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Proceedings Paper

Role of HIS/RIS DICOM interfaces in the integration of imaging into the Department of Veterans Affairs healthcare enterprise
Author(s): Peter M. Kuzmak; Ruth E. Dayhoff
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Paper Abstract

The U.S. Department of Veterans Affairs is integrating imaging into the healthcare enterprise using the Digital Imaging and Communication in Medicine (DICOM) standard protocols. Image management is directly integrated into the VistA Hospital Information System (HIS) software and clinical database. Radiology images are acquired via DICOM, and are stored directly in the HIS database. Images can be displayed on low- cost clinician's workstations throughout the medical center. High-resolution diagnostic quality multi-monitor VistA workstations with specialized viewing software can be used for reading radiology images. DICOM has played critical roles in the ability to integrate imaging functionality into the Healthcare Enterprise. Because of its openness, it allows the integration of system components from commercial and non- commercial sources to work together to provide functional cost-effective solutions (see Figure 1). Two approaches are used to acquire and handle images within the radiology department. At some VA Medical Centers, DICOM is used to interface a commercial Picture Archiving and Communications System (PACS) to the VistA HIS. At other medical centers, DICOM is used to interface the image producing modalities directly to the image acquisition and display capabilities of VistA itself. Both of these approaches use a small set of DICOM services that has been implemented by VistA to allow patient and study text data to be transmitted to image producing modalities and the commercial PACS, and to enable images and study data to be transferred back.

Paper Details

Date Published: 13 July 1998
PDF: 11 pages
Proc. SPIE 3339, Medical Imaging 1998: PACS Design and Evaluation: Engineering and Clinical Issues, (13 July 1998); doi: 10.1117/12.319799
Show Author Affiliations
Peter M. Kuzmak, Dept. of Veterans Affairs (United States)
Ruth E. Dayhoff, Dept. of Veterans Affairs (United States)


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

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