Laser video disk archival storage.
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MARS was a joint developmental effort between Maine Medical Center and Advanced Healthcare Systems, Inc. It has taken nearly three years to get the system (hardware, software, and staff) to a point where it can now meet daily production requirements. This project was truly unique, so there was no opportunity to learn from the experiences of others. The optical disk system has been an attractive solution to some of the problems experienced at Maine Medical Center. The result was worth the effort in terms of both dollars and other less quantifiable benefits that have had a positive impact on patient care.
This article provides a comprehensive overview of optical disk technology, an information management system that is just over the horizon for most medical record practitioners.
Interactive videodisks are state-of-the-art technology, and their potential is rapidly beginning to be recognized in the health care industry. A recent survey of 169 health institutions found that 79% planned the purchase of videodisks within the next year, and 72% planned to develop a videodisk program. As the role of the medical records practitioner increasingly includes acting as a hospitalwide information manager, CAVI provides the medical records professional a unique opportunity to both provide effective training within the department and hospital and be the leader in bringing the advantages of CAVI to the institution.
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CT, MRI, DSA, PET, nuclear medicine and ultrasound--these are only a few of the advances that have come about due to the advent of computers in healthcare. Optical-disk technology holds the potential to help solve several of the storage issues associated with these advances in virtually every part of the hospital.
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Write-once laser-based optical disks are now becoming available at a reasonable cost for routine use. Because it allows the combination of image data and textual data to form a single online computerized record, this technology offers the potential for revolutionary changes in medical information systems.
An optical disk filing system is a promising new method to memorize the contents of medical records. However, there are some problems of image quality and durability with the disk. The present study investigated the problems with image quality as to the content of medical records. Two optical disk filing systems on the market were used. Medical records of discharge summary, present illness, progress notes, ECGs and polaroid pictures, were put through the image scanner and compared with output images. Image data such as discharge summary and present illness were clearly reproduced with a resolution of 200 dots per inch (dpi). However, polaroid pictures of UCGs or sketches by doctors needed a resolution of 400 dpi with 32-64 gradations. ECGs needed a resolution of 400 dpi with 2 gradations. Records in more than 2 ink colours such as renograms, nurses' notes and doctors' sketches were reproduced in monochrome images, so the colour signals could not be distinguished. In conclusion, the optical disk filing system is useful to store medical records, but it must be improved so as to distinguish colour information.
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