The 6.000 users are together with the 2.300 clinical cases and about 30.000 images and videos.

Moreover, some Medting Enterprise projects have been executed for private Medting communities. See Case Studies

Medting is really been consolidated as a lider platform to create clinical case discussion in a profesional social network platform.

Los 6.000 usuarios se suman a los más de 2.300 casos clínicos y casi 30.000 imágenes y videos.

Además se han puesto en marcha diversas plataformas Medting Enterprise (privadas y exclusivas para grupos u hospitales). Ver Casos de Éxito.

Medting se está consolidando con una plataforma líder para la discusión de casos clínicos y red social para profesionales.

Participants
 Hospital Universitario Son Dureta - Spain
 Instituto Valenciano de Oncología - Spain
 Hospital Universitario Vall d’Hebron - Spain
 Hospital Sant Joan de Déu - Spain
 Hospital Regional de Bata - Equatorial G.
 ONG Desarrollo 2000 en África - Equatorial G.
 Hospital Regional Docente de Trujillo - Peru
 Instituto Nacional de Cancerología - Mexico
 Saint John of God Hospital - S. Leone
 CMF International - Kenya
 Kenyatta National Hospital - Kenya
 University of Nairobi - Kenya
 C2C Consultoría TSIS, S.L. - Spain

Funding Program
 7th Framework Programme of European Union
 Budget: 790,000 €
 Duration: 30 months

Technology
 MIO Software (image capture and upload)
 MEDTING (clinical case exchange platform)

The iSA project will establish a collaborative model where doctors can provide second opinion to improve quality of care

This is an EU funded Project and an EU-funded international support action that seeks to provide Web-based diagnostic and therapeutic support in infectious diseases and children/adult oncology, to hospitals located in emerging communities of Africa and South America.

The iSA cooperation network is led by health professionals from Son Dureta hospital (Malllorca, Spain) in collaboration with doctors of Vall d’Hebron, Sant Joan de Déu Barcelona and the Instituto Valenciano de Oncología (Spain).

iSA has been designed to provide clinical support for infectious diseases and for children/adult oncology cases. One of the main goals of the 30-month project is to set up a second opinion platform that enables remote doctors to share medical content around a patient and improve the diagnostic quality.

The iSA website uses MEDTING to communicate among doctors from different sites and as a platform to exchange medical images and clinical cases. Mobile access to information is also provided for remote areas where no internet connection is possible.

The projects implements Medting Second Opinion

Doctors regularly collaborate with one another on the diagnosis and treatment of complex cases. Leveraging the expertise of colleague physicians gives you the ability to tap into the knowledge of a multidisciplinary group of experts whether inside or outside your own medical facility.

Easily sharing such cases with a worldwide group of physician experts through the internet offers a higher probability of the case being reviewed by a greater number of consultants. This potentially offers better clinical outcomes by enhancing the quality of the clinical service and increasing patient safety.

Furthermore, hospitals can utilize MEDTING to create new business opportunities. Second opinion services, telemedicine or excellence expertise networks can be established by utilizing the web based MEDTING technology.

Medical Pictures, Videos and Cases Exchange

MEDTING is an internet website for collaboration on clinical cases, through a convenient way to upload and share medical images, videos, and associated case information.

Cases can be designated public - shared with all MEDTING users, or private, invited viewers only. As MEDTING provides services only for the purposes noted above, patient identifying data is prohibited from MEDTING uploads and related discussions. Private content is useful for telemedicine and second opinion services.

Private content is useful for telemedicine and second opinion services.

The translation capability facilitates the conversation among physicians who speak different languages.

A group of hospitals can use MEDTING as a telemedicine tool. MEDTING helps healthcare organizations and hospitals share images easily and privately.

Don’t lose the opportunity, meet MEDTING.

Worldwide medical discussion without language and distance barriers can be achieved. Second opinions can be easily run and set up. Visionaries and innovators are already working on it.

COTMES has incorporated MEDTING Enterprise in order to build a powerful Web-based clinical image management platform integrated in the group’s Web site.

With MEDTING every doctor of the committee is able to upload large volumes of clinical images and cases in an automated way. The solution uses MIO (Medical Images Organizer), which automates the capture and upload of images generated by any medical imaging device (including MRI, CT scanners, digital cameras, etc).

