CMIA · RRIS · Telemedicine
Regional teleradiology — from image to second opinion
A Central Medical Image Archive (CMIA), study routing between healthcare facilities and centers of expertise, asynchronous and online consultations, case conferences. A secure perimeter, integration with EGISZ (Unified State Health Information System of Russia) and regional radiology information systems (RRIS).
CMIA · REG. ARCHIVE
CMIA · regional archive
Centralized storage of DICOM studies for an entire Russian region. Integration with healthcare facilities, mobile units and cloud nodes.
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OPENRIS · ROUTING
OpenRIS · routing
A platform that distributes studies among remote radiologists by competency, SLA and workload. Internal quality control.
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TELEMEDICINE · CASE CONFERENCE
Telemedicine and second opinion
Asynchronous and online consultations, physician case conferences, a “doctor — requester” chat with attached studies and signed reports.
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Module 01 · CMIA
A regional archive for thousands of beds and hundreds of facilities
The CMIA collects studies from every facility in the region — hospitals, outpatient clinics, rural health posts (FAPs), mobile X-ray units. A single source of truth for the regional diagnostic radiology service and a single point of integration with EGISZ and VIMIS (vertically integrated medical information systems).
- Centralized storage. DICOM objects from all facilities in the region, a single patient identity, series deduplication.
- Gateway for unstable links. Queuing, resumption of interrupted transfers, compression — works over links from 2 Mbit/s, including from FAPs.
- De-identification and encryption. DICOM tag masking, AES encryption at the storage level, a secure perimeter via ViPNet by Infotecs.
- Long-term preservation. Hierarchical storage, replication to a backup site, checksum-based integrity control.
- Export to EGISZ. Automatic publication of electronic medical documents, IHE XDS-I, data transfer to the VIMIS systems “Prevention”, “Oncology” and “AKiNEO” (obstetrics, gynecology and neonatology).
CMIA · 142 facilities online
Connection map
cami-region · regional archive
CMIA · 1 node
Facilities (HCF) · 142 online
Cloud · 3 zones
Offline · 1 FAP
OpenRIS · Routing
CT
ROUTED
MR
QUEUED
CT
CITO
MG
QC · 2ND OPINION
CR
DONE
Center of expertise queue
42 in progress · 7 in QC · neuro SLA 24 h
City Hospital No. 7 · Serpukhov
Regional Hospital · Tula
Mobile CT No. 3
Polyclinic No. 12 · Arkhangelskoye FAP
Regional Hospital · Kaluga
Module 02 · OpenRIS
Routing and quality control by competency
OpenRIS automatically matches a radiologist to each study: modality, body region, SLA, workload, qualifications. A random sample goes to the quality control department. Service and cost accounting is built in.
- Connecting remote radiologists. Authorization, competency profile, shift schedule, mobile worklist.
- Competency-based auto-routing. Rules: modality, condition (nosology), SLA, CITO priority, the physician’s qualifications and current workload.
- Internal quality control. Random sampling algorithm, double reading, a discrepancy log and a QC index for each physician.
- Service and cost accounting. Rates by modality and condition, billing for the requesting facility, reports for the territorial compulsory health insurance fund (TFOMS) and the Ministry of Health.
- BI analytics. Reading time, SLA deadlines, workload by shift, discrepancy rate, dashboards for the chief physician and the regional chief radiology specialist.
- Connecting third-party healthcare organizations. An open API for commercial clients and partner centers — no software reinstallation.
Module 03 · Telemedicine
Consultations, case conferences and second opinion
All telemedicine scenarios under Federal Law No. 323-FZ “On the Fundamentals of Health Protection of Citizens in the Russian Federation” in a single tool. Asynchronous consultations read within the SLA, online consultations with a shared viewer window, case conferences with several experts, monitoring of physiological parameters.
- Asynchronous consultation. The requester sends a study, the expert reads it by the set deadline and signs the report with a qualified electronic signature (QES).
- Online consultation. A video call with a shared DICOM viewer — the physician and the expert move the cursor and scroll through slices in sync and discuss by voice.
- Physician case conference. Several experts in one window, voting on the conclusion, a final report signed by all participants.
- “Doctor — requester” chat. Linked to the study, history from the moment the request is created, attachment of DICOM series and signed reports.
- Remote monitoring. Collection of physiological parameters from connected devices, threshold alarms, transfer to the HIS (hospital information system).
AO
A. V. Orlov
MD, PHD · NEURORADIOLOGIST · NEURO CENTER
Good afternoon! I’ve sent a brain MR, female patient aged 62. Suspected stroke in the MCA territory. Need a second opinion on the ischemic lesion.
