HCIS Vue PACS Roadmap - Carestream Medical and Dental Imaging Systems and Healthcare ... · HCIS...
Transcript of HCIS Vue PACS Roadmap - Carestream Medical and Dental Imaging Systems and Healthcare ... · HCIS...
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HCIS Vue PACS HCIS Vue PACS
HCIS UK User Group Meeting Manchester, Sep 2014
Carestream © 2014, Unrestricted Internal Use
HCIS Vue PACS HCIS Vue PACS
RoadmapRoadmap
Neville Skudowitz
Director of Commercialization & Product Management
Aug 2014
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HCIS Delivery & Focus
HCIS continues to provide technology solutions that enable superior healthcare
delivery around the world
� Maintain leadership position in “core radiology”, enterprise imaging and healthcare IT
Carestream © 2014, Unrestricted Internal Use
• Vue RIS & Vue PACS• Vue Client• Vue Reporting• Vue Motion• Clinical apps• Bookmarking• Tomosynthesis• MyVue
• Archive Solutions• Life Cycle• Security, privacy• Remote distribution• DIACAP• Distribution
• Archive Service• Reading Service• Enterprise Service• Portal for Radiology• Portal for Physicians• Portal for Patients
• Vue Connect• Multi-Site workflow• Teleradiology• Collaboration
Products and Features: ENTERPISE IMAGING WORKFLOW
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What we will talk about?
HCIS Vue PACS and related solutions with v12.0
• Clinical Excellence & Vue Reporting
• Patient Management / Collaboration and Sharing
• Centralized Clinical Data IT Management, & Archiving
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• Centralized Clinical Data IT Management, & Archiving
• Vue For Teleradiology
Notes:
• The product roadmap is provided for information purposes and is subject to change as the program evolves based
on market trends and customer requirements
• The content of this presentation is confidential, provided to our customers and should not be shared
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Clinical Excellence
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Clinical Excellence
Clinical Excellence: What we have?
Efficiency; One Workstation does it all
• Radiology reading & reporting workflow
• 3D tools such as MPR, 3D, Vessel Analysis, Cardiac, PET-CT, VolR, Lesion Management, Tomosynthesis
• Vue Reporting built in
Clinical
Confidence
Intuitive
SimpleEfficientEfficient
Lower costs supporting &
serving the
enterprise
Clinical Excellence: What we have?
Efficiency; One Workstation does it all
• Radiology reading & reporting workflow
• 3D tools such as MPR, 3D, Vessel Analysis, Cardiac, PET-CT, VolR, Lesion Management, Tomosynthesis
• Vue Reporting built in
Faster Results, Enhanced Quality
Clinical
Confidence
Intuitive
SimpleEfficientFaster Results, Enhanced Quality
• Power Viewer enhances introduced native volumetric analysis & comparisons embedding into the standard Viewer
• Bookmarking providing intelligent follow up over time without reporting work already done.
Efficient
Lower costs supporting &
serving the
enterprise“The CARESTREAM PACS PowerViewer feature has helped us win new
contracts based on our ability to provide better and faster radiology reports”
“We are able to upload the priors and use Carestream Health’s innovative
automatic registration for more accurate comparisons.”
-- Quote: HMI (Innovative Radiology, Houston) --
Clinical Excellence: What we have?
Efficiency; One Workstation does it all
• Radiology reading & reporting workflow
• 3D tools such as MPR, 3D, Vessel Analysis, Cardiac, PET-CT, VolR, Lesion Management, Tomosynthesis
• Vue Reporting built in
Faster Results, Enhanced Quality
Clinical
Confidence
Intuitive
SimpleEfficientFaster Results, Enhanced Quality
• Power Viewer enhances introduced native volumetric analysis & comparisons embedding into the standard Viewer
• Bookmarking providing intelligent follow up over time without reporting work already done.
