International Journal of Interventional Cardioangiology
International Journal of Interventional Cardioangiology
International Journal of Interventional Cardioangiology
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MUSCELLANONEOUS<br />
<strong>of</strong> Moscow. Below we will focus on the principles <strong>of</strong><br />
building <strong>of</strong> DIMOL-IK complexes, which are intended<br />
for diagnostics and management <strong>of</strong> cardiovascular<br />
diseases and provide keeping <strong>of</strong> electronic case history<br />
and electronic outpatient's cards in hospitals and<br />
outpatient departments. It will be demonstrated how<br />
the activities <strong>of</strong> several cardiological clinics including<br />
those geographically remote from each other were<br />
successfully combined into a common informational<br />
space on the basis <strong>of</strong> DIMOL-IK complexes using<br />
information and telecommunication technologies.<br />
DIMOL-IK complex, which is suggested in this<br />
paper, provides complex automation and computation<br />
<strong>of</strong> medical technologies in the cardiological<br />
and cardiosurgical clinics, provides keeping <strong>of</strong> full<br />
electronic case history in hospitals, and outpatient's<br />
card in outpatient departments, permits exchanging<br />
digital data with different domestic and foreign<br />
specialists. A patient is given a disk, which can be<br />
read on any computer, containing case records and<br />
results <strong>of</strong> main examinations.<br />
Structure and principles <strong>of</strong> functioning <strong>of</strong> complex<br />
DIMOL-IK STATSIONAR<br />
Complex DIMOL-IK STATSIONAR provides complex<br />
automation <strong>of</strong> all diagnostic and treatment processes<br />
including:<br />
• registration <strong>of</strong> patients;<br />
• creation and keeping <strong>of</strong> electronic case histories;<br />
• availability <strong>of</strong> uniform regulatory system and automated<br />
system <strong>of</strong> classification and coding <strong>of</strong><br />
medical information;<br />
• Obtaining and processing <strong>of</strong> diagnostic data<br />
(angiography, X-ray, CT scan, EchoCG, ECG,<br />
ECG-Holter etc.)<br />
• generation <strong>of</strong> output documents;<br />
• performing <strong>of</strong> statistical analysis;<br />
• input, transfer, storing, processing and displaying<br />
video information (angioscenes, X-ray, tomographic<br />
images etc.)<br />
Structure <strong>of</strong> complex and principles <strong>of</strong> its functioning<br />
are demonstrated at diagrams presented on<br />
Fig. 1 and Fig. 2.<br />
The complex consists <strong>of</strong> workstations (PC) installed<br />
in different rooms <strong>of</strong> the clinic and integrated through<br />
network means into an unified system <strong>of</strong> hardware<br />
and s<strong>of</strong>tware resources. The server provides work <strong>of</strong><br />
the complex database and processing <strong>of</strong> requests<br />
for provision <strong>of</strong> information to network abonents.<br />
Hierarchical archive system is used for storing and<br />
operative issue <strong>of</strong> data, dynamic and static images,<br />
obtained during performing <strong>of</strong> diagnostic procedures<br />
and surgical interventions. Functional workstations<br />
are intended for automation <strong>of</strong> functioning <strong>of</strong> physicians<br />
<strong>of</strong> corresponding specialties. These PCs permit<br />
work with full case history, angiographic movies, X-ray<br />
and tomographic images. Possibility <strong>of</strong> analysis and<br />
processing <strong>of</strong> dynamic images, generating <strong>of</strong> reports<br />
according to the results <strong>of</strong> angiographic and other<br />
examinations and procedures is provided.<br />
PC “Director” is installed at the workplace <strong>of</strong><br />
director or head physician <strong>of</strong> a clinic. PC “Director”<br />
possesses the same features as any other functional<br />
PC and has access to the administrative subsystems<br />
<strong>of</strong> the complex. The most important feature <strong>of</strong> PC lies<br />
in providing to the director <strong>of</strong> a clinic the possibility<br />
to follow the course <strong>of</strong> angiographic procedure “online”<br />
not leaving his/her <strong>of</strong>fice and to interact with<br />
operating crew <strong>of</strong> in the mode <strong>of</strong> video conference.<br />
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Figure 1. Structural diagram <strong>of</strong> the “DIMOL-IK STATSIONAR” complex.<br />
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Electronic Case History for Cardiological Clinics<br />
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