• 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

• 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
     

• 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
     

• 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

[Students/professionals come up with problems and real-world design questions based on challenges that they face at their facilities and the group works together to brainstorm solutions based on the best practices]
 

• 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
     

• 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
     

• Trouble shooting EI applications and Integrations
  • Integration points
  • Chain of events
  • When to call vendor(S)
  • Proactive monitoring tools
     

• 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

[Students/professionals come up with problems and real-world design questions based on challenges that they face at their facilities and the group works together to brainstorm solutions based on the best practice]