IT & Clinical productivity
• Single system providing effective workflow in single or multisite environments backed by a single IT infrastructure; providing a single global worklist
Efficient
Lower costs supporting &
serving the
enterprise
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Clinical Excellence: Recent Enhancements
Lesion Management
• Value proposition: Intelligent, efficient and productive
• Utilizing the PowerViewer and Bookmarking directly inside the viewer
Automatic, fast, consistent
Vue PACS Clinical Excellence
Pain to measure lesions
The ways of the Past
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Automatic, fast, consistent
� Measurements and lesions stored as bookmarks
� Relevant prior lesions automatically identified
� Same area in the current study automatically located, measured & coupled with prior
� Measurements and supporting data (RECIST) automatically populated to the report
• Requires manual segmentation of current & prior
• Requires manual measurement of current & prior
• Calculate RECIST (on paper)
• Manually cut and paste into the report or dictated "lesion noticed at image #24, measuring….etc.“
NIH supporting white papers (using Vue PACS Client Lesion Management software)
1. “Comparison of Tumor Size Measurements in Simulated Metastatic Lesions on Serial CT in a Phantom” (Tuesday, Nov. 27, 11:20-11:30 AM, Room S104A)
2. “Semi-Automatic Target Lesion Localization, Segmentation and RECIST Measurements on Serial CT Studies” (Tuesday, Nov. 27, 11:30-11:40 AM, Room S402AB)
3. “Optimizing Efficiency and Consistency of Metastatic Disease Treatment Evaluation Using CT Semi-Automated Lesion Analysis” (Tuesday, Nov. 27, 11:40-11:50 AM, Room S104A)
“Automated lesion measurement facilitates quantitative metastatic disease evaluation,
making treatment response assessment faster and more consistent.” -- Quote: NIH --
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Lung
LTT Finds &
measures
previously
segmented lesions
LMA Example: Segmentation, Measurements, Lesion TrackingSegmentation, Measurements, Lesion Tracking
Carestream © 2014Courtesy of Dr. Les Folio, NIH Baseline Post Treatment
Liver
Subq
segmented lesions
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Bookmark List & Automatic ReportBookmark List E-Report
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Bookmark List
Measurements & charts Automatically inserted
into the Radiology Report
(when Vue Reporting is used)
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Clinical Excellence: Recent Enhancements
Markup of Findings
• Each finding is localized, classified and quantified either manually or automatically (“Bookmarking”).
The Bookmark as a Tracking and Communications Tool
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automatically (“Bookmarking”).
Follow-up
• A database of findings is established and used to drive follow-ups.
Communicate
• Bookmarks becomes hyperlinks in the report for two purposes:
1. immediate live access to the bookmarked item
(image, measurement, follow-up information)
2. simplified communication between radiology stakeholders.
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Bookmarks & Hyperlinks
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Loading Current and two Priors
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Bookmarks & Hyperlinks
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Registering Current and Priors
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Bookmarks & Hyperlinks
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Report of Prior 1
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Bookmarks & Hyperlinks
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Clicking Bookmark Hyperlink
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Bookmarks & Hyperlinks
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Measuring the maximal diameter of the aneurysm in the current study
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Bookmarks & Hyperlinks
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Measurement automatically bookmarked and paired…
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Bookmarks & Hyperlinks
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Opening the report editor with a template automatically selected
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Bookmarks & Hyperlinks
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Dictating findings
Previously described aneurysm of the abdominal aorta has increased in size
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Bookmarks & Hyperlinks
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Select findings
Previously described aneurysm of the abdominal aorta has increased in size
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Bookmarks & Hyperlinks
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Select related bookmark
Previously described aneurysm of the abdominal aorta has increased in size
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Bookmarks & Hyperlinks
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Selected text becomes a hyperlink to the bookmark on the images
Previously described aneurysm of the abdominal aorta has increased in size (50.4 mm)
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Bookmarks & Hyperlinks
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Open the study in Vue Motion, the Web Clinician Portal
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Bookmarks & Hyperlinks
