RIS/PACS: Difference between revisions

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''see [[Impax]] about the software used to access RIS/PACS data from the laptops
RIS/PACS is the medical imaging database used by the WRHA. Some of our data collectors use it to count x-rays for [[Lab Collection Process|Labs]] collecting.  
RIS/PACS is the medical imaging database used by the WRHA. Some of our data collectors use it to count x-rays for [[Lab Collection Process|Labs]] collecting.  


== Set-up on PCs==
== Accessing RIS/PACS data ==
see [[Impax]]
Double-click the "RIS PACS" shortcut on your desktop
 
== Potential Change ==
{{Potential Change}} We could stop having collectors enter imaging data available from IMPAX onto their laptops and use the combined data from dump and from imaging.mdb instead.


To do that we would need to:
If you don't have a shortcut, follow instructions at [[Desktop shortcuts for collection laptops]]
* import all data received from PACS and not yet imported
* confirm that the data is of comparable quality
* decide how to store this:
** if storing in Ed's DB, confirm that we have all required data to output the same way Delphic does, and that Ed can import our data
** if imaging.mdb is sufficient, ensure that we can generate output to support whatever this data is used for now (what is it used for? might want to put that into [[Lab Collection Process|Labs]]).


== Direct access to data (work in progress)==
If you can't log on, then contact the [[p:EHealth ServiceDesk]]
We are going to test accessing this data directly from RIS. Once we know it is feasible we will ask the Database [[:Category: Steering Committee | Steering Committee]] if we can stop manual collection.


=== Data Acquisition - RIS/PACS ===
Alternatively RIS PACS can be accessed at https://diviewer.manitoba-ehealth.ca/
Breanne Batters from the RIS/PACS team will provide us with a monthly report with columns (hospital|unit|phin|chart|image_DateTime|imaging_type).  
This data will get imported into [[Regional Server]]\output\'''imaging.mdb''', table name '''images'''.
I have reports for July and August, but none after that... emailed Breanne [[User:Ttenbergen|Ttenbergen]] 16:28, 18 November 2011 (CST)


=== Data Acquisition - Collectors ===
== Site training and adoption ==
Additionally, during [[sending]], '''complete patients' only''' (hosp|loc|serial|phin|chart|admit_datetime|disch_datetime) will be sent to the table '''patients'''; this information is required to link images to our database.
All sites have access and should know how to use. If you don't have access please comment here. Ttenbergen 14:55, 2015 May 25 (CDT)
* hopefully fixed with update [[CCMDB.mdb_Change_Log_2011#ver_2011-11-18]] [[User:Ttenbergen|Ttenbergen]] 16:28, 18 November 2011 (CST)


=== combining ===
== Direct Data Access ==
combine patients and images: see [[Imaging.mdb]] query '''combiner'''
see [[Direct Data Access for RIS/PACS]] about an ongoing project to maybe get data from RIS/PACS directly rather than having to collect it manually.


=== Aggregating ===
== Legacy Info - IMPAX ==
There will be one line per image, so we will need to aggregate the lines into counts image_type. This will be done by a query '''combiner_pivoter''' which will provide a count for lines of the same combination of (Serial/PHIN /MRN/location/admit_dt_tm/discharge_dt_tm/imaging_type).
RIS/PACS data used to have to be viewed via installed software IMPAX. As of 2014-01 it can just be accessed via intranet.
The query will start to pick up records from the image file only once a line is present in the patients table, i.e. after a patient has been sent.
Further, the query will of course only pick up images that have been imported.


=== Where to store ===
As per email from HSC Messsenger 2014-Jan-16:
Data can be stored in the imaging.mdb program. I think it would be a long time before we would hit any size restrictions with this, and by then we will hopefully have moved on to a different data repository that can handle the volume.  
Both the PACS software and Digital Imaging Viewer are available to users at present. However, when PACS is upgraded a few months from now, the PACS system will be reserved for the diagnostic imaging and emergency departments. DI Viewer will replace the IMPAX PACS software for other users. This change will affect all current users of IMPAX viewer for reviewing diagnostic images and reports.


There is another option for long-term storage. We are currently importing some values for HSC into TMSX. Do we have any documentation for the importer? If I stream the reports from RIS into the right format, would we be able to import into Ed's program directly? [[User:Ttenbergen|Ttenbergen]] 11:30, 4 August 2011 (CDT)
*In the Labdownloading program, the study and chart#, admit datetime and disch datetime are entered manually by batch to download the lab dump file from New Delphic. Then Ed's interface program picks up the corresponding match, sums it up and upload to the master database.  I don't think we have the documentation of the importer. [[User:JMojica|JMojica]] 12:13, 4 August 2011 (CDT)


=== Backups ===
eHealth backs up the server, so we should not have to back this up.
Considering that we could get new dump files generated when needed we don't need to keep or back those up either.


[[Category: Laptop]]
[[Category: Laptop]]
[[Category: IT Instructions]]
[[Category: IT Instructions]]
[[Category: Hospital EPR]]
[[Category: RIS/PACS]]

Latest revision as of 13:57, 2017 May 14

RIS/PACS is the medical imaging database used by the WRHA. Some of our data collectors use it to count x-rays for Labs collecting.

Accessing RIS/PACS data

Double-click the "RIS PACS" shortcut on your desktop

If you don't have a shortcut, follow instructions at Desktop shortcuts for collection laptops

If you can't log on, then contact the p:EHealth ServiceDesk

Alternatively RIS PACS can be accessed at https://diviewer.manitoba-ehealth.ca/

Site training and adoption

All sites have access and should know how to use. If you don't have access please comment here. Ttenbergen 14:55, 2015 May 25 (CDT)

Direct Data Access

see Direct Data Access for RIS/PACS about an ongoing project to maybe get data from RIS/PACS directly rather than having to collect it manually.

Legacy Info - IMPAX

RIS/PACS data used to have to be viewed via installed software IMPAX. As of 2014-01 it can just be accessed via intranet.

As per email from HSC Messsenger 2014-Jan-16: Both the PACS software and Digital Imaging Viewer are available to users at present. However, when PACS is upgraded a few months from now, the PACS system will be reserved for the diagnostic imaging and emergency departments. DI Viewer will replace the IMPAX PACS software for other users. This change will affect all current users of IMPAX viewer for reviewing diagnostic images and reports.

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