The MEDTING Enterprise platform integrated into COTMES website allows doctors to maintain constant communication facilitating the exchange of the clinical cases to be reviewed every week. The system has also opens the possibility to easily share videos and provide second-opinion services to hospitals throughout Spain and beyond.

Project Summary

Objectives
 To facilitate Web-based communication among the members of the committee
 To enable the storage, visualization and exchange of clinical cases including the sharing of medical images with external hospitals

Products

 COTMES Web site integrates MIO and MEDTING technology to automate the upload, visualization and exchange of clinical cases.

Features
 Web-based medical image repository
 One-click image capture and upload
 Automatic deletion of patient personal data
 Instantaneous multi-language translation
 Integrated DICOM image viewer
 Video player
 SNOMED tag system for classification of contents
 Content search engine
 Easy display of cases in external sites and blogs via code-based connectors

Benefits
 Unlimited image storage space independent of hospital infrastructure
 Second-opinion workflow optimization
 Website integration
 Information security
 Patient privacy

About COTMES
COTMES is composed of a multidisciplinary team of surgeons, pathologists, radiologists, radiotherapists, rehabilitators, and medical oncologists specialized in Sarcoma management.

Since 1996 COTMES holds weekly meetings for the multidisciplinary management of patients with limb and trunk soft tissue tumours, primary and metastatic bone and reperitoneum tumours and, in general, of all sarcomas. The incorporation of microsurgery, the experience in vascular prostheses and the high qualification of its surgical team give COTMES a privileged position to offer limb conservation surgery of excellent quality.

For further information please visit www.cotmes.com

The project implements Medting Workgroup.

Medical Societies, Associations, Clinical and Research Workgroups traditionally develop websites as a reference place for members. Some of them incorporate a wiki or blog technology.

MEDTING Platform can be easily integrated into any website and allow a group of users to build a powerful clinical data repository that can provide great benefit to the taskforce. The storage of these images and videos coupled with case comments offers clinical professionals very valuable educational and reference tools that can positively impact the quality of patient care.

MEDTING functionality and content can be smoothly integrated into any website as a white label platform.
Medical societies, workgroups, research network can benefit their website through MEDTING.

Easy and automated exchange of medical content can be done privately, globally and immediately.
Clinical or research groups can also use the MEDTING technology and connectors to create customized content focused on one particular disease process.

Medting is also integrated with PubMed. When reviewing a clinical case or resource (image or video) with keywords assigned, Medting performs a search on Pubmed citations. An example of the results of such a search are shown in the accompanying graphic.

MEDTING organizes content by using standard terminologies like SNOMED and also integrates MeSH.

MEDTING is a web based social community for physicians. Cases, images, and videos are evaluated by MEDTING users leading to further case commentary and sharing with others.

Clinical sites that discuss clinical topics or illnesses can link to medical content posted on MEDTING, providing meaningful content on their website.

MEDTING Enterprise also allows any organization to own and have their own private platform for exclusively use of the members.

Heidelberg has created an internal repository for relevant clinical case discussion and medical education. Doctors, researchers, students, educators and residents use MEDTING within their institution to perform clinical reviews, conduct research, obtain second opinions and provide clinical decision support.
The platform automatically allows sending relevant clinical cases and images from the PACS to their private installation of MEDTING. This means that Heidelberg University can use MEDTING as a private platform to share, publish, and review its exclusive content that will only be available within Heidelberg University.
MEDTING will be used for creating a teaching and academic repository directly from clinical daily activity, connecting clinician community into a social web platform accessible from an Intranet, creating an educational repository for use in accreditation and training certifications. The platform can also be used for telemedicine and online clinical session discussion.

With a 600-year history, the University of Heidelberg is one of the highest-ranking locations in the world for international science and scholarship. The University Hospital is proud of this tradition and strives to be on top of medical research and implement state-of-the-art innovations in therapy and diagnostics. As one of the world’s top teaching hospitals, it is committed to staying on the leading edge of innovation.

 Heidelberg means innovation

The University Hospital of Heidelberg is one of the biggest medical centers in Germany. About 7,100 medical professionals in more than 40 clinics and departments are taking care of about 800,000 patients per year, following the latest standards in healthcare.

In 2003, the hospital began rolling out GE CENTRICITY RIS/PACS throughout the 1500-bed hospital - the largest installation of its kind in Europe. It was a two-year project implemented in phases aiming at covering general diagnostics, cardiology and radiology.

