referring physicians will only see their cases without affecting other users studies.

28. MiAdmin web based administrator
Vision Tools Workspace
, Web Administration
MiAdmin web based administrator
Web administration
Single administration for PACS/RIS
Manage user profiles
Manage user rights
View Audit logs
Manage Multi-Branches

29. Vision Tools Workspace , Integration with HIS
Vision Tools Workspace Viewer
Hospital Information System
Application “HIS”
Integration
Tools Workspace server/study details
Easy Integration with any HIS application through URL calling to open images
From any hospital application with Vision Tools Workspace Viewer 29

30. Vision Tools Workspace , Web Distribution
Web Distribution for O.R.
Web Distribution for clinicians
Web viewing of images and reports all over the hospital and integration with the HIS interface.
Touch screen operations to facilitate viewing of studies in O.R.
Patient Images and reports transmitted from anywhere to anywhere
Using Intranet inside the hospital for clinicians and other imaging facilities 30

31. Vision Tools Workspace Tele-radiology Workflow
Requesting
Hospitals
Teleradiology
Service Center
Image Transfer
Report Transfer
Radiologists

32. Summray

33. Vision Tools Workspace
, Summary
Pure Web-Based Technology
Same GUI for all users
Depending on Active Server Pages “ASP” Model.
Streaming with Dispersion over low band width lines.
Multiple compression methods for studies
Simple-Fast Search Results.
Resume downloading of studies when connection failure.
No need for special communication ports.
Embedded reporting tool with dictation and speech option.
Fast client Setup.
Automatic client update.
Supports of multi-branch hospitals
Built for the enterprise

34. Integration is the whole idea
Vision Tools Workspace
, Integration
Integration is the whole idea
One Patient Folder “EPR”
True Electronic Delivery
Smooth working Environment
Filmless Paperless Concept
Increased Productivity

35. Vision Tools Workspace
MILLENSYS Web-Based PACS and Reporting Solution
Thank you