Overview of basic technology

• DICOM transactions
• SOP Class, Transfer syntax
• ADT, ORM ORU
• IAN integration with the EMR
• Compression and impacts on systems, network and storage
• Common workflows and issues

Facility based PACS and  Archives

• End to end data flow and storage implications
• Non-standard data flows and impacts
• VNA as PACS archive
• CPACS and specialty imaging

Trouble shooting EI Applications, Integrations & SQL

• Integration points
• Chain of events
• When to call vendor(S)
• SQL basics and queries
• SQL Practical Exercise

Enterprise Imaging Basics

• Composition and required skillsets of EI team
• Reconciliation, synchronization and data quality
• Multiple PACS considerations and issues
• Offsite – multi site archival considerations
• Image Routers and advanced workflows

EMR integration and zero-footprint viewers

• Pros and cons of zero footprint viewers
• Who are the users of zero footprint and what are the requirements
• Image workflow and impacts
• URL integration methods and populating EMR

Group Discussions, Question and Answers, Diagram and Troubleshooting

• Application of concepts from the course to solve local challenges
• Whiteboard, system diagraming and architecture based on student provided requirements, the end to end system processes of systems covered
• Professional discussion and group responses to real world home facility needs and situations 
• Opportunity to present real life issues for troubleshooting

Non-DICOM imaging workflows

• Dermatology, pathology, surgery, Emergency
• Encounters based workflow considerations and tools
• Use cases and integration points
• Pros and cons of DICOM encapsulation
• DICOM Image creation practical exercise

Advanced VNA Architecture and design

• Data segmentation and segregation considerations
• Queue management processing rules
• Multiple AE titles and many to one relationships
• Disaster recovery and failover
• Storage of report data
• Patient ID management (PIX / PDQ)

Enterprise Imaging Architecture

• PACS first or VNA first
• Local, regional or national level VNA
• Integration with EMR, other applications 
• XDS, XDS-I integration
• Specialty viewers and department workflows

• Data Management
  • Data migrations to VNA, from VNA and data sharing between systems
  • Data cleansing (images – reports)
  • Normalization of DICOM data and tag management
  • Private tags, non-standard data and support of SOP Classes
  • Migration planning and execution 
  • Storage planning and management
     

Emerging technologies and their impact to imaging

• Fast Healthcare Interoperability Resources (FHIR)
• Artificial Intelligence (AI)
• Blockchain
• Monetization and selling of imaging data
• Image Exchanges
• Wearable devices

Group Discussions, Question and Answers, Diagram and Troubleshooting

• Application of concepts from the course to solve local challenges
• Whiteboard, system diagraming and architecture based on student provided requirements, the end to end system processes of systems covered
• Professional discussion and group responses to real world home facility needs and situations
• Opportunity to present real life issues for troubleshooting