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In this work we present a practical model of telemedicine usage based on a HIS/PACS system that was developed and is being tested at the Heart Institute of Sao Paulo (Brazil). The objective of this project is to allow hospitals that are distant of specialized medical centers to have access to the services of other medical institutions using a low cost telemedicine solution supported by an appropriate architecture of storage and management of medical information. The services that can be accessed using this solution are, for example, second medical opinion, medical images databases and reports of clinical exams. With a simple architecture and easy operation, this project showed to be an efficient way to make a bridge between modern medicine centers and others, localized in places not provided by specialized medical assistance. The system described is still a prototype in experimental phase operating at the Heart Institute of Sao Paulo with good results and will shortly equip other hospitals (auxiliary units of the Heart Institute).
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Julio Cesar Bastos de Figueiredo, Sergio Shiguemi Furuie, Marco Antonio Gutierrez, Candido Pinto Melo, "PACS-based model for telemedicine," Proc. SPIE 4323, Medical Imaging 2001: PACS and Integrated Medical Information Systems: Design and Evaluation, (7 August 2001); https://doi.org/10.1117/12.435501