The only way forward is to insist on access to films on radiology server-
the bandwidth is the major problem, but can be utilised by most GPs and
specialists 
Do not attempt to store or retrieve from CDs- use as drink coasters only!
If necessary accept storage on memory sticks to ensure continued access in
years to come

 
Regards
Les Bolitho
 
Dr Leslie E Bolitho
Consultant Physician in Internal Medicine
MBBS FRACP FACRRM
 
6 Dixon Street, Wangaratta .Vic.3677.Australia
Phone 61 3 5721 5533 ; Fax 61 3 5722 1781
Mobile 0418 574 463 ; email: [EMAIL PROTECTED] 

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Peter MacIsaac
Sent: Tuesday, 5 September 2006 1:13 PM
To: 'General Practice Computing Group Talk'
Subject: RE: [GPCG_TALK] DDI FIT + MD3

Simon,

IHE are demonstrating this year a new profile for image management in
reports and image directories.

The key question is what quality of images do non procedural GPs and
Specialists want. If they want full capability DICOM diagnostic imaging then
do they have the quality of monitors and graphics to display and manipulate
images.

As always getting a handle on what is required should come a little ahead of
the technological solutions.

Another sleeper is the capacity of internet communication to allow multiple
doctors to hit the image storage sites of any particular radiologist.
Radiologists have indicated that bandwidth is a real problem currently -
they have to put up with the same level of broadband offering as the rest of
Australian business.


Regards
Peter MacIsaac
MacIsaac Informatics
www.macisaacinformatics.org

Consulting in Health Informatics, Terminology & Data management and Health
Policy.
[EMAIL PROTECTED]
0411403462 (mobile)
61611327 (office)
peter_macisaac (skype)
8 Ewart St. Yarralumla 2600


-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Simon James
Sent: Tuesday, 5 September 2006 9:42 AM
To: [email protected]
Subject: [GPCG_TALK] DDI FIT + MD3

Hi Oliver,

I'm in the early stages of writing a short article on this technology but am
certainly no expert.

My understanding is...

The radiology provider needs to be hooked up with DDI technology and pays
for the privilege. MD3 marketing material indicates that it is free to the
Dr as you would expect.

I'm not currently aware of other practice software that interact with DDI
FIT, but the images can be viewed in IE6 using the encrypted URL embedded in
the report. Technically this should mean that most software vendors could
get at least basic integration going pretty quickly.

The following sample report from DDI...

http://www.ddihealth.com.au/demo/chest_Carolina_Schein.hl7

... has the following FIT URL embedded:

https://fitdemo.ddihealth.com/MTImageDisplay.asp?ShowRISPK=0900055598004

If doctors on this list have been using FIT+MD3 and would be happy to
provide input into the article, I'd be happy to hear from them off-list.

Regards,
Simon


-- 
Simon James
Publisher
Pulse IT

M: 0402 149 859
F: 02 9475 0029
E: [EMAIL PROTECTED]
W: http://www.pulsemagazine.com.au

6/94A Spofforth Street
Cremorne NSW 2090


> Farooq Qureshi wrote:
> 
>> However as an  average GP I would would like patient radiological reports
and
>> imagery direct into the medical records without having to wade through
>> additional steps.
>> 
>> FIT (Filmless Internet Technology) through MD3 offer this. This is an
"Image
>> Store and Web based total radiological imaging solution in-one, with
state of
>> the art image manipulation features, including annotation, bone density
>> determination, contrast enhancement or zoom and panning".
> 
> I can see that this system has some benefits.
> 
> Who is paying and how much are they paying to make the images available
> via FIT?
> 
> How do medical specialists or public hospitals to whom you refer
> patients view the images?  Can you just quote the link that is provided
> in MD3 to you?
> 
> Most depressing thought of all is that I have heard from patients that
> some GPs don't ever look at the actual Xray, CT, ultrasound or MRI
> images, but just read the report.  I don't know whether this is because
> they don't have the skills, don't have the interest or are focussed on
> getting the patient out of the consulting room as quickly as possible
> because the Medicare Benefits Schedule discourages GPs from providing
> consultations that take more than one minute.


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