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DICOM Troubleshooting - PACSGear MediaWriter

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I was recently working on a PACSGear CD Burner. The software was PACSGear's Media Writer version 1.0.2.25990 and when retrieving a study from PACS to burn to a CD I was constantly getting an error.  The error from the MediaWriter logs was: Thread MoveManager::Start->An exception occurred while C-MOVE with AE C001 . 

This made me think that there was a supposed device with an AE of C001.  After looking for that ae in the configuration files, I started searching on line and found that C001 was one of 5 error codes with regards to C-Move operations. 

I found this information in a discussion about the Conquest DICOM server.  The Error codes are as follows. 

Move error codes:

C001 = no destination AE specified
C002 = empty destination AE specified
C003 = destination not found or allowed
C004 = search error
C005 = destination not available

 I am curious to know if anybody else has encountered C-Move errors with the PACS Gear Media Writer similar to mine.  If you have, discuss your particular incidents with us in the JS PACS Forum.

 



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Last Updated on Monday, 23 March 2009 10:34
 

Happy New Year - Final post for 2009

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What a busy year.  The organization I am currently supporting has undergone some major changes.

 

We had a major upgrade to the MediTech HIS/RIS (Client Server), we’ve implemented digital 

mammography and voice recognition dictation, and just signed the order for our second generation

Cardiology PACS.  Oh yeah, another PACS merger as well.  Because of all the projects, this was 

the first time I’ve missed the SIIM conference but I will be returning next year up in Minneapolis 

and hope to provide live updates like I did from the 2008 conference in Seattle.

 

Because of the high volume of work, I have been lax in spending the needed amount of time 

creating content to stimulate discussion on the JS PACS website.  However, with the New Year 

upon us, I am renewing my commitment to push this page forward and making it useful for the 

community.

 

Our membership has grown from 75 in mid 2009 to 125 registered members today.  With that 

many people, we should have enough people to generate some interesting conversation and I 

offer each of you the opportunity to post in our discussion forum, or share a story that can be 

published on the front page of the web site.

 

Some topics that I plan on writing about in the first few months of 2010 include: 

1. Lessons learned from the Voice Recognition Dictation implementation.

2. Review of the Hologic Mammography project.

3. Updates on the cardiology project that we are about to embark on.

4. Review of what happened to Emageon this past year.

5. Discussion of the new Hi-res color monitors out on the market.

6. Using Macs for PACS

7. Topics based on suggestions or contributions from other members.

 

I hope this last post of 2009 finds your systems running well, you in good health and 

facing good projections for 2010.

 

Happy New Year!!

-John 

 



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Last Updated on Wednesday, 21 April 2010 18:50
 

Slowness issues identified.

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The reson for the slowness issues on the JS PACS website have been identified.  The current hosting provider deems it necessary to run our databases on a separae server from the web hsoting server.  This produces signifigant delays while accessing the site considering that the sytem has to access a DB somewhere else other than on 'localhost'.

It has been explained to the hosting providor that they have a few days to reolve this issue otherwise the site will be ported to another hosting providor.  Until that can happen, we hope that you will continue to visit the site and participate in the forum.  We also thatk you for your patience while we work these issues out.

The old forum is still up for reference to previous posts but please use the new forum for any posts from this point forward.

 JS PACS



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New Dicussion Topic: DICOM Security

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Many PACS vendors require the creation of all imaging modalities and other devices in a "Host" table in PACS so that the devices can query/retrieve and send images to and from the PACS.  At the same time, some vendors will accept images from any source as long as they are DICOM compliant and communicate in supported transfer syntax. Additionally, some other devices such as DICOM printers and CD burners are able to accept images from any location as well. 

What are your thoughts on DICOM security?  Is it necessary or is it another configuration issue that provides unnecessary work for the PACS Administrator? Join the discussion here.



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Value of PACS Certification/Recertification

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There is an interesting discussion as to the legitimacy of the PACS Certification and recertification process on another PACS discussion board.  Some see it as unnecessary for our profession.  The following is my response to those who say it is not necessary or worth it.


This is interesting to find that PACS Administrators themselves don’t see the value of certification.  Comments such as “money grab”, “not enough value to the cert to maintain it”, or “not enough value to the cert to maintain it.” all seem self serving to me.

I have started to notice more and more that when people complain about something, there is often an underlying reason that it doesn’t serve them well regardless of the overall benefit to the entire community.

The purpose of a certification, the PACS certification in particular, is to demonstrate a basic aptitude about the PACS environment.  Take a look at how far APCS Administration has come.  It used to be the individual from radiology who was “good with computers” that was put in charge of an internal system that served nobody else but the radiology department.  We have now grown to enterprise imaging where the systems that we all manage encompass anything that is deemed a medical image.  We have graduated from radiology to *ology and need to keep up our knowledge with respect to the impressive evolution that face every day.

However much our systems evolve and try to move into alignment of standardized healthcare IT, there is still something that separates imaging informatics from HIS, RIS, ED, Pharmacy and other clinical systems and it is that distinction that I think we all thrive on.

The certification process should be seen as a method at which we can demonstrate that we can provide that extra level of expertise to a healthcare organization. 

Sure, day to day activities such as server reboots, DICOM data editing for QA and workstation management are all skills that can be assessed during an interview but understanding why a particular device needs to be configured a certain way to successfully query a modality worklist or how to know what to ask a vendor from both a clinical and technical standpoint is what certification helps to represent.

As an organizational leader, wouldn’t you rather know that the individual you are hiring to implement you 2.5 million dollar PACS knows the ins and outs of radiology, imaging and IT before hiring him or her?  Or would you rather wait until you are in the middle of RFP discussions to find that the individual you are expecting so much of can’t read a DICOM conformance statement to determine if the DICOM objects created by your new hi-tech equipment can even be sent into the PACS?

To the comment of, “I absolutely agree that certification is not necessarily correlated with ability”, it can also be said that you can have all the skill in the world, but if you don’t have the degree or certification to demonstrate it, you won’t be considered.

Between ABII and PARCA, PACS certification isn’t even 10 years old.  10 years from now, when an organization will not interview if you don’t have an imaging informatics certification, don’t find yourself in a position where you can’t put yourself in competition with others.  Remember, this isn’t about you as an individual; it’s about supporting our profession and propelling us into an environment where we can demonstrate our knowledge.

To weigh in on this topic, let the community know your thoughts by clicking here.

 



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Last Updated on Friday, 12 June 2009 11:42
 


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