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 [[Labs]] collecting.
== Accessing RIS/PACS data ==
Double-click the "RIS PACS" shortcut on your desktop


== Set-up ==
If you don't have a shortcut, follow instructions at [[Desktop shortcuts for collection laptops]]
To access RIS/PACS the following is required:
* access needs to be granted to the user's computer account (usually done as part of [[Setting up a New Data Collector]])
* the PCS PACS [[Impax]] program needs to be installed on the laptops (usually done as part of [[Laptop Setup]])


== 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 steering committee if we can stop manual collection.


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


=== Aggregating ===
== Site training and adoption ==
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 IMAGE_COUNTS which will provide a count for lines of the same combination of (Serial/PHIN /MRN/location/admit_dt_tm/discharge_dt_tm/imaging_type).
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)
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 ===
== Direct Data Access ==
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.  
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.


{{Discussion}}
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.
We used to back up the contents of the Output directory (see [[Outputbackup.bat]]), but decided to stop this. If we decide we need to back this up, then we should review the decision about the rest of the directory as well.
{{discussion}}
Can we agree that the eHealth backup is enough, or should we re-visit Outputbackup to create our own backup on Pagasa's computer or the x: drive? [[User:Ttenbergen|Ttenbergen]] 11:30, 4 August 2011 (CDT)
*Agree that eHealth backup is enough.  Do we still need to keep the monthly data files from RIS ?  or the mdb is enough? [[User:JMojica|JMojica]] 12:19, 4 August 2011 (CDT)
** Don't think we need to keep the monthly files; if we really needed them, we would be able to request a new batch.[[User:Ttenbergen|Ttenbergen]] 12:29, 4 August 2011 (CDT)


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

Latest revision as of 14:57, 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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