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LNZC2018-0566
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LNZC2018-0566
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1234 2018 12 20 137098443781.)2.43.5/67 5 , 1 ,8,1,9101138. 23447785 234477501250%138% 14: : 155: :1380402246815 100A509 024-23447797024-23447773024-23447726 024-23447772
CT2006PACS2006CT1002000200618201780PACS/RISPACS
11650000016500000160000
1213:003.4 0338260102000005309
11-121-231-3
1)224345346PACS7
15326374,8
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LNZC2018-0566
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1-11112IHEDICOM3.0HL73PACS45RIS/PACS67DICOM WORKLISTRIS81.11.1.1SOA (Service-Oriented Architecture)1.1.21.1.3PACS1.1.4VMware1.1.51.1.6(Load Balancing)1.21.2.1SYBASESQL ServerMYSQL1.2.21.2.31.2.41.2.51.2.61.31.3.1DASSANCAS/1.3.21.3.31.3.4:1.3.5DICOM LosslessDICOM Lossy2:11.41.4.12000CT111.4.2B/S31.4.33D201.4.4Web3001.4.5RIS151.4.6RIS701.4.7RIS702PACS82.1 DICOM CTMRCRDRRFMGDFSCDSANMPETUSESPACSDICOM2.2DICOM Storage SCU/SCP SOP ClassDICOM3.02.33PACS43.1DASSANCAS, //3.23.33.4(near-line)3.5:3.6DICOM LosslessDICOM Lossy2:1PACS23.73.83.93.10SANNAS4CTMRCR/DRXDICOMDVDCDDICOMDVDCD/DICOMDICOM()DICOM/DICOMPACS(Worklist)(Auto-Routing)()(Sync Image)DICOM/()KEY IMAGES(ROI)(WW/WL)///ROI()CobbS(ROI)(WW/WL)///ROI()CobbMPRCPRMIPCRDRDRCR5M24-bitDICOMPCROIExcelDICOMDICOMTIFBMPAVITIFBMPAVIDICOM JPEGDICOMDICOMPCDICOMDICOM(Part 10)DVD/CDPACSDICOM DICOM CDPCDICOM2X2;;12;/;;/();();;CD3D20PACSSFDACTMRCR/DRXDICOMDICOM(Worklist)DICOMTIFBMPAVITIFBMPAVIDICOM JPEGDICOMDICOMPCDICOMDICOM(Part 10)DVD/CDDICOM DICOM CDPCDICOM2X212//()()CDMPRCPRMIP////3D/AverageMIP, MinIPVR3DPETCTMRXAVRCT/MRPET/CTPET/MRVRDistance measurement Cross-sectional area Single or Dual Reference point Relative percent stenosis Volume measurement Mean diameter /////CT110110103D2103DMPRCT3D5123D360VR3D VRMPEGMPEGPACSDistance Cross-sectional area Single or dual reference point comparison Relative percent stenosis Volume Mean diameter Minimum diameter Maximum diameterCTCTCTAmCTA6mCTA/2D MIPCTAColorVizMR MRAMR2D3D CSIOne TouchREADY ViewMR General ReviewROIROIcsvT1T2*MREITTPMTTMSIMSDGVFBrainStatAIFBrainStatrCBFrCBVMTTTTPBATTmaxFiberTrakSave StateFiberTrakPETPETPETStandard Uptake ValueSUV5PACSInternet Explorer 8 9,Internet Explorer 10 11 Mozilla Firefox v32Macintosh iPad Apple Safari v7.1.8Google Chrome v32CFDAWindows Macintosh iOS / MRN , EA MRN 1X11X1MPR/MIPCTRROI6Web300WebIEGoogle ChromeSafariDICOM//AVIPACS7DICOMCT/MRCRDRECTIVUSDSAAVI//ROIROIROICFDAQCAQVACFDAIVUStxtbmpAVIJPGBMP8RIS2 8.1RISPACSOEM8.2DICOM Work list8.3RISDB2, OracleMS SQL ServerMy SQL8.4Vmware8.5PACS8.68.78.8GUI8.9VIP8.10RISIHE Radiology DomainSWF, PIRProfileIHE-CIHE8.11PACS8.12RIS9RIS15IDHISHISRISDicom Modality worklistPatient IDAccession No/ /VIP10RIS70PACSIDPACS/RIS///,,), ACRICD10 