<s>
VistA	B-Algorithm
Imaging	I-Algorithm
is	O
an	O
FDA-listed	O
Image	O
Management	O
system	O
used	O
in	O
the	O
Department	O
of	O
Veterans	O
Affairs	O
healthcare	O
facilities	O
nationwide	O
.	O
</s>
<s>
The	O
VistA	B-Algorithm
Imaging	I-Algorithm
System	O
uses	O
hardware	O
components	O
to	O
provide	O
short	O
-	O
and	O
long-term	O
storage	O
.	O
</s>
<s>
It	O
uses	O
a	O
DICOM	B-Algorithm
gateway	O
system	O
to	O
communicate	O
with	O
commercial	O
Picture	B-Application
Archiving	I-Application
and	I-Application
Communication	I-Application
Systems	I-Application
(	O
PACS	B-Application
)	O
and	O
modalities	O
such	O
as	O
CT	O
,	O
MR	O
,	O
and	O
Computed	O
Radiography	O
(	O
x-ray	O
)	O
devices	O
for	O
image	O
capture	O
.	O
</s>
<s>
The	O
system	O
not	O
only	O
manages	O
radiologic	O
images	O
,	O
but	O
also	O
is	O
able	O
to	O
capture	O
and	O
manage	O
EKGs	B-Application
,	O
pathology	O
images	O
,	O
gastroenterology	O
(	O
endoscopic	B-Application
)	O
images	O
,	O
laparoscopic	O
images	O
,	O
scanned	O
paperwork	O
,	O
or	O
essentially	O
any	O
type	O
of	O
health	O
care	O
image	O
.	O
</s>
<s>
VistA	B-Algorithm
Imaging	I-Algorithm
is	O
currently	O
integrated	O
into	O
the	O
VistA	B-Application
EMR	I-Application
(	O
electronic	B-Application
medical	I-Application
record	I-Application
)	O
system	O
used	O
nationwide	O
in	O
Department	O
of	O
Veterans	O
Affairs	O
hospitals	O
.	O
</s>
<s>
It	O
has	O
also	O
been	O
used	O
as	O
a	O
separate	O
software	O
package	O
and	O
can	O
be	O
used	O
with	O
EHRs	B-Application
other	O
than	O
VistA	B-Application
.	O
</s>
<s>
VistA	B-Algorithm
Imaging	I-Algorithm
now	O
connects	O
to	O
a	O
nationwide	O
backbone	O
that	O
allows	O
clinicians	O
to	O
access	O
the	O
350	O
million	O
images	O
stored	O
in	O
the	O
VA	O
system	O
via	O
Remote	O
Image	O
View	O
software	O
.	O
</s>
<s>
The	O
VA	O
has	O
developed	O
interfaces	O
for	O
more	O
than	O
250	O
medical	O
devices	O
in	O
VistA	B-Algorithm
Imaging	I-Algorithm
,	O
the	O
images	O
from	O
which	O
can	O
be	O
accessed	O
through	O
the	O
desktop	O
VistA	B-Algorithm
Imaging	I-Algorithm
Viewer	O
.	O
</s>
<s>
The	O
Department	O
of	O
Defense	O
will	O
use	O
the	O
VistA	B-Algorithm
Imaging	I-Algorithm
Viewer	O
to	O
enhance	O
its	O
own	O
EHR	O
.	O
</s>
<s>
As	O
part	O
of	O
the	O
US	O
national	O
mandate	O
to	O
co-ordinate	O
care	O
between	O
Department	O
of	O
Defense	O
and	O
the	O
VA	O
,	O
VistA	B-Algorithm
Imaging	I-Algorithm
is	O
forming	O
a	O
cornerstone	O
of	O
the	O
effort	O
to	O
exchange	O
medical	O
imagery	O
between	O
the	O
two	O
systems	O
.	O
</s>
<s>
Additional	O
enhancements	O
to	O
VistA	B-Algorithm
Imaging	I-Algorithm
include	O
development	O
of	O
a	O
central	O
archive	O
for	O
all	O
VA	O
images	O
(	O
whether	O
acquired	O
through	O
VistA	B-Application
or	O
a	O
commercial	O
system	O
)	O
and	O
new	O
indexing	O
and	O
search	O
capabilities	O
.	O
</s>
<s>
The	O
software	O
for	O
VistA	B-Algorithm
Imaging	I-Algorithm
has	O
been	O
made	O
available	O
through	O
the	O
Freedom	O
of	O
Information	O
Act	O
so	O
that	O
it	O
is	O
in	O
the	O
public	O
domain	O
.	O
</s>
<s>
VistA	B-Algorithm
Imaging	I-Algorithm
uses	O
proprietary	O
modules	O
not	O
in	O
the	O
public	O
domain	O
.	O
</s>
<s>
The	O
VistA	B-Algorithm
Imaging	I-Algorithm
system	O
was	O
robust	O
enough	O
to	O
be	O
restored	O
after	O
Hurricane	O
Katrina	O
damaged	O
the	O
data	O
facility	O
at	O
the	O
New	O
Orleans	O
VA	O
.	O
</s>
