From Trust to Use and Beyond Chapter Eight | Page 7

Another example of regional collaboration around a
central repository is the Servicio Andaluz de Salud (SAS),
which links a public group of 80 hospital areas and 1600
health centers that manage 10 million exams/year. SAS
is migrating 500 TB of data from different vendors and
disparate systems so they can be accessed by 16,000
physicians through an enterprise viewer.
Worldwide as well as in the United States, the issues are similar: Do I connect legacy systems or replace
them, do I create a central archive or a federated repository, do I store locally or in the cloud? DASA
Group in Brazil is a large medical diagnostics group with 321 branches across
Brazil. Their solution relies on “a single” enterprise Vendor Neutral Archive,
accessible via an enteprise viewer that provides a global patient worklist as
well as image access to referring physicians across the country.
As Carestream’s Ludovic D’Aprea points out, “In a consolidation situation, systems should be flexible
enough to adapt to any business need—shouldn’t limit strategy—and many organizations have more
options than they think. IT systems should adapt, but not limit strategy.”