B01
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Click on the link in the text to navigate to measurement
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Bookmarks & Hyperlinks
B01
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Click on the bookmark icon to see all bookmark information
B01
46.5
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Bookmarks & Hyperlinks
B01 B03
46.5 mm
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Click prior's bookmark Info to compare with prior study
B01
46.5
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Clinical Excellence: Recent Enhancements
Digital Breast Tomosynthesis (DBT)
• Store, route, and display DBT exams using industry standards
• Automatic positioning of DBT images and mammograms that eliminates manual manipulations
• Optimized comparison of priors and image placement
• User configurable Hanging Protocols that display DBT procedures along with any other procedure
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procedures along with any other procedure
Digital Breast Tomosynthesis Display
• Tomosynthesis Slabbing
– MIP, MPR, Slab thickness supported
– Enhanced detection of micro-calcifications and low density objects
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Clinical Excellence: More…
64 bit software conversion
• Software fully 64 bit compliant; ahead of “emulation mode”
• Enhanced user experience when interpreting large datasets and comparing
many priors
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• Foundation for future server side rendering
– Leading to advanced zero footprint WS
– Natural for cloud implementations
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Clinical Excellence: More…
Clinical Productivity
• Clinical Enhancements & Tools
– Lesion Management lymph node segmentation tool
– Enhanced automated head-neck protocol in Vessel Analysis
– PET-CT Sphere tool: VOI measurement of SUV data
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• Workflow
– A single report for multiple studies linked together
• Bookmark efforts
– Bookmarks can be marked, navigated, and reported in 3D applications
– Follow up of line and ROI measurements
– SUV measurement support for bookmarks and lesions
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Vue Reporting
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Vue Reporting
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Vue Reporting: Added Value
Rich multi-media report content; Information at your fingertips
• Automatic inclusion of RIS HL7 information into the report
• Automatic inclusion of DICOM information into the report
–Patient demographic data, study information, modality type
• Automatic Inclusion of PACS generated information into
the report
– Hyperlinks to navigate directly to the images
– Key Images
– Bookmarks
– Analysis reports (vessel, calcium scoring, stenosis, aneurysm, lesion management etc.)
• Automatic insertion of DICOM structured report data into
the report
–E.g. Vascular and Obstetric Ultrasound measurements and Radiation dose
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Vue Reporting: Added Value
Rich multi-media report content; Information at your fingertips
• Automatic inclusion of RIS HL7 information into the report
• Automatic inclusion of DICOM information into the report
–Patient demographic data, study information, modality type
• Automatic Inclusion of PACS generated information into
the report
– Hyperlinks to navigate directly to the images
– Key Images
– Bookmarks
– Analysis reports (vessel, calcium scoring, stenosis, aneurysm, lesion management etc.)
• Automatic insertion of DICOM structured report data into
the report
–E.g. Vascular and Obstetric Ultrasound measurements and Radiation dose
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Advantages of Power Reporting from PACS
• Automatic data sharing between reporting and imaging applications
– Allowing easy creation of multi-media reports
– Less sensitive to human errors
• Single application involved in achieving reading and reporting tasks
– Single log-in and user-interface
– Efficient use of desktop space
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– Efficient use of desktop space
• Seamless implementation of new business scenarios
– Teleradiology & Cross Site Reading
– Web Power Reporting
• Simplifies IT
– Less integrations
– Simpler deployment and upgrades
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Vue PACS
Vue Reporting: Vue RIS & PACS
Vue RIS Vue PACS Vue RIS Vue RIS
Previous Reporting Workflow
Vue Reporting Workflow
Worklist Diagnosis Reporting Distribution
Vue RIS Vue RIS
Worklist Diagnosis & Reporting Distribution
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Worklist Diagnosis & Reporting Distribution
Vue Reporting is based on a “new generation” of integration between Vue
RIS and Vue PACS
Providing the ultimate in access to information and images
Leveraging the strengths and core competencies of each system
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Vue Reporting: Vue RIS & PACS
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Vue Reporting: Main Workflow
Exam selection from Vue RIS Worklist (Diagnose)
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Vue Reporting: Main Workflow
Patient and exam information available in Vue RIS
Admin Monitor Diagnostic Monitors
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Scanned documents, patient history etc.Scanned documents, patient history etc.
