CareAware MultiMedia™ provides the VNA framework necessary for managing multimedia information within a health care enterprise.
Storing and managing multimedia CareAware MultiMedia The integration of medical objects with patient data is essential to creating a comprehensive electronic health record (EHR). Modern health care generates and regularly uses a variety of media files—video, audio, signal data, and images—for diagnosis and treatment. As a result, it is critical that all of this information is readily available to physicians, nurses and clinicians in a meaningful context. CareAware MultiMedia™ is Cerner’s Vendor Neutral Archive (VNA) platform which allows you to manage multimedia such as images and video and integrate them with the EHR. This ensures that important information is contextually relevant, comprehensive and timely—an important aspect of any organisation's imaging strategy. Critical information no longer resides in isolated, disconnected silos. It is available at the point of care—or wherever clinicians need it most.
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6th Floor, The Point
37 North Wharf Road
Store and manage clinical multimedia for diagnostic and therapeutic purposes Lower TCO—manage all multimedia files across the enterprise in one safe, secure Vendor Neutral Archive Create the Visual EPR—a Single Source of Truth for all data about your patient.
CareAware MultiMedia provides the ability to store a wide variety of clinical media such as the following:
Scanned documents
Dermatology images
Wound care images
Radiology and Cardiology PACS images
Waveform data such as ECGs and Fetal monitoring
Patient photos
Pathology (gross and microscopic) images
Gastrointestinal images and video
Ophthalmology images
Manage, Store and Access Media
Cerner Limited
organisational and enterprise use. You can manage both diagnostic and non-diagnostic objects in an integrated architecture. This feature is especially useful in radiology, cardiology, anatomic pathology and other areas where images, signals such as ECG waveforms, and audio are important. Video and photographs are important components of many other procedures, such as endoscopy, wound care, dermatology, plastics and general emergency department (ED) documentation.
CareAware MultiMedia provides you with the VNA framework necessary for managing multimedia information for the entire enterprise. When your organisation deploys the solution as part of an enterprise-wide information management strategy, it allows you to consolidate all digital files into a single repository.
CareAware MultiMedia helps you manage the storage and access to digital media for departmental,
Key Benefits
CareAware MultiMedia works equally /
London W2 1AF
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020 7432 8100
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www.cerner.co.uk
well with DICOM and non-DICOM elements. The solution acquires DICOM objects using standard DICOM protocols and stores/manages them as standard DICOM objects as true VNAs should. CareAware MultiMedia also supports the DICOM visible light standard to allow easy storage and management of endoscopy and wound care images. You have the ability to store any of these images as either DICOM or non-DICOM, depending on the needs of your facility.
Total integration with the EHR To realise the CareAware MultiMedia solution’s maximum benefits, organisations use it in conjunction with the unified Cerner Millennium architecture. This person-centric architecture provides a single information database for all of Cerner’s solutions. Data and multimedia objects gathered at the office, clinic, emergency department, radiology, laboratory and other points all flow into the ”Visual EHR”.
This information, which is now accessible to appropriate personnel, empowers clinicians to provide better care. With CareAware MultiMedia managing a single multimedia repository, all patient data are contextually relevant, accurate and up to date. The solution provides you with the tools you need to manage critical multimedia files, incorporate them into the EHR and make them available to clinicians at the point of care.
Distributed Architecture A hallmark of CareAware MultiMedia is its distributed architecture. Our VNA has been designed from the ground up with a belief that only through a distributed architecture could challenges due to geographic distribution and procedure volumes demanding scalability be properly addressed. Our distributed architecture has also facilitated adopting advances in technology by isolating many of these changes to specific portions of the archive. Support for storage area networks (SANs), information lifecycle management (ILMs) products, new DICOM IODs, new releases of Oracle relational database management system (RDBMS) and other sub-license software have been introduced more rapidly within our system because of the isolation provided by our distributed architecture.
Scalability All components within our VNA have been designed to permit unlimited scalability. We have had to take numerous factors into account, clinical and technological. Clinical factors include: Size of studies Image volumes Varying caching and pre- fetching characteristics
Technological factors include:
Scalability of processors by
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Cerner Limited
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6th Floor, The Point
Architecture and the Vendor Neutral Archive
number of processors, memory, fiber channel adapters, and network adapters Network bandwidth File system sizes Operating systems capabilities Storage technology configurations and throughput Oracle performance
To solve complex problems, systems need to be architected. CareAware MultiMedia has been architected from the beginning as a fully IHE and DICOM-compliant vendor neutral archive that scales to handle many millions of studies per year. Our distributed, extendable, scalable, and open architecture provides the flexibility to adapt, change, and grow over time. Key features include:
Fundamental to our scalability is the ability to replicate those components in the architecture where data volume and technology constraints could create bottlenecks if not properly addressed. Our VNA is composed of three core modules: the Gate module, the Database module, and the Store modules. All three are designed to scale and leverage parallelism when deployed.
Full DICOM
CareAware MultiMedia is designed with full DICOM capabilities and manages DICOM data in its native form throughout its architecture. It is capable of accepting objects from a variety of sources. In addition to supporting DICOM, it is capable of accepting objects in other formats.
We are aggressive at supporting new IODs. At this time we support all commonly used Radiology, Cardiology and Nuclear Medicine IODs as well as all Visible Light, Radiation Oncology and a host of others. Likewise, support for new SOPs is consistently added to our PACS. Cerner is involved in the IHE, HL7, and DICOM standards process so that we are not “surprised” by new developments.
Join us as we work to make health care all it should be For more information, please email: cernerUK@cerner.com.
We support both lossless and lossy compression. Whenever possible, we will store images in the JPEG2000 format in order to provide; a) 3:1 lossless compression; b) delivery of lossless images to the requestor both in native JPEG2000 as well as other formats based upon what can be negotiated with the requestor; c) delivery of lossy images in JPEG2000 format to accommodate queries where speed for viewing is key.
37 North Wharf Road
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London W2 1AF
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020 7432 8100
Standards based – IHE, DICOM, and HL7 Radiology and non-Radiology DICOM image support DICOM Visible Light support DICOM ECG support Support for Cardiology images – Cath, Echo, Vascular, Nuclear Medicine Management of all non-DICOM images types Can be used to store and retrieve digital objects from nonCerner systems via a wide variety of mechanisms. Distribution of images from within PowerChart with multiple viewer options, and from other 3rd-party applications including support for Web Access to DICOM persistent Objects (WADO).
Alternatively, visit our website: www.cerner.co.uk.
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www.cerner.co.uk