PACS INTEGRATION

How to integrate iQ-SYSTEM PACS with

any existing medical information system

Feel the power of an

integrated PACS!

pacs integration

Easy integration in 2 steps

Interfacing a PACS with an existing MIS is not just like placing a new device. To obtain
the desired synergy, it is crucial to ensure an efficient workflow and a proper matching
between both systems.
Most hospitals or imaging centers do

Of course, our iQ-SYSTEM PACS can

The integration procedure is very

already have MIS like electronic med-

be easily integrated with most MIS

easy, since you have to focus mostly

ical record systems (EMR), patient

available on the market.

on just two interfaces:

nary (VES), hospital (HIS) or radiology

Two properly matched systems will al-

1. Patient scheduling interface

information systems (RIS), when they

ways offer the following advantages:

2. PACS viewer integration with the

management systems (PMS), veteri-

decide to go digital by acquiring a

picture archiving and communication system (PACS).

MIS client
a) Modalities

receive

the

patient

workflow information automatical-

Depending on which MIS is used in

ly from the MIS

an imaging center, there are several

If vendors do not integrate and har-

b) Data consistency between MIS

integration procedures that apply in

monize the PACS with existing infor-

and PACS is ensured since typing

each case. To learn more about how

mistakes are avoided

to easily integrate iQ-SYSTEM PACS

mation systems, there might be double recording of patient information

as well as data inconsistencies.

c) PACS studies can be automatically opened from the MIS

with your MIS, have a look at the following pages.

medical information systemS general workflow integration

Patient

Modalities

Operator MIS Client

1 The Patient arrives for a previous-

ly scheduled appointment
5
2

2 The

MIS sends demographic/

study data in several formats to

the WORKLIST Server

iQ-WORKLIST Server

3 The iQ-WORKLIST Server collects

scheduled study data and pro-

vides DICOM worklists to the mo-

Front Desk MIS Client

Scheduling Interface

dalities
4 The planned studies will be se-

PACS Viewer
Interface
6

lected and performed at the desired modalities

iQ-WEBX PACS Server

5 Patient demographic study data

will be matched with the study

image data and stored on the

MIS Server

PACS Server (iQ-WEBX)

6 The iQ-WEB Server can forward/

fetch images including previous

MIS reporting station

with linked iQ-VIEW

data to the planned reporting/

viewing station(s)
7 Opening a case on the iQ-RIS re-

port client automatically opens

the appropriate studies on the
connected iQ-VIEW station
8 Send annotated or reconstructed

Billing

images back to the PACS Server

for documentation (iQ-WEBX)
9 Close the case and create in-

voice.

1. scheduling interface
Scenarios and Solutions

A) MIS PROVIDES a DICOM WORKLIST

as SCP

In this most simple case, there is no additional scheduling interface required.

The MIS offers the DICOM WORKLIST directly to the modalities. A few RIS and
HIS can propose DICOM worklists directly.

DICOM Worklist SCP

of the MIS

Front Desk MIS Client

Modalities

B) MIS provides scheduling data as

iQ-WORKLIST will be installed to the LAN and configured to receive HL7 file

HL7 messages to either files or to

messages in a shared folder or to listen for HL7 messages on a dedicated

dedicated ports

port. iQ-WORKLIST reads those messages and proposes a DICOM WORKLIST

as SCP to the DICOM modalities.
This integration profile will be used by many RIS or HIS.

HL7 files
in a shared folder

HL7 message to
a port

Modalities

iQ-WORKLIST Server

Front Desk MIS Client

C) MIS provides scheduling data as

BDT/GDT files

iQ-WORKLIST will be installed to the LAN and configured to receive BDT/GDT

files in a shared folder. iQ-WORKLIST reads those messages and proposes a
DICOM WORKLIST as SCP to the DICOM modalities.
This integration profile will mainly be used by German, Austrian and Swiss
PMS and EMR vendors.

BDT/GDT files
in a sharded folder

Front Desk MIS Client

Modalities

iQ-WORKLIST Server

1. scheduling interface
Scenarios and Solutions

D) MIS provides scheduling data in a

Send the data format specification including a few sample files to support@

proprietary format, e.g. as CSV or

image-systems.biz. If necessary, we will make the corresponding adapta-

plain text

tions to iQ-WORKLIST, which will be installed to the LAN and configured to receive such messages in a shared folder. iQ-WORKLIST reads those messages
and proposes a DICOM WORKLIST as SCP to the DICOM modalities.
Older RIS and PMS can often write scheduling data in proprietary formats,
only.

Text files in a
shared folder

Front Desk MIS Client

E) None of the above mentioned

options?

iQ-WORKLIST Server

Modalities

In principle, all PACS integratons should work for one of the interfaces mentioned above. If you still have questions or doubts, please contact support@
image-systems.biz for further instructions.

2. pacs viewer - integration

Scenarios and Solutions

A) The MIS can do a command line

iQ-VIEW or the WADO client will be installed on the same computer like the

call to start a PACS viewer and

MIS client. The MIS client will be configured to start iQ-VIEW or the WADO client

hand over accession numbers

using a command line call and hand over one or more accession numbers.

