Hello! I am an I.T. professional who is new to the medical imaging world...so, please bear with me and excuse my ignorance on the topic. I am learning.
Here is a brief summary of our setup, followed by the questions....
Essentially, this doctor has 3 different office locations with respective CONQUEST servers at each...there is a 4th CONQUEST server located at an offsite data center. At the end of each night, images are pushed from the various servers to that offsite CONQUEST server for safekeeping. Furthermore, somehow (and I cannot figure out how), the system will look to see which patient is being seen the next day, and push prior studies images to that office location’s doctor review station.... so that way they are there for him and don’t need to be manually retrieved…they’re ready to go for when the appointment starts.
The problem we’re having is sometimes images don’t finish pushing overnight and we think they may be timing out because of how large they are?…but we’re not sure. Here is how the Doctor describes it:
---------------------------------------------------------------------------------
“I'm in the L1 office today and on XXXXX, I got only the 2D RCC image for the 2019 study from the overnight push. Why did it stop sending the rest of the 2019 images? I still think that it would be beneficial to stop sending tomosynthesis images automatically overnight, if you can do that.”
“On XXXXXX, I received the 2020 images, but for the 2019 study, I received only the LCC 2D image. I think we should stop sending the prior tomo images automatically overnight, since they are huge and take a lot of bandwidth. If we need them, we can have the techs push them to our workstation.”
----------------------------------------------------------------------------------
My questions....
* If images are scheduled to automatically push to the various Doctor review stations at the different offices in preparation for patient appointments, where would that be configured? Where would the script be? How would that work and be set up? Is there also a log somewhere which may be helpful?
* Furthermore, could we exclude Tomo Images from these overnight image pushes as he mentioned?
Any help is greatly appreciated. Thank you so very much for your time.