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Vue Reporting: Main Workflow
Images automatically displayed in Vue PACS client
Admin Monitor
Diagnostic Monitors
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Vue Reporting: Main Workflow
Relevant Vue Reporting template automatically selected
Admin Monitor
Diagnostic Monitors
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Vue Reporting: Main Workflow
Prior exams and reports available for comparison
Admin Monitor
Diagnostic Monitors
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Vue Reporting: Main Workflow
Report Generation (Vue Reporting Module)
Admin Monitor
Diagnostic Monitors
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Exam’s status changes accordinglyExam’s status changes accordingly
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Vue Reporting: Main Workflow
Single multi-media report accessible from anywhere
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Vue Reporting: Main Workflow
Summary � Radiologist Desktop
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Vue Beyond: Radiology BI (PACS & RIS)
Real-time bottleneck analysis
• Patients waiting to be scanned
• Exams in all workflow statuses
• Exam & report Turnaround Time
• Optional drill down by modality,
assigned radiologist, patient class, order priority etc.
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order priority etc.
• Visual alerts according to user-defined thresholds
• Data filters by site organizational structure
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Patient Scheduling Edit Module (RIS & PACS)
Public© 2011, Carestream Health
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Patient Management /
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Collaboration & Sharing
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The Vue Motion Zero Footprint Viewer
Radiologists & Referring Physicians Access to Multi-Media Data
Characteristics
• Light
• Easy to Use
• Secure
• Seamlessly integration
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Vue Motion is FDA cleared
• Seamlessly integration
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Functionality in Vue Motion
Feature Set
• Reference Lines
• Linking & Synced Scrolling
• Comparing datasets
• Automatic Volume Registration
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Functionality in Vue Motion
Feature Set
• Reference Lines
• Linking & Synced Scrolling
• Comparing datasets
• Automatic Volume Registration
Bookmarks & Hyperlinks
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Functionality in Vue Motion
Bookmarks & Hyperlinks
3D: MPR
Feature Set
• Reference Lines
• Linking & Synced Scrolling
• Comparing datasets
• Automatic Volume Registration
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Functionality in Vue Motion
Bookmarks & Hyperlinks
3D: MPR/MIP
Feature Set
• Reference Lines
• Linking & Synced Scrolling
• Comparing datasets
• Automatic Volume Registration
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Functionality in Vue Motion
Bookmarks & Hyperlinks
3D: MPR/MIP/MinPR
Feature Set
• Reference Lines
• Linking & Synced Scrolling
• Comparing datasets
• Automatic Volume Registration
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Functionality in Vue Motion
Bookmarks & Hyperlinks
3D: MPR/MIP/MinPR/VolR
Feature Set
• Reference Lines
• Linking & Synced Scrolling
• Comparing datasets
• Automatic Volume Registration
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MyVue: Web Portal driven by Vue Motion
• Patient access to images & reports
• Patients share mages & reports
• Clinicians may share Patient images & reports
• SMS enrollment
• Patient Scheduling
• Benefits: Save on burning CDs, less dosage exposure
Vue Motion: Additional Services
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• Benefits: Save on burning CDs, less dosage exposure
Teleradiology: Zero foot print Report Request driven by Vue Motion
• Order entry management
• Collaboration
• Upload supporting documents
• Benefits:Zero Footprint, Less interfaces, Less maintenance,
TeleradiologyWorkflowWorkflow
Teleradiology: v12.0 Added Value
Zero Foot Print Report Request (order entry)
Study (Image Data)
Remote Site: Imaging Facility
Reports
Teleradiology: Service Provider
Report Request
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Reports
• Patient and Referring Physician data
• Exam specifics and life cycle data
• Procedure codes for display consistency and for billing purposes
• Patient insurance coverage
Value Proposition
• Reports can be created where ever images can be viewed
• Supporting data is available to the radiologist
