Abstract
The United States Department of Veterans Affairs is integrating imaging into the healthcare enterprise by 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 with 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 multimonitor VistA workstations with specialized viewing software can be used for reading radiology images. Two approaches are used to acquire and handle images within the radiology department. Some sites have a commercial Picture Archiving and Communications System (PACS) interfaced to the VistA HIS, whereas other sites use the direct image acquisition and integrated diagnostic display capabilities of VistA itself. A small set of DICOM services 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. DICOM has been the cornerstone 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 noncommercial sources to work together to provide functional cost-effective solutions.
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References
NEMA: Digital Imaging Communication in Medicine (DICOM). NEMA Standards Publication PS 3 (1994) Washington, DC, National Electrical Manufacturers Association, 1994
Kuzmak PM, Dayhoff RE: A bidirectional ACR-NEMA interface between the VA’s DHCP Integrated Imaging System and the Siemens-Loral PACS. SPIE, Bellingham, WA, Proceedings of Medical Imaging 1994: PACS Design and Evaluation. 2165:387–394, 1994
Kuzmak PM, Dayhoff RE: An Architecture for MUMPS-based DICOM interfaces between the Department of Veterans Affairs HIS/RIS and commercial vendors. SPIE Bellingham, WA, Proceedings of Medical Imaging 1996: PACS Design and Evaluation, 1996
Kuzmak PM, Dayhoff RE: Implementing the Digital Image and Communications in Medicine (DICOM) Protocol for a Hospital Information System. Carlsbad, CA, Symposia Foundation, Computer Applications to Assist Radiology, S/CAR 96. 1996, pp 211–215
Kuzmak PM, Dayhoff RE: Implementing the Digital Image and Communications for Medicine (DICOM) Protocol in M. M Computing 3(3):33–40, 1995 (proceedings)
Micronetics Design Corp, 1375 Piccard Dr, Suite 300, Rockville, MD 20850, tel: 301-258-2605.
Kuzmak PM, Norton GS, Dayhoff RE: Using Experience with Bidirectional HL7—ACR-NEMA Interfaces between the Federal Government HIS/RIS and Commercial PACS to Plan for DICOM. Proceedings of Medical Imaging 1995: PACS Design and Evaluation. SPIE, Bellingham, WA, 1995
DimplX toolkit, Dome Imaging Systems, Inc, 400 Fifth Ave, Waltham, MA 02154, tel: 617-895-1155.
Kuzmak PM, Dayhoff RE: Experience with MUMPS-based DICOM interfaces between the Department of Veterans Affairs HIS/RIS and commercial vendors. Medical Imaging 1997: PACS Design and Evaluation, Proceedings SPIE (vol 3035) SPIE, Bellingham, WA, 1997
Oosterwijk H, Kuzmak PM, Dayhoff RE, et al: Request For Comment, Modality Interface DICOM Conformance Requirements, Version 1.0, November 1997 http://www.va.gov./oa&mm/busopp/modrfc.htm
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Kuzmak, P.M., Dayhoff, R.E. The department of veterans affairs integration of imaging into the healthcare enterprise using the VistA hospital information system and Digital Imaging and Communications in Medicine. J Digit Imaging 11, 53 (1998). https://doi.org/10.1007/BF03168727
DOI: https://doi.org/10.1007/BF03168727