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Under Development - September 2010

 

 

 

TSGiView Acquisition Modality Importer (TAMI)

20November2009

TSGiView Acquisition Modality Importer (TAMI) is a system that enables a non-DICOM ready ophthalmic Instrument to integrate into IHE Eye Care Workflow and Charge Posting Workflow as an integrated DICOM Modality.

 

TAMI has two components:

1. Electronic Print Capture

2. Acquisition Modality Importer Software

 

TAMI is implemented on a user provided MS Windows platform that connects to the instrument through Electronic Print Capture, and connects to the information system and DICOM archive in a DICOM network through Acquisition Modality Importer Software.

 

Electronic Print Capture:

Electronic Print Capture captures the results of a procedure at the instrument into computer

memory automatically.

After completing a procedure on a patient, when the instrument sends results for printing to a

digital printer, Electronic Print Capture captures the results sent for printing without

requiring a physical document to print. Digital Data Capture Interface captures the data from

the ‘printer end” of the printer cable of the instrument and sends it to computer memory.

This digitally captured data is converted to a PDF document or a set of JPEG images, based on

the contents of data. Final results are available to the integrated Acquisition Modality Importer

Software for further action.

Acquisition Modality Importer Software:

This software simulates acquisition modality interface for the instrument and communicates with

the information system and DICOM archive in a DICOM network. The software allows operator

to retrieve patient demographics and ordered procedures from the information system through a

worklist query/retrieve protocol.

Operator selects a workitem for a patient from the retrieved worklist or creates a new patient

entry in the worklist for performing a procedure. Comprehensive information for the selected

workitem is displayed, including procedure protocols and any instructions from the doctor to

guide the operator. When the operator accepts a workitem for performing a procedure, software

sends a message to the information system that procedure has started. Operator performs the

procedure normally, using the instrument.

After completing the procedure, operator prints the results normally as per standard operating

procedure of the instrument. Results from the instrument, instead of physically printing, appear

as DICOM encapsulated PDF document or SC image set on the user interface of the computer

display screen.

At this stage, operator may further add his/her observations and any other data on materials

consumed for billing purposes, and then press a “button” to communicate completion of

workitem. Software takes the following further actions automatically:

1. Make DICOM object(s) of the results and transfer to image archive for storage

2. Seek commitment for safe storage of DICOM object(s) from image archive.

3. Send “workitem completed” message to the information system

 

4. Save DICOM object(s) in its local storage.

Types of printer ports:

TAMI can be used for instruments with many types of printer ports. Its implementation depends

upon printing facility of the instrument in terms of physical printer port used and the way the

result data is structured for printing.

TAMI can be configured to capture data from physical printer ports such as “Parallel”,

“Serial”, “Ethernet”, etc.

Captured data is converted into a PDF document in the same format and appearance as it

would have physically printed.

If software can identify images and fields of data items in the captured data, TAMI can be

configured to create ophthalmic specific DICOM objects or DICOM SC objects instead of

DICOM encapsulated PDF objects.

Instruments with display only capability:

For instruments that only display the results, and have no printing facility, TAMI provides an

interface for operator to enter the results through keyboard of the computer. For such

instruments, TAMI always creates ophthalmic specific DICOM objects.

Instruments already tested with TAMI

1. Optovue – OCT

2. GDx – Carl Zeiss

3. Zeiss IOL Master

4. Topcon Slit Lamp

5. Haag Streit – IM900

6. Haag Striet – Octopus

7. Zeiss – Humphrey Visual Field Analyser

8. Topcon – Fundus Camera with Imagenet 2000

9. Innova Systems – Visual Acuity

10. Tracey Technologies - Wavefront Abberatometery

11. Visx – WaveScan wavefront

12. Zeiss – Cirrus OCT

13. OTI – Ultrasound Scan

Please refer to TAMI IHE Integration Statement for the “options” of IHE Scheduled Workflow

and Charge Posting profiles supported by TAMI

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