Health care world >> PMS catalogue

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1 Health care world >> PMS catalogue MR GE CT GE Xray vasc RAD dig. US dig. MR Siemens MR Philips CT Philips Xray R/F RAD film US video MR cardio endosc. video US cardio Xray cardio monitor cardio CIS CCW view Care Vue cine view Application models protocols services data dictionaries network infrastructure interface adapters MR/CT enhance Xray enhance Xray surgery Surgery Guide statistic analysis spread sheet DTP cardio analysis Sh. term storage Archive Lab IS Report demo speech recog image man. HIS teach tele view PMS-ICS-workstations 1 of 23

2 EasyVision family of products Examination rooms R/F Vascular print print store export view phase 1: 1992 Examination rooms clinical focus phase 3: 1996 MR CT research archive MPR MPR print store export phase 2: 1994 PMS-ICS-workstations 2 of 23

3 Product types: Modality productivity enhancers: + Easyvision R/F + Easyvision RAD + Easyvision CT/MR street price ca 50 k$, high added clinical value; sales directly related to modality sales Clinical Focus: + Neurovision + Image Guided Surgery street price ca 100 k$, very high added clinical value; sales limited to specialist areas PACS workstations + Teleradiology Workstation + Critical Care Workstation + Multi modality review station street price ca 25 k$, low added value, low margin; sales potentially very high PMS-ICS-workstations 3 of 23

4 Simplified layers applications services and common appl toolboxes CDSpack HW + OS PMS-ICS-workstations 4 of 23

5 september 1991 View, test vehicle only image gfx UI DB SunOS, SunView Standard Sun workstation PMS-ICS-workstations 5 of 23

6 september 1992 R/F application dev. tools Print Store View Cluster service mode SW keys spool HCU RC HC DOR driver driver driver store image gfx UI DB SunOS NIX PMS net in PMS net out config install Start up RC interf HC interf DOR Standard IPX workstation Desk, cabinet, cables, etc. RC 3M DSI PMS-ICS-workstations 6 of 23

7 june 1994 EasyVision CT/MR specialized appl. (dental, etc.) EasyVision R/F specialized appl. EV RAD dev. tools MR CT RF Vascular Cardio PCR remote access customization service mode SW keys config Compose spool HCU RC HC DOR dials driver driver driver Print Store MPR View Export Cluster store image gfx UI DB CDSpack NIX Solaris PMS net in PMS net out install Start up RC dials RC interf HC interf DOR 3M new HCU Standard IPX or SS5 workstation Desk, cabinet, cables, etc. MR CT DSI DCAS PCR PMS-ICS-workstations 7 of 23

8 june 1994 EasyVision EV PCR specialized appl. (dental.) specialized appl. dev. tools MR CT RF Vascular Cardio PCR Compose Print Store MPR View Export Cluster remote access customization spool HCU store image gfx UI DB PMS net in PMS net out service mode SW keys RC HC DOR driver driver driver CDSpack Solaris NIX config install Start up RC interf HC interf DOR Standard IPX or LX+ workstation Desk, cabinet, cables RC 3M new HCU MR CT DSI DCAS PCR PMS-ICS-workstations 8 of 23

9 Back-ends EGN specialized appl ER RAD (dental, bolus chase, cardio analysis, etc) EV ct/ mr EV R/F interfacing RIS, etc. dev. tools MR CT RF Vascular Cardio PCR remote access customization service mode SW keys config Compose spool HCU RC HC DOR driver driver driver Print Store MPR View Export Cluster store image gfx UI DB CDSpack Solaris NIX PMS net in PMS net out install Start up RC dials RC dials interf HC interf DOR 3M new HCU Standard SS5 or Ultra workstation Desk, cabinet, cables, etc. MR CT DSI DCAS PCR PMS-ICS-workstations 9 of 23

10 A look into the future From box to function: customer wants any function on any location/time, not limited by random product or box boundaries In parallel with: large number of clinical applications integration of health care function break down in manageable projects / teams, lifecycle independency finite number of skilled development personnel PMS-ICS-workstations 10 of 23

11 (R)evolution in 25 years Table 1: integration level generator stand department health care time to market 2-5 year 1-2 year 0.5 year code size complete product memory size 96 kb 96 MB? GB CPU power 0.1 MIPS 100 MIPS? GIPS dev group size ? of which ASW ? PMS-ICS-workstations 11 of 23

12 Information model Applications High innovation rate ICS/WS PMS DICOM segments PMG ARC stimulate stimulate promote Total transition takes more than 5 years ACR/NEMA High interoperability PMS-ICS-workstations 12 of 23

13 EasyVision in 2000 More than 100 independent applications Interoperating fluently with other EV applications Interoperating fluently with other vendors Interoperating fluently with other health care applications (Information systems, etc.) SW only Running on at least UNIX and NT platforms Distributed development process Consolidation and cross fertilization process Platform for innovative applications in image handling, analysis, clinical focus. PMS-ICS-workstations 13 of 23

14 Extrapolation CDS SW # appl Mega lines PMS-ICS-workstations 14 of 23

15 Adding an application applications new services and common appl toolboxes modified CDSpack extended HW + OS PMS-ICS-workstations 15 of 23

16 Table 2: Efficiency through re-use number applications applications inputs, a.o. modalities infrastructure people application total people per application efficiency PMS-ICS-workstations 16 of 23

17 EasyVision technology: Standard (Sun) workstation Unix (Solaris 2.x) Off the shelf hardware peripherals only exception: Hardcopy Interface board Home made: + data base engine + higher level communication protocols + windowing environment + GUI + graphics + Image processing library + notification, call back scheduling Entirely OO based: + Objective-C classes PMS-ICS-workstations 17 of 23

18 BUY MAKE trend innovation from outside transition cost know how required trend concentration on key technology initial cost reduction low level interoperability cohabitation release propagation integration effort embedding flexibility resource use performance trend license costs PMS-ICS-workstations 18 of 23

19 Buy, potential components: Operating system Communication Data base engine User interface and related utilities Graphics and related utilities Image processing 3D rendering Foundation classes Installation Licensing, SW keys Security, a.o. encryption Multi media, virtual reality peripheral support etc. PMS-ICS-workstations 19 of 23

20 Easyvision development method: prototype + clinical feedback + technological feasibility evaluate + well defined specification + outline design engineering + coding, testing + alpha, beta test PMS-ICS-workstations 20 of 23

21 The platform as deliverable mapping on infrastructure and resources test programs test definition (in, out, criterium) specifications Source Software shared and product generation recipes review metrics admin highlights Development process target OS, other purchased items compile, link etc tools test images clinical images documentation tools cluster OS customization, support and control of dev. process configuration management (code, PR s, documentation) infrastructure conditions, HW+OS actual infrastructure and resources PMS-ICS-workstations 21 of 23

22 Technological changes, opportunities Corba, SOM, OLE,... Java,... Windows NT, Windows 95, OS 2 Taligent, Spring,... SW only products Multi media (HW+SW) PMS-ICS-workstations 22 of 23

23 Re-use levels Concepts Development Process Interoperability architecture Functional specifications User interface Algorithms Design Verification (test suite, spec) Skills Copy implementation, code Implementation, code Application modules PMS-ICS-workstations 23 of 23