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RT 202 > 9. Integration of HIS, RIS and PACS > Flashcards

9. Integration of HIS, RIS and PACS Flashcards

1
Q

A computerized management system for handling three categories of tasks in a healthcare
environment;

A

Hospital Information System (HIS)

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2
Q
  1. Support clinical & medical patient care activities
    in the hospital
  2. Administer the hospital’s daily business
    transactions (financial, personnel, payroll, bed
    census, etc)
  3. Evaluate hospital performances & costs, project
    the long-term forecast
A

Hospital Information System (HIS)

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3
Q

▪ Radiology
▪ Pathology
▪ Pharmacy
▪ Clinical Laboratories

A

Hospital Information System (HIS)

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4
Q

Hospital Information System (HIS) Have ______ that

differ from the GENERAL HOSPITAL OPERATIONS

A

Specific Operational Requirements

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5
Q

They need their own separate information systems &
must develop mechanisms to integrate data between
these systems and his

A

Hospital Information System (HIS)

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6
Q

TYPES OF HOSPITAL MANAGEMENT SYSTEM AND ITS USES

A
  1. Electronic Medical Record (EMR) and Electronic Health Record (EHR)
  2. Practice Management System
  3. Master Patient Index (MPI)
  4. Patient Portal
  5. Clinical Decision Support (CDS)
  6. Remote Patient Monitoring (RPM)
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7
Q

EMR

A

Electronic Medical Record

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8
Q

EHR

A

Electronic Health Record

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9
Q

MPI

A

Master Patient Index

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10
Q

CDS

A

Clinical Decision Support

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11
Q

RPM

A

Remote Patient Monitoring

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12
Q

replaces the paper version of a patient’s medical history

A

Electronic Medical Record

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13
Q

includes more health data, test results, and treatments.

A

Electronic Health Record

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14
Q

It also is designed to share data with other electronic health
records so other healthcare providers can access a patient’s
healthcare data

A

Electronic Health Record

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15
Q

Helps healthcare providers manage daily

operations such as scheduling and billing.

A

Practice Management System/Software

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16
Q

Healthcare providers, from small practices
to hospitals, use practice management
systems to automate many of the

A

Administrative tasks

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17
Q

Connects separate patient records across

databases.

A

Master Patient Index

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18
Q

The index has a record for each patient
that is registered at a healthcare
organization and indexes all other records
for that patient.

A

Master Patient Index

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19
Q

Used to reduce duplicate patient records
and inaccurate patient information that can
lead to claim denials

A

Master Patient Index

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20
Q

allows patients to access
their personal health data such as appointment information, medications
and lab results over an internet connection

A

Patient Portal

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21
Q

allows active
communication with their physicians,
prescription refill requests, and the
ability to schedule appointments

A

Patient Portal

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22
Q

Remote Patient Monitoring also known as

A

Telehealth

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23
Q

allows medical sensors to

send patient data to healthcare professionals

A

Remote Patient Monitoring / Telehealth

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24
Q

It frequently monitors blood glucose
levels and blood pressure for
patients with chronic conditions

A

Remote Patient Monitoring / Telehealth

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25
Q

The data is used to detect medical
events that require intervention and
can possibly become part of a larger
population health study

A

Remote Patient Monitoring / Telehealth

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26
Q

A system that analyze data from various
clinical and administrative systems to help
healthcare providers make clinical decisions

A

Clinical Decision Support

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27
Q

The data can help prepare diagnoses or
predict medical events — such as drug
interactions.

A

Clinical Decision Support

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28
Q

These tools filter data and information to help

clinicians care for individual patients.

A

Clinical Decision Support

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29
Q

BENEFITS OF HEALTH INFORMATION SYSTEMS

A

Data Analytics,
Collaborative Care,
Cost Control,
Population Health Management

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30
Q

The healthcare industry constantly produces data

A

Data Analytics

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31
Q

Health information systems help gather, compile and analyze health data to help manage population health and reduce healthcare costs.
Then the healthcare data analysis can improve patient care.

A

Data Analytics

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32
Q

Patients often need to treatments from different healthcare providers.

