1. From Cinefilm to Compact Disc 1 Film 20 CD

2. FROM THE CINE-WORLD TO A CD-R WORLD CINEDIGITAL ONLINE REGISTRATION ON 35 MM CINEFILM ONLINE REGISTRATION ON 35 MM CINEFILM OFF-LINE TRANSFER TO RECORDABLE CD OFF-LINE TRANSFER TO RECORDABLE CD NEAR FILM ARCHIVE NEAR CD ARCHIVE REMOTE LONG-TERM FILM STORE REMOTE LONG-TERM CD STORE

3. BEYOND CD-R TO A REAL DIGITAL IMAGING WORLD CINEDIGITAL ONLINE REGISTRATION ON 35 MM CINEFILM ONLINE REGISTRATION ON 35 MM CINEFILM BACKGROUND TRANSFER TO NETWORK BACKGROUND TRANSFER TO NETWORK NEAR FILM ARCHIVE NETWORK SERVER & RAID REMOTE LONG-TERM FILM STORE DIGITAL LONG-TERM ARCHIVE

4. DICOM Cardiovascular PACS UKKiel Step 3 Conference & Teaching Workstations Ped Cardiology Workstations Adult Cardiology DCI INTEGRISINNOVA INTEGRIS SONOS 5000 CATH ACATH BCATH CCATH DCATH PEDECHO Viewer LAN Workstations Cardiac Surgery DICOM Server Cluster & RAID DICOM Archive (Hierarchical Storage Management) CD Production (Multiple, Automatic) Telemedicine Ext. Institutions 30 Lns ISDN HOSPITAL ETHERNET 100 Mb/s Switched

5. DICOM Interchange Standard for Cardiology Medical Imaging Application DICOM Application Entity ( SOP, File Format, DIR... ) CD-R Media and Data File Specifications & Storage Medium Storage Protocol

6. Integrated Cardiology Angioscopy Angiography Echo IVUS Waveforms DICOM Provides - Integration - Synchronisation - Structured Reporting (SR) Images - Curves - Calculations / Measurements - Protocols - Results - Reports Cardiac MRProtocols MR VL XA US WV SR

7. PatientComplaint Nuclear Study Labs Cath Hemo Interventional Procedure Echo Physician ( History) ECG Cardiologist (History, Findings) Patient Pathway in Cardiology

8. Integrated Cardiology Angioscopy Angiography Echo IVUS Waveforms DICOM Provides - Integration - Synchronisation - Structured Reporting (SR) Images - Curves - Calculations / Measurements - Protocols - Results - Reports Cardiac MRProtocols HISCISLABPACSCCU-PDMS

9. Problems Serious Integration Challenges in Healthcare: Systems need Information other systems haveSystems need Information other systems have But, systems communicate poorly or not at allBut, systems communicate poorly or not at all Systems use other than DICOM StandardSystems use other than DICOM Standard Result: - tedious, inefficient workflows - data that is inconsistent or unavailableResult: - tedious, inefficient workflows - data that is inconsistent or unavailable Responsibility for information flow between systems and between departments, is often unclear.Responsibility for information flow between systems and between departments, is often unclear.

10. Integrated Cardiology Angioscopy Angiography Echo IVUS Waveforms DICOM Provides - Integration - Synchronisation - Structured Reporting (SR) Images - Curves - Calculations / Measurements - Protocols - Results - Reports Cardiac MRProtocols HISCISLABPACSCCU-PDMS DICOM.. HL 7.. IETF.. W3C....... DICOM.. HL 7.. IETF.. W3C.......

11. Integrating the Healthcare Enterprise Applying the IHE Framework to Cardiology

12. What is IHE about? It’s an initiative promoting and supporting the integration of systems in the healthcare enterprise. Integration Goal: Improve the efficiency and effectiveness of clinical practice by: –Improved Information Flow –Advanced Multi-System Functions