MR-261-7724.dcm · 412 MB
Got it, opening the DWI/ADC series. Starting an online session in 5 minutes.
I confirm an acute ischemic lesion in the right MCA territory, volume ~14 cm³. Report with QES attached.
protocol-MR-261-7724.pdf · QES
Technical specifications
Teleradiology consultations
The teleradiology consultation subsystem in ArchiMed: from a healthcare organization’s request to a report on its own letterhead.
Request
Requesting a consultation
- The physician selects studies and creates a teleradiology consultation request
- The request includes: patient and study, purpose of the consultation, CITO flag, consultant
- Notifications to the requester and the provider about new requests and completed results
- The consultant sees the electronic referral under which the study was performed
Assignment
Requests across the center’s physicians
- Manual and automatic assignment of requests
- A limit on the number of requests a physician takes on at the same time
- Priority for requests flagged CITO
- Configurable request assignment and display, status filters
Consultant
Everything for reading in one place
- Patient and study data, the study report, a link to the images
- The healthcare organization that sent the study is shown in the worklist
- Study anonymization for teleradiology consultations
- The consultation report and a “second read” alongside the study report
Report
On the requester’s letterhead
- The consultation report is issued on the letterhead of the organization that ordered the service
- Electronic signature, printing, PDF export
- The Accession Number links the referral, the study, the DICOM data and the consultation result
Healthcare organizations
Connecting requesters
- A module for transferring DICOM studies from healthcare organizations to the consultation center
- Received studies are kept separate for each healthcare organization
- Requester interface: the organization’s own studies and completed reports
Consultation center
Physician roles and employment
- Configurable roles for center users
- “Physician employment”: several healthcare organizations, departments, positions and FTE rates
- Employment is taken into account when choosing a consultant and routing studies
- Specifying which healthcare organizations a physician may consult for
Who it’s for
Teleradiology scenarios
From a regional diagnostic radiology service to a commercial center of expertise — one platform covers all telemedicine scenarios under 323-FZ.
Regional diagnostic radiology service
The regional health ministry centralizes facility archives, and complex cases are read at referral hospitals. Routing and SLA are managed at the regional level.
Commercial center of expertise
Study reading under contracts with healthcare facilities and insurers. Rate-based billing, QC, dashboards for owners and clients.
Cloud service for private clinics
SaaS for clinic chains and MRI/CT imaging centers. Archive, reading, reporting — without in-house infrastructure, within a secure perimeter.
Mobile units and FAPs
Mobile CT scanners, fluorography units, X-ray machines at FAPs. Transfer to the CMIA over a secure channel, reading by a remote radiologist.
Stroke network and cancer routing
CITO routing of stroke CT to a vascular center, oncology case conferences under Russian Ministry of Health Order No. 116n. Reading turnaround in minutes, not days.
Screening: mammography, low-dose CT, fluorography
Regional screening programs with double reading: the first read on site, the second by an expert at a referral hospital.
Secure perimeter
We work within regulated state systems
Ready-made connectors to EGISZ, VIMIS, regional RRIS and HIS. A secure channel via certified Infotecs tools, transfer auditing and access logs.
EGISZEMD, IEMK, REMD
VIMISPrevention, Oncology, AKiNEO
Regional RRISRussian regions
EMIASMoscow, Moscow Region
Infotecs ViPNetpartner · cryptographic tools
CryptoProQES · 63-FZ (e-signature law)
DICOM · HL7 v2 / FHIRstandards
IHE XDS-I · XCA-Icross-regional exchange
Medialog · MedworkHIS
RT-MIS · qMSHIS
1C:Medicine · AvicennaHIS
Open APIthird-party organizations
Compliance with regulatory requirements
323-FZ on telemedicine, Federal Law No. 152-FZ “On Personal Data”, an FSTEC certificate (Federal Service for Technical and Export Control of Russia). Included in the Unified Register of Russian Software; the secure perimeter is built on certified cryptographic protection tools.
Register
Russian Software Register
Rights holder: ArtVision LLC
FSTEC
Certificate of conformity
personal data protection
Law
323-FZ · 242-FZ
telemedicine services
Standards
DICOM · HL7 · FHIR
IHE XDS-I · XCA-I
CITO
priority for urgent
requests
requests
Auto
assignment of requests
among consultants
among consultants
Limit
on requests in progress
per physician
per physician
Logo
report on the requester’s
letterhead
letterhead
До ЦАМИ КТ-исследование из района доезжало до эксперта на диске за двое суток. Теперь инсульт-протокол открывается у нейрорадиолога через четыре минуты после сканирования.