title: [Teleradiology according to the x-ray ordinance--exemplary application of the open source software SecTelMed].
abstract: OBJECTIVE
  Establishing a teleradiology connection according to the Rontgenverordnung (RoV) between a peripheral hospital and a university clinic will contribute to improve the radiological emergency treatment on weekends, holidays and at night. It will also better the medical care for patients and help to lower the costs.
  
  
  METHODS
  By using the open source software SecTelMed, the radiological picture is transferred via an internet-linked SSH communication server. The integration of the teleradiological data transfer into the actual workflow is attained by using the already existing PACS infrastructure. While its installation is still under construction, it is actually employed for transferring a patient's preliminary investigations and obtaining second opinions.
  
  
  RESULTS
  The project proves a reliable and affordable teleradiology according with RoV by using open source software. The applied infrastructure ensures an unproblematical teleradiological treatment as well as a safe picture transfer for medical consulting (second opinion) even for large CT examinations of 1,000 pictures and more.
  
  
  CONCLUSIONS
  The implementation of the technical requirements on teleradiology according with the Rontgenverordnung can be reliably attained by applying the open source software SecTelMed.
authors.affiliation: Klinik und Poliklinik für Radiologie, Johannes-Gutenberg-Universität Mainz. kaemm@radiologie.klinik.uni-mainz.de
authors.forename: M
authors.initials: M
authors.lastname: Kämmerer
authors.forename: P
authors.initials: P
authors.lastname: Mildenberger
authors.forename: G
authors.initials: G
authors.lastname: Klos
authors.forename: B
authors.initials: B
authors.lastname: Schütze
mesh_terms: D003195:Computer Communication Networks / Q000331:legislation & jurisprudence / Q000592:standards*; D016494:Computer Security / Q000331:legislation & jurisprudence / Q000592:standards*; D005858:Germany; D017408:Guidelines as Topic; D006801:Humans; D016347:Medical Records Systems, Computerized / Q000331:legislation & jurisprudence / Q000592:standards*; D012015:Reference Standards; D012984:Software / Q000331:legislation & jurisprudence / Q000592:standards*; D019112:Teleradiology / Q000331:legislation & jurisprudence / Q000379:methods* / Q000592:standards*