• No integrations between systems at the remote site and the service provider
• Setting up additional sites is efficient, fast & low on costs
Pilot site: Innovative Radiology
CT, MRI, PET, X Ray, US, …CT, MRI, PET, X Ray, US, …
HMI(Houston Medical Imaging)
• Vue Reporting• Vue Motion• MyVue
Over 35 Remote
Imaging Facilities
Pilot site: Innovative Radiology
3rd Party
Billing
CT, MRI, PET, X Ray, US, …
HMI(Houston Medical Imaging)
• Vue Reporting• Vue Motion• MyVue
Over 35 Remote
Imaging Facilities
Vue beyond
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Central Clinical Data IT Management, Control & Archiving System
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Archiving System
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IT: Vue Archive (VNA) & Vue Connect
Cross-site Reading with Vue Reporting
Efficient & productive
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• One global worklist
• One Reporting Interface
• Synchronized multi-site workflow
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IT: Vue Archive (VNA) & Vue Connect
Centralized, clinical information management and archiving solution
• Interoperability
• Scalability
• Flexibility
• High Availability
• Disaster Recovery
• Clinical Life-Cycle
• Tag Morphing
• Data Integrity
• Standards supported
• Security
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• Disaster Recovery • Security
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IT: Vue Archive (VNA) & Vue Connect
Centralized, clinical information management and archiving solution
• Interoperability
• Scalability
• Flexibility
• High Availability
• Disaster Recovery
• Clinical Life-Cycle
• Tag Morphing
• Data Integrity
• Standards supported
• Security
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Sharing Workflow: Clinical efficiency
• Disaster Recovery • Security
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IT: Vue Archive (VNA) & Vue Connect
Centralized, clinical information management and archiving solution
• Interoperability
• Scalability
• Flexibility
• High Availability
• Disaster Recovery
• Clinical Life-Cycle
• Tag Morphing
• Data Integrity
• Standards supported
• Security
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Sharing Workflow: Clinical efficiency
V12.0 Enhancements
• Zero footprint Web Portal for non-DICOM upload
• Large data file support (DICOM & non-DICOM)
• Video Streaming: Vue Motion/Vue PACS Client
• Disaster Recovery • Security
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A Unified Approach
A Unified Backend Approach – Store Once Consume As Needed
• The Carestream VUE suite is based on a single unified backend
Vue Suite: Unified Backend ManagerVue Suite: Unified Backend Manager
Serves
Patient PortalPatient Portal(MyVue)(MyVue)
EntEnt, Universal Viewer, Universal Viewer(Vue Motion)(Vue Motion)
Vue PACS Vue PACS WorkstationsWorkstations
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Clinical Data Clinical Data RepositoryRepository
WorkflowWorkflow Security/Data AccessSecurity/Data Access
Manages
Benefits
• Any image/data archived is accessible by
of any of the viewers
• Single Database
• No complex fre-fetch and life cycle rules
between cache
• No data duplication
• Single user management, access &
control management
Dramatically reduces total cost of
ownership
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Summary
HCIS continues to provide technology solutions that enable superior healthcare
delivery around the world
� Maintain leadership position in “core radiology”, enterprise imaging and healthcare IT
o Clinical Excellence & Vue Reporting
o Patient Management / Collaboration and Sharing
o Centralized Clinical Data IT Management, & Archiving
Carestream © 2014, Unrestricted Internal Use
o Vue for Tele-Radiology
� Leverage the above experience and technology to deliver a patient centric medical
platform to consolidate, manage and share a variety of medical data.
o Image Capture, Store & Collaborate
o Expand meaningful & secured access and exchange of all medical content to care
providers
• Inside or outside the organization
• Through EMR or Web based portals on any web enabled device.
o Utilizing the Next Generation of Health IT Standards (DICOMWeb, XDS, HL7 FHIR, IHE profiles)
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Thank You !!!!Thank You !!!!
https://www.youtube.com/watch?v=f2Xycu4c
s2Q&list=UUf8Nv_asaTDLBSTlEp4mCHw
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Thank You !!!!Thank You !!!!
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Talk LessLess, Say MoreMore
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