PACS Phase 2 – Course Outline

Introduction

The PACS Engineers & Administrators Certification Phase II course will teach the in-depth technical interface and integration skills necessary to trou-bleshoot and solve any of today’s toughest system administrative problems. Students will learn the in-depth troubleshooting techniques of digital imaging systems, modalities, and information management systems such as HIS, RIS, PACS and tele-radiology. Students will be able to analyze prob-lems with non-invasive DICOM sniffing software to pinpoint the source of digital imaging problems and determine the appropriate corrective action.



Prerequisites

The seasoned service professional must have a basic understanding of computer fundamentals and navi¬gating windows operation systems and completion of PACS Engineers & Administrators Certification Phase I. Students are required to bring their own laptop.



Objectives

Upon completion of the course participants will be able to:

  • Understand PACS system administration
  • Understand and implement security policies and procedures required to protect and maintain critical medical records, including information systems and images
  • Understand and troubleshoot image-quality- related DICOM problems
  • Develop and implement the QA/QC program requirements of the filmless imaging department
  • Pinpoint image transmission problems regardless of the manufacturer
  • Perform necessary corrective action
  • Determine who is to blame between OEMs when digital image problems occur eliminating costly site visits by OEM service personnel


Course Outline

Day 1
  • PACS Technologies
    • Workflow
      • Analysis
      • Tools
      • Issues
      • CR/DR Workflow
      • Administrator Workflow Mapping
    • PACS System Administration
      • Project Management
      • System Maintenance
      • Image and Information Management (IIM)
    • Security and HIPAA Requirements for PACS
    • HIPAA Requirements for PACS
      • Codes
      • Identifiers
      • HIPAA Implementation Zones
      • HIPAA Administration
    Day 2
    • Advanced DICOM
      • DICOM Storage and Image Management
        • Storage Service Class
          • Single frame
          • Multi-frame
      • MPPS: Modality Performed Procedure Step
        • MPPS Manager
        • RIS
        • PACS
        • MWL
    Day 3
    • Advanced DICOM
    • DICOM Print
      • Film Sessions
      • Film Box
      • Annotation Box
      • Print Job
      • Presentations
      • LUT's
      • Query/Retrieve
        • Query/Retrieve - FIND
        • Query/Retrieve - MOVE - GET
        • Query/Retrieve - CANCEL
      • SR (Structured Reporting)
        • Simple Reporting (Basic)
        • Intermediate Reporting (Enhanced)
        • Complex Reporting (Comprehensive)
        • Key Object Note
    Day 4
    • DICOM Image Quality
      • Pixel Representation
      • Allocated/Stored/High Bit
      • Monochrome/RGB
      • Signed/Unsigned
    • Image Pixel Pipeline
      • LUT (Look Up Tables)
      • Modality LUT
      • Masks
      • VOI LUT
      • Presentation LUT
    Day 5
    • Workstation Configuration to Radiologist Preferences
      • Customization
      • Toolbars
      • Hanging Protocols
      • Grayscale Standard Display Function (GSDF)
      • Calibration Methods
      • Presentation State
      • Overlays
      • Pixel Data
      • Overlay Plane
    • Compression
      • Lossy/Lossless
      • JPEG
      • MPEG
      • RLE
      • Wavelet
    • DICOM Media
      • Media Specifications
      • Physical Media
      • File Structure
      • DICOMDIR
      • Application Profiles
      • CD Interchange Issues
    Day 6
    • DICOM Networking
      • PDU's (Protocol Data Units)
      • DICOM AE's
        • IP/Port/Subnet Mask/Default Gateway
      • DICOM Messages
        • DIMSE Commands
        • Command Sets
        • Data Sets
          • Tag-Length
          • VR/VM (Value Representation/Value Multiplicity)
          • Explicit/Implicit VR’s
          • Decoding VR’s
        • Specialization and Privatization
        • Proprietary DICOM
    Day 7
    • DICOM Networking
      • DICOM Devices
        • SCU/SCP (Service Class User/Service Class Provider)
        • FSR/FDC/FSU
      • Device Negotiation
        • ID
        • Abstract Syntax
        • Transfer Syntax
        • Presentation Context
        • DICOM Association
    Day 8
    • DICOM Troubleshooting
      • Sniffers and Testing Software
        • Active Test Tools
          • Configure & Troubleshoot Using DICOM Emulators
        • Passive Test Tools
          • Configure & Troubleshoot Using Non-invasive DICOM Sniffers
      • Interpret DICOM Logs
      • Evaluate DICOM Dumps
    Day 9
    • HL7 Standard Overview
      • HL7 messaging
        • Message Structure
        • Patient Registration (ADT)
        • Data Types
        • Segments
        • Acknowledgements
          • Original
          • Enhanced
        • Error Messages
        • General Order Messages
      • HL7 Message Profiles
      • HL7 Troubleshooting
      • Messaging Test Tools
    • Quality Control
      • Laser Imagers
      • Workstations/Viewstations
    • IHE
      • Integration Profiles
      • Transactions
      • Actors
      • Integration Statements
    Day 10
    • Course Review
    • PACS Engineer & Administrator Phase II Exam
    • Course Evaluation
    Labs:
    • Windows PACS Server:
      • Assemble Server with RAID Array
      • Configure & Format RAID Array
      • Install Windows OS
      • Install MySQL Database
      • Configure MySQL Database
      • Install Open-Source PACS software
      • Configure Open-Source PACS software
      • Test Open-Source PACS install using various modalities & laptop troubleshooting tools
    • Linux PACS Server
      • Assemble Server with RAID Array
      • Configure & Format RAID Array
      • Install Linux OS
      • Install MySQL Database
      • Configure MySQL Database
      • Install Open-Source PACS software
      • Configure Open-Source PACS software
      • Test Open-Source PACS install using various modalities & laptop troubleshooting tools

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