13. A strategic opportunity for the MoH
− Consolidation of all clinical documents and
medical imaging generated by all the regions in
Spain and the private health centers
− Centralized master registry owned and managed
by the MoH
− Plug-in model: Any entity can be added to the
exchange, given it implements the interoperability
contract (XDS based)
13
HCE de Imagen
10/8/2013
14. A technical opportunity for the MoH
− IHE XDS/XDS-I based and plug-in model
− DICOM/non-DICOM imaging and clinical
documents (structured/unstructured) in a
common index
− National registry and affinity domain, defined and
managed by the MoH
− Universal multi-device web access
− Cloud and SaaS paradigms
14
HCE de Imagen
10/8/2013
15. · National registry and affinity domain
· Unique Patient Identifiyin (CIP-SNS),
IHE PIX based
Privileges-based
universal access
from any point of
the Spanish
geography. With
total audotory and
compliance with
data protection
regulations
15
HCE de Imagen
10/8/2013
19. Centricity Patient Information Viewer
Web zero-footprint integrated access
Advanced
filters
History
Images and
reports viewer
19
HCE de Imagen
10/8/2013
20. Centricity Patient Information Viewer
Acceso web zero-footprint integrado
Imagen Patológica
–Zona de interés
20
ECG Jpeg de Imagen
HCE
10/8/2013
21. Centricity Radiology Mobile Access
Native App to access from mobile devices
Native apps iOS + Android
Diagnostic quality (retina)
Streaming (WiFi + 3G)
21
HCE de Imagen
10/8/2013
22. Experience across the globe
Neutrality
Scalability
• Connected to Agfa, Carestream,
McKesson, Sectra, Siemens, Phillips,
Ramsoft
• Multidimensional (format, storage,
access)
• 60 M studies
• 3 Bn images
• 1 Petabyte
South Western Ontario
LSP, England
Very large archive
VNA & integrated workflow
Cloud friendly
Standards
• Cloud based archive and PACS
• Pay as you go
• Hosted environment
• XDS infrastructure
• GE active member of
standardization
Ile De France
VGR, Sweden
Cloud PACS + results sharing
VNA + integrated access
22
Centricity Clinical Archive overview
10/8/2013
23. South Western Ontario
(Canada)
Objective
• Connect care providers
• Central repository of images and reports for instant
access, and exchange
• Improve care provider productivity
• IT infrastructure cost savings
• Reduce patient transfers and duplicate scans
• 62 hospital locations across the
region
Solution
• 19 hubs with separate
RIS/PACS systems
• Central repository and information access
• 12 different RIS/PACS vendors
• Hardware redundancy and disaster recovery
• 3.2 million exams/year
• High availability with dual data centers
• 1600+ system users
23
Centricity Clinical Archive overview
10/8/2013
24. Antwerp University Hospital
(Belgium)
Objective
• Consolidate information from different
departments (radiology, cardiology, nuclear
medicine and other sources such as Olympus
Endobase)
• Access to DICOM and non-DICOM data
• Give consolidated access to patient information
• Lower cost of IT management
Solution
• A multi-ology information repository
• IHE Standards based solution
• 600 bed hospitals
• 500k exams per year
• Heterogeneous departmental IT
systems (GE PACS, Agfa
cardiology, Olympus Endobase)
• 50 modalities directly connected
• Consolidated view of patient information
• Virtualized environment
24
Centricity Clinical Archive overview
10/8/2013
25. Västra Götaland region
(VGR, Sweden)
Objective
• Central repository of images and reports
• Immediate access to prior images and reports
from the whole region
• Primary viewing platform outside imaging
• Improved imaging workflow
Solution
• Common repository across 17 hospitals
• IHE standards
• Sweden’s second largest region
• 1.5 million residents
• 17 hospitals
• Heterogeneous RIS/PACS systems