The PACS installation was part of a larger, more ambitious IT project. In 2004, Heidelberg opened a new 280-bed medical center focused on internal medicine with intensive care units (ICUs) and intermediate care units (IMCs) for cardiology and gastroenterology among others. All beds are monitored, also in the non-acute wards, with either stationary or mobile monitoring.

The project implements the Medting Academy Solution.

You like Medting but want

• complete control over your own and private MEDTING
• content published only for your physicians
• images uploaded from your PACS
• creation of a private teaching repository
• connect your doctors, students, even patients privately

Any Healthcare Organization, Medical Center or Hospital can create their own private repository of clinical cases, medical images and videos.

Clinical Transformation, Knowledge Management and Transfer Using Social Networking 

Most academic, research, university medical centers have commonalities: clinical innovators, worldwide leaders, reference hospitals with a big and diverse user community of physicians, residents, students and researchers.

Access to social networking can bring new ways for the medical community to build relationships within the organization.

By creating a medical community that shares cases, allows comments and promotes collaboration, MEDTING facilitates the exchange of medical knowledge among all medical professionals. The collective intelligence of such a broad community exceeds the capabilities on any individual member. MEDTING seeks to positively impact health knowledge management and quality of care by offering the benefits of its software and services.

Create your teaching repository from your own clinical daily activity

MEDTING is a perfect platform to create a teaching repository automatically from a PACS system or departmental solution. Any PACS system can be integrated with any relevant case detected and sent to MEDTING.
The medical content can be sent directly from the medical device (CT, MRI, Hemodynamic, EKG, Microscope, Endoscope, Photo Camera, etc.).

Sample case study: University Hospital of Heidelberg socializes medical training and collaboration through MEDTING

Last april 4th, Medting CMO, Barry Chaiken, presented the project and business plan to potential investors at HIMSS Venture Fair in Chicago. The event was hold during the HIMSS Conference 2009.

The event was really profitable and openned several opportunities for Medting to take in consideration. Product is really well receive from the market and Medting is looking for investors to be able to go to market fast and globally.

We are on the good way….

Some photos from the presentation

In the scope of the the Mobile World Congress 2009 Cisco and Intel have organised a private tradeshow about how technology could be applied for healthcare.

The demo was about showing a real medical workflow and how a combination of technology can help to provide good quality healthcare service to remote areas. See the video:

The partners in the demo and applied technology were:

• Cisco: providing WiMax and Call Manager
• Intel: MCA (Mobile Clínical Assistance)
• Map of Medicine: clinical workflow and pathways tools
• C2C: Medical Images Organiser (MIO) as dicomizer and MIO Alert Manager as Call Manager API for medicine
• Medting: global and free exchange platform for telemedicine and medical knowledgement acces

The attendees were invited people from several companies worldwide. Companies interested in offering services through communications. It was really interesting event were lots of dicussion came on the table. The value of bringing a free platform like Medting into in developing nations for medical education, rural health access, telemedicine and mobile health perfectly fits with the Intel World Ahead Program. WiMax also is going to bring a poweful way to establish and communicate. The technology is there, the big ones and pushing such and innitiatives; so the future will come soon.

MIO^TM performs the integration and automatic detection of medical images directly from a connected medical device or video camera.

MIOTM then builds the clinical case, captures de images (in Dicom if necessary) and send all the information to Medting creating a private case.

Medting allows the user to complete, share, translate, invite colleagues and discuss the case.

