learing series: fundamentals of system architecture & design

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©1994-2016 RamSoft Inc. All Rights Reserved.

Systems Architecture/DesignCommunicating complex system using simple diagrams

and minimizing misunderstandings

©1994-2016 RamSoft Inc. All Rights Reserved.

Systems Architecture/DesignCommunicating complex system using simple diagrams

and minimizing misunderstandings

OBJECTIVE:• To provide an overview and differences between the most

common workflows being used in today’s imaging facilities.• To demonstrate via diagrams different options of system

implementations and integration with other systems.

Please hold questions to the end of this presentation

Standard Architectures/Workflows in place today

• Independent Diagnostic Testing Facilities (IDTF) or Free-standing Imaging Center

• Tele Radiology Services• Hospital Radiology Department• Mobile Imaging Services

©1994-2016 RamSoft Inc. All Rights Reserved.

4 most common type of practices in today’s Medical Imaging Industry

Standard Architectures/Workflows in place today

©1994-2016 RamSoft Inc. All Rights Reserved.

Independent Diagnostic Testing Facilities (IDTF) or Free-standing Imaging CenterRamsoft’s RISPACS/PM/MU

Standard Architectures/Workflows in place today

©1994-2016 RamSoft Inc. All Rights Reserved.

Tele Radiology ServicesRamsoft’s PACS / Tele Plus / Lite PACS / Tele Lite

Standard Architectures/Workflows in place today

©1994-2016 RamSoft Inc. All Rights Reserved.

Hospital Radiology DepartmentRamsoft’s PACS

Standard Architectures/Workflows in place today

©1994-2016 RamSoft Inc. All Rights Reserved.

Mobile Imaging ServicesRamsoft’s PACS / Tele Plus / Lite PACS / Tele Lite

Different Environments/options for Implementation

• Hosted/Cloud-based vs. Onsite/In-house Environment• RISPACS with or without HL7 Interfaces• PACS with or without HL7 Interfaces• RISPACS with PowerCaches• PACS with Gateway Routers

©1994-2016 RamSoft Inc. All Rights Reserved.

4 Different Scenarios

Different Environments/options of Implementation

©1994-2016 RamSoft Inc. All Rights Reserved.

Hosted/Cloud-Based

Different Environments/options of Implementation

©1994-2016 RamSoft Inc. All Rights Reserved.

Onsite/In-House

Different Environments/options for Implementation

©1994-2016 RamSoft Inc. All Rights Reserved.

RISPACS with HL7 Interfaces

PowerServer RIS/PACS

RadiologistInterpretation Final Report

Distribution

Outbound ORM/Order HL7 Message

Report Creation

Inbound ORU/Report HL7 Message

BillingPost-Charge

Billing Software

Outbound ADT/DFT HL7 Messages

Different Environments/options for Implementation

©1994-2016 RamSoft Inc. All Rights Reserved.

PACS with HL7 Interfaces

Other Vendor’s RIS

ADT/Demographics

ORM/Orders

ORU HL7 Message/Final Report

Billing SoftwareADT/DFT HL7 Messages

PowerServer PACS

Different Environments/options for Implementation

©1994-2016 RamSoft Inc. All Rights Reserved.

RISPACS with PowerCaches

Gateway Router w/PowerCache

Gateway Router w/PowerCache

Gateway Router w/PowerCache

Facility A

Facility B

Facility C

Different Environments/options for Implementation

©1994-2016 RamSoft Inc. All Rights Reserved.

PACS with Gateway Routers

Gateway Router

Gateway Router

Gateway Router

Facility A

Facility B

Facility C

Tele Radiology Group

Final Reports

Final Reports

©1994-2016 RamSoft Inc. All Rights Reserved.

Thank You

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