connectivit y & it rodrigo franco connectivity & it latam leader
TRANSCRIPT
CONNECTIVITY
& ITRODRIGO FRANCO
Connectivity & IT LATAM Leader
THE WAY MUST BE FINE BEFORESTARTING OUR ENGINES
IT Hosptal Environment
• CORPORATE IT
SERVERS, CABLING INFRA
DATA CENTER
ENTERPRISE RESOURCE PLANNING
ERP
CUSTOMER RELATIONSHIP MANAGEMENT
CRM
IT Hospital Environment
Challenge
• HOSPITAL IT
SERVERS AND CABLING
DATA CENTER
HOSPITAL INFORMATION SYSTEM
HIS
CLINICAL INFORMATION SYSTEMELECTRONIC MEDICAL RECORDS
CIS / EMR
RADIOLOGY INFORMATION SYSTEM
RIS
LABORATORY INFORMATION SYSTEM
LIS
IT Hospital Environment• INFRASTRUCTURE
• DO YOU KNOW?
One OR/ICU room can reach more than 10Km (32,808’) of cables.
Estrutura de TI Hospitalar• INFRAESTRUTURA
• Cabo de Rede• Recomendações:• Cat 5e para UTI• Cat 6A Blindado para CC
Cables
• Rack utilizado para guardar equipamentos da redeRacks
• Utilizado para concentrar os cabos de rede.Patch Panel• Utilizado para unir a comunicação fisica e logica de uma rede • Recomendações:• CISCO Networks• Podem Ser Rodados em Layer 3
Switch• Equipamento utilizado para definir o trafego e as rotas de redes.• Recomendações:• CISCO NetworksRoteador
• Computadores super potentes para Instalação de Softwares em geral e armazenamento de dados• A GE fornece em conjunto com os softwares necessáriosServidores
Estrutura – Tecnologia Rede GE• INFRAESTRUCTURA – VLAN (RED ÚNICA)
+
Roteador
Switch
=Switch de Layer 3
VLAN1Monitores
VLAN2Hospital
LAN = Local Area NetworkVLAN = Virtual & Local Area NetworkWAN = Wide Area Network (Acesso a rede geograficamente ampla e externa)
ROUTING
Estrutura de TI Hospitalar
• INFRAESTRUCTURA
• Etapas:• Site Survey• Alcance del Proyecto• Implantación• Certificación
Connectivity
DCARMONITORS
CIC Pro
GEDRAGERMAQUETANESTESIA
GE / DRAGER
UNITY NETWORK
HIS/CISHOSPITAL
ACCESS RIS /HIS / CIS
CARESCAPE GATEWAY
MOBILE VIEWER
MARS
WORKSTATION
RODRIGO FRANCO
Workstation
Connectivity Solution
• APPLICATIONWORKSTATION:
• RIS/Pacs• Intranet• HIS/CIS
CITRIX Server*Emulator Application ServerCompatibility XenApp 5.0
SERVERHIS/CIS
Citrix XenApp ?
is a thin client product that allows users to connect to their corporate applications. XenApp can host applications on central servers and allow users to interact with them remotely or stream and deliver them to user devices for local execution.
Workstation
Connectivity Solution
Carescape GatewayData back collection support (HL7 only)
Monitor offline scenario• Monitor online and sending data• Monitor is taken off the network
(possibly due to patient Transport) and the data feed stops
• Data capture continues in monitor
• Upon new network connection, up to eight (8) hours back collected data sent to EMR through CARESCAPE Gateway
ED
EMR offline scenario• EMR is offline for upgrade or
downtime• Gateway saves data in cache
and waits for EMR to return online
• When connection resumed, HL7 trended vital signs data resumes
• Gateway slowly feeds up to 12 hours of back collected data to EMR
ICU
CARESCAPE Gateway
EMR
Transport
Carescape Gateway
Vitals signs data sent withpatient demographic data
– CARESCAPE Gateway will transmit data based on assigned collection intervals
• Trended parameters• Intervals of 1-5, 10-, 15-, 30-, 45- and 60
minutes– Vitals on Demand
• Query is performed by assigned location• Current data is returned
– Data will be sent with• PID (PID.3)• Name (PID.5)• Unit/bed• Date of Birth (PID.8) S/5 Network only• Gender (PID.8) S/5 Network only
– Account number, name, date of birth, and gender can be attached to HL7 message based on a look-up in the ADT database
Example HL7 results message
Workstation
Connectivity Solution
MOBILESOLUTIONS
RODRIGO FRANCO
Mobile Solutions
Mobile Care Solutions & Citrix
Client
Integrating patient monitoring and ITWEB VIEWER
PACS
CAMERAS
HIS
Centricity ACS Solutions
CENTRICITY ANESTHESIA
Centricity ACS Solutions
Centricity ACS Solutions
CENTRICITY CRITICAL CARE
Centricity ACS Solutions
CENTRICITY CRITICAL CARE
DCARCONNECTIVIT
YRODRIGO FRANCO
DCAR – Report Central
MARS v8CENTRAL REPORTSCARDIOSOFT / MARS
HIS/EMR/PACSINTEGRATION
XML / PDF / DICOM
REMOTE ACCESSVPN / Remote Desktop / Citrix
REMOTE CLINIC A REMOTE CLINIC B REMOTE CLINIC C
Internet Access
Web Upload
Stress / Mapa / Holter / ECG
DCAR - CONNECTIVITYFILE SHARE
ExportECG
FolderECG
Tonoport
Stress
Cardiosoft
FolderDataBase
FolderPDF Results
PACSDICOM
CONNECTIVITYSERVICE
DCAR - CONNECTIVITY
Clinical Convergence with MS• CIC – MARS Enterprise i• Full disclosure Holter• SCD Predictive algorithms
Web data transfer• Scanning centers• Enterprise networks• Remote sites
Clinical Research & Pharma• 12 Lead Recorder• 12SL Integration• Export in MUSE
New in MARS v8.0
MARS v8.0
REMOTE ACCESS
