Practice and department reports can be immediately compiled through the DxRAD™ Query option. These reports include total cases/procedures for each physician or technician by date period selected, number of patients by referring physician, total cases by diagnosis or clinical indication, plus a variety of other summaries.

DxRAD™ storage solutions include a range of choices from file servers to PACs archives. RAID 5 file servers, jukeboxes, magneto-optical drives, DLT, and AIT tape technology have all been supplied to customers and are currently supported devices. DxRAD™ helps sites select a storage solution based on current needs and projected growth.

RAID-5 file servers range in capacity from 36 GB to 10 TB. In order to provide fast response time to multiple users, top end file servers are configured with dual 2.4GHz Pentium processors, 2GB of DDR SDRAM memory and a RAID-5 disk system for image cache. RAID-5 striping provides data striping at the byte level and also stripes error correction

DxRAD™ provides jukeboxes based on Magneto-optical, DVD and DLT technology. These devices provide maximum expandable image storage. However the low cost and increasing capacity of file servers means that jukeboxes are sometimes not the best choice. A careful analysis of site requirements is always needed to insure the best storage choice.

Archiving can be provided through a range of devices including jukeboxes, AIT 12 slot tape library systems or DLT Robots. Sites sometimes have their own back up solutions in place and DxRAD™ networks easily fit into these strategies. When archiving software is needed, DxRAD™ normally recommends Veritas software unless a jukebox is involved. OTG Image Management software together with DxRAD™ database software provides fast and efficient data handling for archived data on jukeboxes.

The security logon feature includes logging all unsuccessful login attempts. After 3 unsuccessful tries, the log on screen is closed and a message is written to the Failed Access file. The user name, date and time are included in this file. This prevents unauthorized users from successfully guessing passwords and puts a stop to automated dictionary attacks on user accounts.

The Electronic Medical Record (e.g. DxEMR™) or any other third party application is the platform for replacing patient paper records with a single electronic patient folder. With an EMR/EHR model, integration of patient data and images between applications and platforms is possible and departments benefit from improved patient care and lowered medical costs.

DICOM is the imaging standard for multi-modality images (echocardiography, x-ray angiography, nuclear cardiology, OB/Gyn, radiology, etc.). DxRAD™ systems are built on DICOM imaging standards both for network and media communication. Applications that utilize the DICOM standard can share images with other

HL-7 interfaces provide connectivity between applications for text and data. DxRAD™ utilizes HL-7 interfaces to provide real time communication with hospital information systems. HL-7 interfaces include ADT, Order in, Results out, and Billing.

DxRAD™ also provides real time communication links to all major DICOM modalities. These data links provide background transmission of patient demographic data, measurements, and comments from CTs, MRIs, PET, etc. systems to DxRAD™ servers. DxRAD™ reports are auto-populated and the database is updated after the patient data is parsed. It should be emphasized that the data links are an electronic real-time communication facility. They are not an OCR (Optical Character Recognition) technique, which is sometimes subject to errors.

Users may e-mail images and reports to anyone to view on any PC. For example, users can read a study (either at the hospital or at home), make a diagnosis, and e-mail the study to a surgeon or referring physician, who could view it on any standard Windows PC, with no special or additional software. See the Remote mode section for more information on this comprehensive Internet facility.

A comprehensive export facility provides both automatic and explicit export of data in a variety of formats: ASCII (formatted and delimited), rtf, and pdf. Export files can be sent to pre-determined locations, upon pre-determined events (electronic signature), using user configurable file names. Special database export facilities are provided for Excel export and ASCII export using the Echo on the Go Query function and an auto-formatting spreadsheet facility.

The Security and Privacy facilities within DxRAD™ products meet HIPAA requirements as well as 21CFR part 11 FDA regulations for electronic records and electronic signatures. The Security facility within DxRAD™ software provides an administrator with the tools necessary to set up passwords and user rights for all system users. With the security feature, each user is required to log on and provide a password in order to launch the program. Once logged on, the user has access to only those features included in the security level assigned to him/her.

Once the physician has completed review of a study, he selects Electronic Signature, enters his electronic signature password, and the report is electronically signed. Distribution rules can be set so that the study is automatically sent through hospital distribution channels once a report is electronically signed.

An associated Audit Trail facility provides user/date/time stamps of all changes to final reports together with a pdf version of the full revised report. The user/date/time stamps together with the changes are stored in an audit database so that query audits can be run as needed.

All user passwords are encrypted and stored in a database. All databases are secured by a password, which is required to open the database.

The security logon feature includes logging all unsuccessful login attempts. After 3 unsuccessful tries, the log on screen is closed and a message is written to the Failed Access file. The user name, date and time are included in this file.