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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 />

37

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