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Author: C. Petrino Division: Healthcare June 2010 PACS Migration: Technological challenge Slide 2 Haelthcare, giugno 2010, SGR-SVMTRA Lugano Ellis Island Slide 3 Haelthcare, giugno 2010, SGR-SVMTRA Lugano 3 Topics Before the arrival of PACS A little 'history of PACS Ticino Preparing migration Synchronize data RIS Practical problems Moving to final destination Full transfer, validation New potential Slide 4 Haelthcare, giugno 2010, SGR-SVMTRA Lugano Before the arrival of PACS Each radiology archive system independent Separate data network in radiology Not all Modality are digital Not all modality are DICOM-compatible No RIS Links between hospitals at low band Slide 5 Haelthcare, giugno 2010, SGR-SVMTRA Lugano A little 'history of PACS Ticino Feasibility Study 2000-2001 Open competition 2002 Tender assigned to Philips August 2002 Start pilot project October 2002 Start of complete project Summer 2003 All sites in production 01/01/2004 Start migration project Summer 2008 Start migration November 2008 New PACS, iSite, in all locations07/01/2009 End of migration 15.12.2009 Validation data 01/01/2010 Slide 6 Haelthcare, giugno 2010, SGR-SVMTRA Lugano Lugano & Viganello Acquarossa Bellinzona Mendrisio Novaggio Faido Locarno A little 'history of PACS Ticino The Project: the sites Pilot project, OCL-ITA Second pilot phase, OSG The final solution The network Slide 7 Haelthcare, giugno 2010, SGR-SVMTRA Lugano A little 'history of PACS Ticino The multisite Slide 8 Haelthcare, giugno 2010, SGR-SVMTRA Lugano A little 'history of PACS Ticino The network EOC 1GB Slide 9 Haelthcare, giugno 2010, SGR-SVMTRA Lugano Number of modalities connected 65 Data produced per year (uncompressed) 7TB / year Number of examinations 175'000 Number of WS Radiologists 16 Clinical 60 Web access 250 Data volume stored (uncompressed) 35TB A little 'history of PACS Ticino Facts & Figures Slide 10 Haelthcare, giugno 2010, SGR-SVMTRA Lugano Prepare migration Analysis of data stored HL7 Message Structure DICOM data structure Existing integrations Future integrations Migration Project Slide 11 Haelthcare, giugno 2010, SGR-SVMTRA Lugano Interfacing analytical system, DEKOM Recovery database: Broker, PACS, RIS Recovery reports RIS Preparing migration Analysis of data stored Image Server MC File Server Archive Manager EasyWeb & Link 2 Server RIS-WDS EasyLink& WEB Solution Tape Library Slide 12 Haelthcare, giugno 2010, SGR-SVMTRA Lugano Analysis of structure and orders HL7 messages Differences from the beginning Special Mapping Possible improvements Adapt the structure of iSite Orders and messages, reports Filters organizations, Sites - facility Preparing migration HL7 Message Structure Slide 13 Haelthcare, giugno 2010, SGR-SVMTRA Lugano Preparing migration DICOM data structure DICOM image structure analysis All types of modalities Types of series Corrections, PR Overlay Differences from the beginning Possible improvements Adapt the structure of iSite Slide 14 Haelthcare, giugno 2010, SGR-SVMTRA Lugano Preparing migration Existing integrations RIS WDS RadOffice Control Viewer Easyvision WEB Web access, patient folder (EPR) Sinapsi Slide 15 Haelthcare, giugno 2010, SGR-SVMTRA Lugano Complete with user management Active directory Plug-in Radoffice New EOC GECO, patient folder (EPR) Non radiological images Plug-in production management CD/ DVD Plug-in orthopedics Tool Preparing migration Future integrations Slide 16 Haelthcare, giugno 2010, SGR-SVMTRA Lugano Everything works, 100% production EA Install of server Dekom Query DB info C-Move Start of images transfer to the Migration Server Archive storage modules iSite Preparing migration Migration Project, Phase 1 Slide 17 Haelthcare, giugno 2010, SGR-SVMTRA Lugano Preparing migration Migration Project, Phase 2 HL7 by RIS in iSite DEKOM generates and sends HL7 historical to iSite Pictures production autoforward EA to iSite No one works with iSite Historic images sent and aligned with HL7 history Slide 18 Haelthcare, giugno 2010, SGR-SVMTRA Lugano WL DICOM from RIS History continues to be transferred First location is working with iSite Preparing migration Migration Project, Phase 3 Slide 19 Haelthcare, giugno 2010, SGR-SVMTRA Lugano Modality send to iSite Continuous integration iSite Start working on 2 systems Preparing migration Migration Project, Phase 4 Slide 20 Haelthcare, giugno 2010, SGR-SVMTRA Lugano iSite 100% production Historic transfer finished Process validation data Preparing migration Migration Project, Phase 5 Slide 21 Haelthcare, giugno 2010, SGR-SVMTRA Lugano Synchronize data RIS After analysis information New mapping Synchronize data with RIS images historical Slide 22 Haelthcare, giugno 2010, SGR-SVMTRA Lugano Practical problems WS obsolete Data transfer rate Time de-archiving Power EA server Limits during the production phase Increased from 35TB to 41TB Application differences Training Acceptance Control in the two systems Restrictions on access to information structure Move to the final location Recovery Tape Library Slide 23 Haelthcare, giugno 2010, SGR-SVMTRA Lugano Moving to the final location Slide 24 Haelthcare, giugno 2010, SGR-SVMTRA Lugano Validation Creation last backup ( Tape ) System EA Count exams, series, pictures Analysis Log transfer Comparison of data transferred Comparison arrived data Error Correction transfer, retry Final Report, transferred exams Retrive process, Tape Slide 25 Haelthcare, giugno 2010, SGR-SVMTRA Lugano New potential Images access time Adding dedicated applications - 3D segmentation - Colon Map - CAD - Vascular... Custom interfaces Integration with other products on the market Distribution information at all levels Compatible IHE XDS, connectivity between PACS systems Slide 26 Haelthcare, giugno 2010, SGR-SVMTRA Lugano From the diary of an emigrant who settled in the New World:... I was told that there was a way to go anywhere, no one said that I had to participate in the building. Slide 27 Haelthcare, giugno 2010, SGR-SVMTRA Lugano Success thanks to the work of all More than one million exams transferred All users working in iSite Dedicated application available to WS Several new Tools available o Fusion PET-CT o Cardio o Statistics o Integration with other imaging systems Hardware up to date No limitation of use (licenses) Slide 28 Haelthcare, giugno 2010, SGR-SVMTRA Lugano Slide 29