Main role of this article is presentation, in a very short way, most important results of over two years of work board of experts from two universities, two clinical hospitals, city hall and also medical software and hardware suppliers. As a main purpose of strategy improvement of health care level in region was set. This aim will be achieved by telemedical infrastructure development, creation and implementation of procedures and instant training of staff. Strategy is focused on three main aspects. First one groups medical projects, second infrastructure project and third one is regional centre of coordination. In medical area proposed changes are mainly focused on telemedical support for emergency services, remote medical consultations and complex home monitoring of patients. Main solution for infrastructure assumes creation of integrated information system for hospitals and emergency units. I this part of the strategy selection of the proper standards for data storing and exchange. Probably one of the best choices is OpenEHR. Last part is centre of cooperation which consists of coordination centre of telemedical services, telemedical projects management unit, and training facility.
Teleradiology is the most widely practised form of telemedicine and the necessary equipment is readily available. Dosimetrists, physicists and physicians rely heavily upon digital imaging modalities in their daily work. In the current healthcare marketplace, radiotherapy treatment planning is a field that really hinges upon digital medical imaging. The limiting technical factor is often the communication links between the two sides. As a consequence, the development of network-based radiotherapy image communication may yield a significant impact on the clinical operation of such centres. This paper describes the design and implementation of a Lublin teleradiology system to facilitate access to CT images at County Hospital and data transfer using metropolitan-area-network to Oncology Center for radiotherapy. Our system is successfully working since March 2000.
One of the motives for putting in a picture archiving and communication system (PACS) is to improve efficiency and hence enhance the competitive strength of the radiology department. Department of Radiological Diagnostic at Lublin Count Hospital has been developing a hospital archiving and communication system since 1997. A personal computer-based environment was implemented to reduce costs (only $800 for each view station) and take advantage of distributed system technique. One of the critical points of a full PACS is the accessibility of images outside the radiology department. Image viewer is an attempt to solve this problem by using the ubiquitous PC as a PACS terminal. By designing an appropriate tool for displaying and manipulating medical images and linking them to existing WWW browsers, it is possible to use the existing Web for communicating and remote consultations of medical images.
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