11RIS70,worklistRISPACSPACS/RISPACSRISRIS12137-810Defect14RIS1515.115.215.315.415.515.615.71617////ACRICD10AB()EXCEL1818.118.1.1HIS18.1.218.1.318.1.418.1.518.218.2.118.2.218.2.318.2.418.2.518.2.618.2.718.318.3.1iPadAndroid18.3.218.3.318.3.418.3.518.3.618.3.718.3.818.3.918.3.1018.3.1118.3.12MPR/MIP18.3.13CTR18.3.14ROI19DICOMMIRCWORD,EXECL,PDFRIS/PACS DICOM Study///ICD10 ACRWORD,PDFgoogleRIS20HL7/DICOM/XDS/PIXXMLMicrosoft office, JPG, bmp, PDFWADODICOMIHE XDSXDS.b/XDS-I/////XDS.bKOS2121.1HISHL7HL7 21.2HISRIS21.3HISRIS21.4DICOM Modality Worklistworklist21.5PACS22RIS/PACS2323.1.123.1.223.1.3 23.1.423.1.523.2.123.2.223.2.323.2.423.2.523.2.624 24.1.24.2FREX24.324.424.524.6WINDOWS24.724.824.924.1024.11TZ24.12QCT24.1324.14DICOM 24.15HL724.1624.17
1-2114U24Intel Xeon SP 5117CPU3512 GB4486TB5PCI-E SSD82.5NVMe PCI-E SSD6RAID2GBRAID 0156 Raid78SD:SDRaid19PCI-E:12PCI-E 3.010:4intel 1Gb2intel 10G SFP+11HBA216Gb FC HBA12;RAID1 13LCDLCD14:415OracleOracle Enterprise Manager16NagiosNagios CoreNagios XI17WIFIWIFI18,19FirmwareKVM2021BIOSfirmware 22372442331VMware vSphereCPU2vCcenter3Windows Server 2016 5Open License
1-3914U24Intel Xeon SP 5117CPU3512 GB4486TB5PCI-E SSD82.5NVMe PCI-E SSD6RAID2GBRAID 0156 Raid78SD:SDRaid19PCI-E:12PCI-E 3.010:4intel 1Gb2intel 10G SFP+11HBA216Gb FC HBA12;RAID1 13LCDLCD14:415OracleOracle Enterprise Manager16NagiosNagios CoreNagios XI17WIFIWIFI18,19FirmwareKVM2021BIOSfirmware 22372442331VMware vSphereCPU2Windows Server 2016 5Open License
1-41PACS1+;2296GB3SSDSASNL_SAS4NFSv3 NFSv4 NFSv4.1CIFS (SMB 1)SMB 2 SMB 3 FTP SFTP FCiSCSI516Gbps FC4FC 2010GBaseT410GBaseT 246RAID:RAID Raid 0/1 5671151.8T 10K SAS 2.58400GB\800GB\1.6TB\3.2TB SSD600GB 15K\600GB 10K\1.2TB 10K\1.8TB 10K SAS2TB 7.2K \4TB 7.2K\6TB 7.2 K NL_SAS9SAS IOSAS IO 4412Gb/s SAS 1011I/O,1213141537244163:
1-51PACS1OEM+PC231404416GB510G Ethernet10G Ethernet 10G Ethernet 6SFP2SFP10GbE71SSDSSD400GB 8158TB608TB480TB9, 40PB10RAIDN+48()11121314WORM()154U1617VMwareVMware APIVAAI VASAVMware1819 NAS20AzureAWS2122NFSSMBFTPHTTPHDFSICAPSWIFT2337244243HDFSHadoopHDFSNFSHadoopHDFSNFS
1-61187LUN24512GB1TB3IO 4. 51616Gb/s FC 3216Gb/s FC61616Gb/s FC 3216Gb/s FC788Gb/sFC810GbE88PB91037244
1-7211.4Tbps21080Mpps310G48440G65MAC160K6:600 7sFlow8RIP v1/v2OSPFBGP910MTU1000011DCBPFC(802.1Qbb)ETS (802.1Qaz)DCBxiSCSI TLV 12:PVST+1314515ROCEROCE16VXLANVXLAN17Openflow V1.31824SFP+, 13M 40G1940037244203:ONIE
1-8111.1IntelCPUCPU8GB1.2GE6SFP221.32220V80plus1.4SSD80GBSSD1.5RS232 Console1.641.722.115002.2CPS200,0002.3CPS50,0002.45Gbps2.5SSL CPS20484002.6DDoSSYN Flood200 SYN/2.7DNS QPS 1.3million33.12016GartnerADC3.244.14.2TCP/ UDP/ HTTP/ HTTPS/ SIP/ SMTP/ FTP4.3304.4ARPL4IP4.5Web Application Firewall (WAF) WebWAFICSAICSAICSALABS4.64.7WebDNSDDoSApplication Delivery Partition4.8GSLB4.9LicenseLicense4.10DNS Application Firewall4.114.12TCLDNSNAT4.13NATDNS4.14ACL/CC4.15RIPv1/v2OSPF4.16Active-StandbyActive-ActiveN+M4.17Full DNS DNSDNSDNSDNSDNSDNS Forwarder4.18DNSAMXNSPRTSVRCNAMESOAAAAA4.19WeblogicJSESSIONID4.204.21CLI /Web GUI/Console 4.22WEB4.23API4.24CPU///4.254.26Sniffer, WireShark4.27AAA4.28OpenstackNVGREVxLAN4.294.30VMWare ESXVMWare4.31vmwarehyper-vKVMurl55.1372445.235.364LinuxWindows