(available in iQ-VIEW >=V2 and

iQ-VIEW or iQ-WEBX will look for those studies in the local image box as well

iQ-WEBX WADO).

as search all checked network nodes for these studies and display those
studies after retrieval.
A typical command call would be:
C:\Program Files\iQ-VIEW\iQ-VIEW.exe -AccNo1 -AccNoX
This integration profile does usually apply to many PMS and EMR.

Command line call with

accession number(s)

Any MIS Client

iQ-VIEW

Opens Viewer directly

B) The MIS can do a command line

iQ-VIEW will be installed on the same computer like the MIS client. The MIS

call to start a PACS viewer and

client will be configured to start iQ-VIEW using a command line call and

hand over DICOM file names to

hand over one or more DICOM file names. iQ-VIEW will use the given path

be displayed (available in iQ-

and files to import into the local image box and display them afterwards im-

VIEW >=V2.6)

mediately.
A typical command call would be:
C:\Program Files\iQ-VIEW\iQ-VIEW.exe File1 File2
This integration profile does usually apply to MIS with an own DICOM storage
server.

Command line call

with DICOM file names

Any MIS Client

Automatic import
in iQ-VIEW

Opens Viewer directly

2. pacs viewer - integration

Scenarios and Solutions

C) MIS can write a file with a patient

iQ-VIEW or the WADO client will be installed on the same computer as the MIS

ID (BDT/GDT) and start a PACS

client. The MIS client will be configured to write a file with a patient ID accord-

viewer (available iQ-VIEW >=V2

ing to the BDT/GDT format and then start iQ-VIEW or the WADO client with the

and iQ-WEBX WADO)

BDT/GDT file name of the patient ID. iQ-VIEW or the WADO client will use the
patient ID of the given file and look in the local image box as well as search
all checked DICOM network nodes for studies with the given patient ID. iQVIEW or iQ-WEBX will display a list with all search results in the study browser
and offer the possibility to select the desired studies which shall be displayed
or display one study if just one study matched with the search criteria.
A typical command call would be:
C:\Program Files\iQ-VIEW\iQ-VIEW.exe g BDTGDTFile
The minimum requirement is a BDT/GDT file containing the following parameter: LLL3000PatID, e.g. 01130001234
The first 3 digits (LLL) determine the total length of the ASCII line.
The next 4 digits (3000) are a tag for the patient ID.
The next characters are the alphanumerical patient ID (PatID)

Patient ID in a BDT/GDT file

in a shared folder

Any MIS Client

If one study found

opens Viewer directly

iQ-VIEW

If multiple studies found

study browser opens directly

D) The MIS comes with a software

The MIS can control iQ-VIEW as a PACS viewer directly. There is an integra-

API for direct application calls.

tion SDK provided by IMAGE Information Systems. The study selection can
be done either by patient ID, accession number or study instance UID.
This integration profile will typically be used by other MIS providers with interest in a deep MIS PACS integration.

API

Any MIS Client

Opens Viewer directly

iQ-VIEW

Opens study browser directly

2. pacs viewer - integration

Scenarios and Solutions

The web-based MIS can call URL links to start the ActiveX viewer of iQ-WEBX

E) Web-based MIS

to display images and structured reports. The MIS authenticates centrally at

iQ-WEBX. The MIS vendor and IMAGE shall sign an NDA to exchange confidential information about this interface. The study selection can be done
either by patient ID, accession number, study instance UID or patient name.
This integration profile will typically be used by web-based MIS providers or
installations with multiple clients.

Web-based link to studies

Any web-based
MIS Client

iQ-WEBX

F) None of the above mentioned

options

match

your

Studies can be displayed directly

Result lists may displayed directly

Please contact us at support@image-systems.biz for further instructions.

require-

ments?

Abbreviations

HIS - Hospital Information System

LAN - Local Area Network
MIS - Medical Information System, e.g. RIS, PMS, RIS, HIS etc.
PMS - Patient Management System
RIS - Radiology Information System
SCP - Service Class Provider
VE - Veterinary Systems
PACS - Picture Archiving and Communication System

We have pioneered several innova-

IMAGE Information Systems provides

ish-German company group, which

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our solutions for your imaging needs

iQ-VIEW

The radiology reading station

iQ-VIEW 3D

3D post-processing workstation

iQ-STITCH

Tool for the creation of full spine and full leg images

iQ-CAPTURE

Add-on hardware module for capturing images from analog video sources

OrthoView

Add-on module for orthopedic templating and trauma planning

DICOMReader

Read any DICOM CD into your PACS

iQ-WEBX

PACS server for storage, teleradiology and image distribution

iQ-WEBX WADO

Simplifying the workflow

iQ-PRINT

DICOM paper print server

iQ-ROBOT

Automatic burning and labeling of patient CDs and DVDs

iQ-Router

Image compression for teleradiology and workflow management

iQ-WORKLIST

DICOM worklist server optimizing your workflow

iQ-MAIL

Simple teleradiology using DICOM email

iQ-NUC

Complete package for nuclear image processing

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The smooth radiology information system

IMAGE DISPLAYS

Medical diagnostic displays

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Efficiency in CR

image Information systems Ltd.

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