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Proceedings Paper

Information and image integration: project spectrum
Author(s): G. James Blaine; R. Gilbert Jost M.D.; Lori Martin; David A. Weiss; Ron Lehmann; Kevin Fritz
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Paper Abstract

The BJC Health System (BJC) and the Washington University School of Medicine (WUSM) formed a technology alliance with industry collaborators to develop and implement an integrated, advanced clinical information system. The industry collaborators include IBM, Kodak, SBC and Motorola. The activity, called Project Spectrum, provides an integrated clinical repository for the multiple hospital facilities of the BJC. The BJC System consists of 12 acute care hospitals serving over one million patients in Missouri and Illinois. An interface engine manages transactions from each of the hospital information systems, lab systems and radiology information systems. Data is normalized to provide a consistent view for the primary care physician. Access to the clinical repository is supported by web-based server/browser technology which delivers patient data to the physician's desktop. An HL7 based messaging system coordinates the acquisition and management of radiological image data and sends image keys to the clinical data repository. Access to the clinical chart browser currently provides radiology reports, laboratory data, vital signs and transcribed medical reports. A chart metaphor provides tabs for the selection of the clinical record for review. Activation of the radiology tab facilitates a standardized view of radiology reports and provides an icon used to initiate retrieval of available radiology images. The selection of the image icon spawns an image browser plug-in and utilizes the image key from the clinical repository to access the image server for the requested image data. The Spectrum system is collecting clinical data from five hospital systems and imaging data from two hospitals. Domain specific radiology imaging systems support the acquisition and primary interpretation of radiology exams. The spectrum clinical workstations are deployed to over 200 sites utilizing local area networks and ISDN connectivity.

Paper Details

Date Published: 13 July 1998
PDF: 10 pages
Proc. SPIE 3339, Medical Imaging 1998: PACS Design and Evaluation: Engineering and Clinical Issues, (13 July 1998); doi: 10.1117/12.319797
Show Author Affiliations
G. James Blaine, Mallinckrodt Institute of Radiology/Washington Univ. (United States)
R. Gilbert Jost M.D., Mallinckrodt Institute of Radiology/Washington Univ. (United States)
Lori Martin, Eastman Kodak Co. (United States)
David A. Weiss, BJC Health System (United States)
Ron Lehmann, Eastman Kodak Co. (United States)
Kevin Fritz, BJC Health System (United States)

Published in SPIE Proceedings Vol. 3339:
Medical Imaging 1998: PACS Design and Evaluation: Engineering and Clinical Issues
Steven C. Horii M.D.; G. James Blaine, Editor(s)

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