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1(Cmin/C)CminC 30PACSCTMR202 1DICOMDICOM102HL7HL7103IHEIHE104PACS/RISIHE-CIHEConnectathonPACS15 104 PACSPACSCFDA1CT2CT3CT4CT5CT6CT78910MR11PETCFDA11111 IHE-XDSXDSCFDA303 2020 1PACS/RIS31023103210421010 2016201166 1234XDS567177 HIMMS1HIMMS71122HIMMS610.535 VNA/VNA10.522 100
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8.1
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8.1.2
8.1.3
8.1.4
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8.2.1
8.2.2
8.2.3
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8.3
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9.1
9.2
9.3
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10.1
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10.3
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12.
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15.2
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17.1
17.213:00
17.3
17.4
17.520
17.6
17.6.1
17.6.2
17.7
17.7.1
17.7.2
17.7.3
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18.190
18.2
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26.13
26.2
26.2.1
26.2.2
26.2.3 26.4
26.2.4
26.2.5
26.3 .1
26.3.1.1
26.3. 1.2
26.3. 1.3
26.3. 1.4
26.3. 1.5;
26.3. 1.6
26.3.2
26.3.2.1
26.3.2.2
26.3.2.3
26.3.2.4
26.3.2.5
26.3.2.6
26.3.2.7
26.4
26.4.1
26.4.2
26.4.3
26.4.4
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28.
28.1
28.1.1
28.1.2F1A1F2A2FnAnF1F2FnA1A2An(A1A2An1)
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28.1.4
28.2
28.2.1
28.2.2
28.3
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29.3
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32.1.2
32.1.3
32.2333
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33
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33.1
33.2
33.3
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34.1
34.1.1
34.1.2
34.1.3
34.2333
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35.1
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36.130
36.2
36.3
36.4
36.5,10%
37
37.1
37.2
37.3
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38.1
38.2
123
38.3(94)38.4
38.5
38.6
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1.1
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1.12
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1.14
1.15
2.
2.1
2.2
3.
4.
4.1
4.2
5.
5.1
5.2[2017]603
5.3
6.
6.1
6.2
6.3
7.
7.1
7.2
8.
8.1
8.2
8.2.1
8.2.2
8.2.3,
8.2.4
8.3
9.
9.1
9.2
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10.19
10.2
10.3
11.
11.1
11.2
11.2.1
11.2.2
11.2.3
11.2.4Web
11.2.5
11.2.6
11.2.7
11.2.8
11.2.9
12.
12.11010
12.1.1
12.1.2
12.1.3
12.1.4
12.1.5
12.210
12.3
12.3.11%10%
12.3.21010%
12.4
13.
13.1
13.2
13.3
14.
14.1
14.210
14.3
14.4
15.
15.1
15.1.1
15.1.2
15.2
15.3
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()
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,
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20.6
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