dr only lists

andy · Post by **andy** » Tue Oct 21, 2003 9:51 pm

It would be nice if a user name only brought up information about that dr. Hippa will not allow any dr to see any file.

Post by **pacsone** » Wed Oct 22, 2003 2:12 am

Thanks, Andy, would you like to elaborate on the details about how you'd like this feature implemented?

Currently PacsOne has only 2 types of users: read-only and full-access. It's relatively straight-forward to add an access control list for users, but I'd like to hear the options to tie the access control list to the stored patient/image information from end-users like you.

acolburn · Post by **acolburn** » Wed Oct 22, 2003 9:18 pm

When you log in perhaps the user name could be the name of the the Referring Physician or the reading Physician. This way you could have one data base that could serve multiple practices or different goups of physicians in a hospital. By only retreaving and allowing access to a patient that that dr is dealing with would make hippa happy. If this was taken care of this product would be attractive to the larger companies. Scrolling through the data sets, zooming, and changing the images contrast would also help a lot.

acolburn · Post by **acolburn** » Wed Oct 22, 2003 9:23 pm

I sat in on a sales pitch yesterday of a comersial pacs system. The program included the items listed above and some other minor image minapulation and they were talking around $200,000 for a web server and data base. These products did what this program does. I would estimate the hardware cost of the commersial verison about $25,000. so you can see a similar software program is worth $175,000 with better image minapulation.

Post by **pacsone** » Thu Oct 23, 2003 12:01 am

Thanks for the great inputs here.

While it's relatively easy to use referring/reading physican as username for patient access, what if these information are not available? since some input modalities simply don't send referring and/or reading physician tags to PACS servers. Do we allow any user to access patients without referring or reading physician information in that case?

Daniel · Post by **Daniel** » Fri Oct 24, 2003 8:12 am

Unless the refering phisician is a radiologist I suggest reducing their number images by restricting them to tagged or "key" images.
DICOM provides a "key object selection document" field, if my memory serves me correctly, to do this.

Post by **pacsone** » Fri Oct 24, 2003 1:34 pm

Daniel:

Would you like to post a URL link to the DICOM document you mentioned, if you have it handy?

Thanks.

Daniel · Post by **Daniel** » Mon Oct 27, 2003 9:03 am

Losts of info here:
http://dcm4che.sourceforge.net/docs/api ... bject.html
BTW, the document index is here
http://dcm4che.sourceforge.net/docs/guides/index.html

and lots more here:
http://medical.nema.org/dicom/supps/sup59_ft.pdf
Many more can references be found with a search of http://medical.nema.org/

rayrad · Post by **rayrad** » Sun Mar 26, 2006 4:06 am

I'm curious if this ever evolved?

Thanks!

Post by **pacsone** » Sun Mar 26, 2006 2:05 pm

Yes, it has become a standard feature of PacsOne Server Premium Edition for any logged-in user to view only those patients/studies for whom the user is either a referring physician, or a reading physician.