The technical implementation of the project is divided into two parts. Each part is an independent Information System but strongly interconnected with the other.
The first Information System is deployed in each hospital, and its main aim is to cover the daily workflow of a Pathology Department . For that, the functionalities of the system are:
▪ Integration with the Hospital Information System (HIS). This allows it to obtain the patient demographics data, the scheduled patient appointments and all the order requests associated to the pathological examination performed at the hospital.
▪ Integration with all image acquiring devices (called modalities) using the DICOM worklist. Each modality will receive a worklist, which contains the information about the specimens that will be digitized.
▪ Storage of all the images generated by the Pathology Department in the PACS (Picture Archiving and Communication Systems), including virtual slides.
▪ A unique viewer that allows it to show, at the same time, macroscopic images, microscopic images and virtual slides.
▪ A reporting system that allows the management of autopsy, biopsy and cytology reports. In addition, it can retrieve from the PACS all the images associated with a report.
The second Information System is a centralized system that consists of a WEB telepathology portal. Its goal is to offer the following collaborative tools:
▪ Second opinion: this allows a pathologist to make a consultation about a case with other colleagues to obtain a second opinion of the case.
▪ Consultation forum: the forum is composed of several topics, such as skin pathology or soft tissue pathology. The forum allows a pathologist to make a consultation with a group of pathologists belonging to a topic, and then have a discussion about the case.
▪ Pedagogical public library: this is a pathology atlas with studies that are of high scientific or teaching interest. All the images and reports shown are anonymous. This tool will be very useful for improving the training of medical students and, in the future, other specialities can be included in the atlas, such as dermatopathology or hematopathology.
The development of the SERENDIPIA project is based on medical standards in accordance with the guidelines described in the Pathology Technical Framework of IHE (Integrating the Healthcare Enterprise). IHE is an initiative promoted by healthcare professionals and industry to improve the way computer systems share healthcare information. IHE promotes the coordinated use of established standards such as DICOM and HL7 (Health Level 7) to address specific clinical needs in support of optimal patient care. Systems developed in accordance with IHE communicate with one another better, are easier to implement, and enable care providers to use information more effectively .