The Practical Experiences with Deployment of Advanced Medical Teleconsultation System over Public IT Infrastructure

The paper presents practical experiences with deployment of advanced medical teleconsultation system - TeleDICOM over public computer networks and on standard PC computers. Requirements connected with operation in interactive and non-interactive modes have been discussed. Next, the architecture of the system has been described and its influence on deployment process and upgrade procedures has been evaluated. The thick-client architecture has been chosen; in this context communication and information flows are analyzed. The performance aspects of the system are related to medical data processing on a standard PC on a client site. The existing constraints of large DICOM files processing are listed and their solution are proposed. TeleDICOM was successfully deployed in John Paul II Hospital in Krakow and in a few regional hospitals in the South of Poland what practically verifies the proposed solutions.