One Click Telemedicine … easy and friendly

If you are interested in One Click Telemedicine contact us at: sales@medting.com

About MIO^TM Medical Images Organizer

More information about MIO^TM at www.c2ctsis.com

MIO Integrated Devices

Pathology

NIKON Coolpix 995

OLYMPUS  DP12

OLYMPUS  DP71

Cardiology

CARDIOPLUS Cardiotest Plus

GE VIVID 3 / VIVID 4 / VIVID 5

GE VIVID e / VIVID i

GEM-MED Gem Heart One

GEM-MED Gem Heart One+

HP SONOS 5500

MORTARA ELI 150 / ELI 210

MORTARA ELI 250 / ELI 350

NIHON KOHDEN CardiofaxS ECG-1250K

PHILIPS PAGEWRITER TRIM II

PHILIPS PAGEWRITER TRIM III

PHILIPS SONOS

QRS Universal EGC

Digestive System

FUJI-FUJINON System 4400 Processor

OLYMPUS  Exera CV-145

OLYMPUS  Exera CV/CLV-160

Gynaecology

GE Voluson 730 Expert

OLYMPUS  OTV-S6 CLV-S30

TOSHIBA    Aplio 25

TOSHIBA    Aplio 50

TOSHIBA    Nemio 10

TOSHIBA    Nemio 20

TOSHIBA    PowerVision 6000

TOSHIBA    SSH-140A

Hematology

NIKON DS-Fi1

Laboratory

RADIOMETER NPT7

Neurology

TOSHIBA    Nemio

Surgery

KARL STORZ PC-Aida 20093301

PHILIPS BV Libra

PHILIPS BV-300

STRYKER     Striker Digital Capture

Ophthalmology

TOPCON CL-100

TOPCON CT-60

TOPCON KR-8800

TOPCON TRC-50IX

TOPCON TRC-NW5S

ZEISS HFA 740i

ZEISS HFA 745

ALCON OCUSCAN RxP

ALCON ULTRASCAN

BAUSCH & LOMB TECHNOLAS 217

BAUSCH & LOMB ORBSCAN

BAUSCH & LOMB ZYWAVE

CANON CR6-45NM

CANON GF-60V

HAAG-STREIT BQ 900

INDO NIDEK AOS-1100

INDO NIDEK ARK-700

INDO NIDEK ARK-2000E

INDO NIDEK LM-820

INDO NIDEK LM-990

INDO NIDEK RT-2100

Radiology

FUJI FCR Capsula XL

SIEMENS    ECAT

SIEMENS    Multistar Top

SIEMENS    Magnetom Impact

SIEMENS    Polycat

Urology

OLYMPUS  OTV-S6/CLV-S30

OLYMPUS  VISERA OTV-S7/CLV-S40

PHILIPS ATL Ultrasound

PHILIPS HDI 4000

TOSHIBA USBUA240A

Dermatology

CANON PowerShot A620

FOTOFINDER Dermoscope HD

NIKON Coolpix 4500

NIKON Coolpix 5400

NIKON Coolpix 8400

OLYMPUS  E330

Ear, Nose and Throat

APPLITEC MSV-2000

FUJINON    System 2200

KARL STORZ Celicam Dxpal 202320/20

OLYMPUS  Exera CV/CLV-160

OLYMPUS  Exera EV/CLE 145

OLYMPUS  OTV-SC CLH-250

Medting permite almacenar de forma gratuita imágenes, videos y crear casos clínicos. Os puede interesar medting como:

Repositorio de conocimiento, almacenamiento de casos.

Herramienta útil para complementar vuestra web: gracias a los conectores podeis linkar contenidos en Medting:

Espacio del caso clínico del día: ejemplo similar en GEFOR (GRUPO DE ESTUDIO PARA LA FORMACIÓN Y DOCENCIA EN ENFERMEDADES INFECCIOSAS Y MICROBIOLOGÍA CLÍNICA)

Visor de Atlas: ejemplo de un patólogo de la Clínica Mayo que tiene más de 6.000 imágenes en Medting y las enseña en su blog

Herramienta de telemedicina mediante la creación de casos privados). Teleictus en Catalunya

Además, podeis disponer de Medting Enterprise como espacio privado y exclusivo para vuestro hospital / proyecto. Si estais interesados no dudéis en contactar con nosotros.

We just want to try to bring some tools for clinicians to collaborate and improve healthcare. It’s our modest collaboration to help any patient.

Also we support innitiatives like Run for Multiple Sclerosis with some sponsorship.

Webicina is a privately held company aiming to build a bridge between physicians and e-patients. Webicina provides services that help medical professionals and patients enter the web 2.0 era. The visionary Health 2.0 guru and expert, Bertalan Meskó, has founded this innitiativeafter seen that the number of e-patients is growing rapidly while the number of web-savvy doctors is not.

With personalized Medicine 2.0 Packages, step-by-step tutorials, webinars and online image building solutions. Webicina was designed to help physicians from all the medical specialties and patients as well to get closer to the web 2.0 based world.

Medting has supported the innitiative from the begining. The need of trainned doctors about the internet and web 2.0 is a big issue and Medting can offer a good clinical service to doctors that can also realize about the benefits and potentials of the new internet.

For that reason Medting has become Webicina partner and will be one of the platforms and services included in the Webicina packages.

