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PROJECTS |
| Development
of Telemedicine Technology |
| Objective |
To
link three premier tertiary level hospitals of North India namely:-
All India Institute of Medical Sciences, New Delhi
Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow
Post Graduate Institute of Medical Education and Research, Chandigarh |
| Details
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Teleradiology,
Telecardiology and Telepathology The project "Development
of Telemedicine Technology" (sponsored by Ministry of Communications
and Information Technology, Government of India) was launched
in April 1999. One of the two implementing agencies is Centre
for Development of Advanced Computing (formerly Centre for
Electronics Design and Technology of India) at Mohali. The
centre at Mohali has developed an integrated Telemedicine
solution ("Sanjeevani") with following features:-
1. A comprehensive electronic Medical Record.
2. Patient's personal and family history.
3. General clinical information with physiological parameters
etc.
4. Investigations / clinical reports : Bio-chemistry, Hematology,
Stool & Urine.
5. Data and images comprising of separate sections for displaying
the images from the following modalities:
X-Ray machine - Ultrasound Scanner - CT - MRI - Nuclear
Medicine
6. A link for initiating Videoconferencing simultaneously
during the transfer of clinical data.
7. Optional packet selection/formation for sending the clinical
data to the other end (for second opinion).
8. Facility for chat among the two doctors using the telemedicine
link.
9. Consultation from other end to the back to the referral
doctor.
10. A flat bed document scanner was initially being used to
digitise the celluloid films.
Telecardiology - Sanjeevani supports recording and appending
a 12 lead-electrocardiogram with the EPR.
Telepathology - A video-microscopy system works with/through
Sanjeevani.
Teleradiology
- A medical film
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| Features |
1.
EPR - A comprehensive Electronic Patient Record with demographics
such as Name, Age, Sex, Address etc. The database of a patient
stores the physiological parameters like BP, Heart rate, Temperature.
It stores, Family History, Personal history of the patient.
The Patient records can be sorted w.r.t. the patient ID, name,
sex and date.
2. Clinical Reports - Sanjeevani supports the transmission
of the pathological reports like Urine, Stool, Haematology and
Biochemistry.
3. Medical Images - Digitised films/outputs from imaging
modalities like X-Ray machine, Ultrasound scanner, CT Scan,
MRI, Gamma Camera can be displayed, archived and retrieved in
jpg, and DICOM formats. Upto 192 (48 x 4) images from a particular
imaging modality can be stored with each patient record. For
quick access/differentiation the archival of the images (jpg
and dcm) has been uniquely denoted by their thumbnails and the
image name. Besides Teleradiology, Sanjeevani supports the display,
archival and retrieval of Pathological images (imported from
any equipment based on TWAIN).
4. Image Enhancer - The non-DICOM digitized images can
be viewed and enhanced by the user for their brightness, contrast,
zoom, region of interest annotation etc, to enhance the images
captured or received from the far end.
5. DICOM compliance - Sanjeevani supports DICOM compliant.
The application strengthens the DICOM viewer by way of giving
the user the features of Zoom, measurement, brightness control
etc.
6. Scanner/Digital camera interface - Sanjeevani offers,
an interface for standard TWAIN sources like Scanners, Digital
camera (Video/still). The module enables direct capture of images
from scanners and cameras supporting TWAIN. Output from analog
X-ray machines, non-DICOM sources such as CT, MRI and Ultrasound
Scanners on celluloid films can be captured/digitized using
the enhancer
7. ECG - Sanjeevani can capture, display and store 12-lead
ECG for patients.
8. Peripherals - The medical peripherals like Electronic
Stethoscope, Spirometer, Ophthalmoscope can be integrated into
the application.
9. Communications - Sanjeevani has been lab tested on
LAN (10/100 Mbps), POTS (Plain Old Telephone System) and ISDN
(Integrated Services Digital network) 128 Kbps. 10. Video
Conferencing - Sanjeevani supports Video conferencing. Sanjeevani
also supports standard MS Netmeeting.
11. Security - Sanjeevani host at the remote end authenticates
and verifies whether a connection is authorized to connect to
the host Sanjeevani site.
12. Management Console - Sanjeevani's configuration is
a single point of entry where the full range of system parameters
can be viewed, adjusted and applied to the local Sanjeevani
console. It simply organizes all the existing attributes into
one place to ease the configuration and administration of Sanjeevani.
All the subscribers of Sanjeevani belong to the group "users".
Sanjeevani users are refrained from changing the basic system
and security configuration. Sanjeevani can also be inyterfaced
with the existing RIS (Radiology Information System) and HIS
(Hospital Information System). |
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