• Web access to images and reports
• ASP model since 2006
25
Centricity Clinical Archive overview
10/8/2013
26. NHS Wales (UK)
Objective
• Improve oncology and cardiology treatment
• Share radiology data across legacy RIS/PACS
• Replace patient CD workflow
• Avoid redundant exams
• Improve coverage of rural areas
Solution
• A patient centric document repository
• 4.5 million patients
• 13 multi-vendor systems
• IHE-XDS & DICOM to connect multi-vendor systems
• Connected to Welsh Master
Patient index
• Web portal for multi-disciplinary teams
• Starting with oncology network
• Hosted deployment model
26
Centricity Clinical Archive overview
10/8/2013
27. Ile de France (France)
Objective (regions sans film)
• Leapfrog Paris region to HIT
• Sharing imaging results
• Improve care quality through collaboration
• No more film or CD by 2012
• 12 million patients, 500+
radiologists
Solution
• 30 hospitals growing to 90
• Standards based information repository
• Multi-vendor RIS-PACS systems
(PACS: carestream, Telemis, GE;
RIS: EDL, Waid, home grown)
• Data center
• 24 x 7 high availability service
• SAAS model – pay per use
• Standards Compliance (DICOM,
IHE, HL7)
27
Centricity Clinical Archive overview
10/8/2013
28. Southern and
NWWM Clusters (UK)
Objective
• Connect the radiology departments across
communities
• Central long term archiving of all imaging
data with HA and DR
• Enable access of images to physicians and
specialist
Solution
• Cloud deployment of imaging repository
• Dual data centers, virtualization
• Business continuity & DR solutions
• Central archive for 74 different PACS
instances
• Central archive ~60 million
exams
• 40% of England covered: 20M
patients, 72 NHS trusts
• Delivered average uptime of
99.98%**
** As reported by NHS Connecting for Health
for the period August 2009 to July 2011
28
Centricity Clinical Archive overview
10/8/2013
29. University Hospital Antwerp
(UZA - Belgium)
Objective
•
•
•
•
Enterprise-wide repository for medical imaging
(radiology, cardiology, etc.) and scanned
documents
Migration of proprietary scanned documents
archive to XDS standard
Image viewer for all clinicians contextintegrated to EMR
Consent management
• 600 beds hospitals
Benefits
•
•
Helps to facilitate the replacement of
departmental workflow solutions
Longitudinal patient record that facilitates
access to relevant clinical information across
departmental boundaries
• 500 k exams per year
• Heterogeneous departmental IT
systems ( GE PACS, Agfa
cardiology, Olympus Endobase…)
• 50 modalities directly connected
29
GEHCIT CCA EMEA Overview
10/8/2013
30. DICOM
proprietary
HL7
UZA Solution Overview
XDS
EPD C2M
(EMR) client
HIS/EMR
Patient demographics (HL7 ADT)
RIS (GE)
Patient demographics (HL7 ADT)
PACS (GE)
Patient demographics
(HL7 ADT) and orders
(HL7 ORM)
DICOM
data
Patient demographics
Document
scanning
User and
patient
context
integration
(client-side)
PDF documents
with meta data
(e.g. HL7 MDM)
Non-DICOM
data with meta
data (e.g. video)
Cardio PACS
(Agfa)
New DICOM
exams
Radiology
long-term
archive
Gastro +
other ologies
CVIS (Agfa)
Patient demographics
(HL7 ADT) and orders
(HL7 ORM)
Patient demographics (HL7 ADT)
New DICOM
exams
Other ology
DICOM
archive
Cardio longterm archive
Publish final
Publish image
references to XDS reports to XDS
Publish image
references to XDS
EA
XDS adapter
Publish objects
to XDS
Publish image
references to XDS
XDS/XDS-I Document Repository
Patient
demographics
(HL7 ADT)
Register objects in XDS repository: HL7-CDA,
PDF, DICOM image references, JPEG, video, etc.
Caradigm XDS Document Registry (central index)
Document and Image Access
Query
registry
Cweb PIV
XDS viewer
Centricity Web
DICOM viewer
30
GEHCIT CCA EMEA Overview
10/8/2013