If you are a doctor, hospital, healthcare organization and even a patient willing to understand how web 2.0 can bring value to healthcare go to Webicina and request for one training package for you.

Medting has been asked to provide solution in some hospitals in combination with MIO product.

Talking about video at operating room, there are different problems to be solved:

1. You will need to capture the image/video generated by any kind of device (an endoscope, for instance), and convert it to DICOM. MIO can do this, retrieving patient ID or other data from any information system (HIS, RIS…) to properly identify the images/video; converting the images to DICOM generating appropiate DICOM tags for the image, and then sending them to a repository. You can also configure MIO to capture video sequences, preconfiguring the length of the sequences. (Of course you can capture unlimited video length also). MIO can generate DICOM multiframe or mpeg2 video.
2. Then you will need to store the videos. Here you’ve got two possibilities, depending on your needs:

• If those videos are intented to be included into the Electronic Patient Record, I would recommend the PACS as a storage system. In that case you would store “short” video sequences in DICOM multiframe format (usually the PACS doesn’t support mpeg2 storage). MIO can easily communicate and integrate with PACS system. C2C has developed MIO Broker, what allows us to send information to PACS without requiring a previous RIS schedulling.

• If those videos are intended for research or for “private” storage (maybe the physician wants to keep a copy of all his work while he is in the operating room), or if you want to share them between other colleagues outside your hospital, allowing them to make comments, or if you want to implement some kind of telemedicine project, then MEDTING is the right repository.

Putting all this together, we have developed a packaged solution for Videos at Operating Room. With the system On, the physicians just have to press a foot switch or a wireless mouse to automatically start/stop video recording, and automatically convert it and sent it to PACS/MEDTING.

See more in the slides:

Quality Awards from the Ministry of Health are designed to reward institutions, schools, teams, groups and health services have been meaning to the activities of improvement in the quality of services offered to citizens, and recognize the initiatives to improve the quality of healthcare through innovative projects.

Driven by the Departament de Salut de la Generalitat de Catalunya and I2CAT Foundation, with support from the Foundation TicSalut, Telestroke project aims at improving the treatment of stroke that requires urgent attention of neurologists to reduce the side effects of the disease and that in Catalonia causes 9.2% of overall mortality (7.5% in men, 11 1% in women).

The initiative makes possible to offer neurological service remotely to hospitals that do not have such a department. The connection of reference hospitals to the remote / rural hospital allows the neurologist’s referral center to visualize, in real time, the radiological image of the patient and to assess and identify
appropriate therapies to patients during the early hours the acute phase of cerebral stroke.

Initial Phase: Connecting Vic and Vall d’Hebron

The project started in January 2007 between the Vall d’Hebron Hospital and the Hospital of Vic, by using a videoconferencing system between the two centers, a neurologist the Hospital de la Vall d’Hebron
is allowed to review the clinical data of a patient at Vic hospital suffering from stroke in acute phase. The neurologist has all the data and diagnostic tests and interacts with the patient through the image and voice.

The cerebral stroke is a disease of sudden onset that immediate intervention is essential to avoid serious consequences, such as disability or dementia. The sooner the thrombolytic treatment is administered, the optimum time is a maximum of three hours, it may be more beneficial to the person concerned. The most important risk factors include hypertension, atrial fibrillation, diabetes, dyslipidemia and coronary heart disease.

In the telestroke project, the neurologist of Hospital de la Vall d’Hebron can view the patient at the Vic Hospital in real time, and their radiological images, and applied for thrombolytic therapy immediately
if it is shown, thus avoiding a move that may prove detrimental to the sick person. Telestroke project has been applied in 91 cases.

Extension: More equity and accessibility to health care

Telestroke project involves a process of technological innovation and horizontal integration between hospitals and the momentum of networking and is aimed at improving patient outcomes of care. The initiative also improves the fairness of health provision and access of citizens to health services.

Under the Plan for Cerebral Vascular Disease (PDMVC) of the Department of Health, Telestroke strategy and technology platform is the way for treating stroke in its acute phase, along the Catalonia region.

In such an extension, the platform has incorporated MEDTING as a mechanism for structure, store and share the clinical case as well as MIO (Medical Images Organiser) tool from C2C for automatic transmission of CT images. MEDTING enables the exchange and discussion of the case in asynchronous manner, streamlining communication and reducing costs when no online communication is required.

Figure: The combination of MIO and Medting make possible the One Click Telemedicine.