DICOMfaxadder poster presented at RSNA 2008 and to be presented at SIIM 2009.

1. EXHIBIT SUMMARY
Accurate teleradiological interpretations require the teleradiologist to be aware of all patient
information submitted by the referring physician, the patient, and the technologist who
performs the imaging examination.
We describe the development of software that automates the routine inclusion of non-digital
paper-based data directly into DICOM examinations.
No human intervention is required. The software works by allowing the direct faxing of
non-digital paper-based patient data directly into DICOM imaging examinations, and is added
as the first series in the examination.
The software is effective in any typical PACS/DICOM server environment and is called the
DICOMfaxadder (DFA)

2. Functions performed by the DFA: sample DFA fax coversheet sample DFA examination log
Produces a bar-coded cover sheet coded
for every examination received.
GUI email address and fax number database
of client sites for auto-transmittal of bar-coded
cover sheets.
Auto-rotates encoded coversheets faxed tilted
or upside-down from client sites.
Column shows
Bar-decoding correction for disrupted barcodes when examination
sent from dirt or defective fax machines at was received by
DICOM server
cli ent sites.
Stacking of multiple patients separated by
different patient cover sheets. Column shows
when paperwork
was received by
DICOM server
Automatic production and transmittal of
exami nation logs for exams received and
processed during the preceding 24 hours.

3. Event A) Client Site sends an examination to our DICOM server for interpretation. Examination ar-
rives.
Event B) DICOMQuery portion of the DFA detects a new examination residing on our DICOM
server. It copies the DICOM header information to the faxadder database, and sends a coded fax
cover sheet back to the originating site’s fax machine.
Event C) Personnel at client site match the newly arrived fax cover sheet with the patient’s paper-
work corresponding and fax the papers back to the Autosend portion of the DICOMfaxadder.
Autosend then decodes the barcode, pulls the DICOM header information for the examination
from the database, converts the multipage fax to DICOM format images and adds the header in-
formation to each piece of paperwork with a series value of 0.
Event D) Autosend forwards the newly formed series 0 containing all the patient’s paperwork to
our DICOM server, where the new series is attached to the imaging examination as the first series
in the examination. When the radiologist opens the exam for interpretation, the first series to be
displayed is the paperwork with the clinical information.

4. Workflow of the DICOMfaxadder (DFA)
Teleradiology
Client Site Event B
Event A Exam n FAX cover-
Event C sheet is faxed back
Exam n arrives to the originating
Exam n FAX cover-
at our DICOM
sheet + paperwork examination site
server
is faxed back to our
faxadder server.
DICOMQuery
Event D
DICOM Paperwork is sent (DICOMfaxadder)
back to DICOM Database
SERVER
server.
AUTOSEND

5. Page 1 Page 2
DICOM
faxadder
Page 3
Page 4

6. SCHEMATIC REPRESENTATION OF THE USE OF THE DICOMFAXADDER (DFA)
IN A TELERADIOLOGY SETTING
DICOM SERVER
paperwork
DICOMfaxadder
paperwork
Teleradiology
+
Client
internet
examination examination
Site
teleradiologist