Hi Paul,
We have implemented PACS from Agfa last year. The interfaces were pretty straightforward on itself. What made it difficult was that we wanted some things ‘our’ way:
* Instead of using QPlanner to plan appointments, we wanted to plan the appointments in our HIS (SAP) and then send the appointments as SIU messages to QDoc.
Biggest problem here was merging specific exams from our HIS into one exam for QDoc. For example a doctor orders a Left Knee, Left Knee lateral and Left Knee ap. In QDoc, they wanted this ordered as one exam Left Knee (all pictures under one exam-item), but they still wanted to know the exams the doctor ordered.
* We wanted all results (link to pictures and actual report) back in our HIS. So we had to connect three different messages (ORU, RIS-ORM and Web-ORM) to get all the information. We did this by using the accession number as identifying entity. But this was hard on the users: they had to make sure everything was under the same accession number.
All in all, we have a pretty stable system now.
Hope this helps.
Having written this Friday morning, in the afternoon we had a big crash of all Agfa systems (QDoc/Impax/Web). It took untill midnight before everything was working…
Zuyderland Medisch Centrum; Heerlen/Sittard; The Netherlands
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