A

Collaborative Care

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33
Q

HIE

A

Health information Exchange

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34
Q

allow healthcare facilities to access

common health records — such as health information exchanges (HIEs)

A

Health information systems

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35
Q

Using digital networks to exchange healthcare data creates efficiencies and cost savings

A

Cost Control

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36
Q

When regional markets use health information exchanges to share data, healthcare providers see reduced costs.

A

Cost Control

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37
Q

On a smaller scale, hospitals aim for the same efficiencies with electronic health records.

A

Cost Control

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38
Q

Health information systems can aggregate patient data, analyze it and identify trends in populations.

A

Population Health Management

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39
Q

The technology also works in reverse.

A

Population Health Management

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40
Q

Clinical decision support systems can use big data to help diagnose individual patients and treat them

A

Population Health Management

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41
Q

BEST HOSPITAL INFORMATION SYSTEM YOU CAN CONSIDER

USING

A

Aarogya,
e-Hospital,
e-Visit,
Caresoft Hospital Information System

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42
Q

A hospital management system that aims to
streamline the daily operations of a hospital for
maximized performance output

A

Aarogya

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43
Q

This system offers a comprehensive set of tools
that enables to manage of all aspects of a hospital
— from administrative to clinical, and financial
tasks

A

Aarogya

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44
Q

It is best suited for large- or- mid-sized hospitals

A

Aarogya

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45
Q

e-Hospital was developed by

A

Adroit Infosystem

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46
Q

A hospital information system developed by one of the IT product development companies — Adroit Infosystem

A

e-Hospital

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47
Q

Best suited for clientele like multi-specialty clinics,

healthcare facilities, and medical practitioners.

A

e-Hospital

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48
Q

Some of its functionalities include electronic sharing

of patient records, scheduling facility to book the next appointment, and more

A

e-Hospital

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49
Q

Doctors can even view lab results and past medical
records of the patient online to save time and
provide quick treatment.

A

e-Hospital

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50
Q

Considered as one of the best hospital information systems

A

e-Visit

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51
Q

Aims to improve patient care and satisfaction

A

e-Visit

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52
Q

Offers an intuitive and interactive platform, suitable for all
sizes of healthcare centers — from small private medical
practice to a large hospital

A

e-Visit

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53
Q

Simplifies the complex operations of running a hospital. Some
of its core functionalities are medical charting, data collection,
billing, reimbursement management, payment processing, and
ePrescription

A

e-Visit

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54
Q

A cloud-based application

A

e-Visit

55
Q

Streamlines the entire workflow of managing a

healthcare center

A

Caresoft Hospital Information System

56
Q

Uses the latest technology to deliver the best in

quality patient care

A

Caresoft Hospital Information System

57
Q

Enables easy integration of data exchange
between different interfaces and users, thus
prevents duplication of data entry

A

Caresoft Hospital Information System

58
Q

Other Hospital Infomation Systems

A
  1. myNapier
  2. Mediware
  3. ProMed
  4. Insta HMS
  5. MocDoc HMS
  6. SoftClinic HIS
  7. Intelligent Medical Software (IMS)
  8. Medstar HIS
  9. MMI Mediface
  10. MediSteer by Adroit
59
Q

IMS

A

Intelligent Medical Software

60
Q

A networked software system for managing

medical imagery and associated data.

A

Radiology Information System

61
Q

Especially useful for tracking radiology

imaging orders and billing information

A

Radiology Information System

62
Q

Used in conjunction with PACS & VNAs to
manage image archives, record-keeping and
billing

A

Radiology Information System

63
Q

BASIC FUNCTIONS OF

RADIOLOGICAL INFORMATION SYSTEM (RIS)

A
  1. Patient Management
  2. Scheduling and Sharing
  3. Patient Tracking
  4. Result Reporting
  5. Image Tracking
  6. Billing
64
Q

RIS

A

Radiological/Radiology Information System

65
Q

RIS can track a patient’s workflow within the

radiology department

A

Patient Management

66
Q

It can add images and reports to EHRs where
they can be viewed by authorized radiology
staff

A

Patient Management

67
Q

It facilitates patient management as processes
like patient registration, scheduling, and Patient
Tracking is digitized

A

Patient Management

68
Q

Radiological Information System (RIS) allows
staff to make appointments for patients and
other people

A

Scheduling and Sharing

69
Q

It enables the distribution of patient data and

medical images

A

Scheduling and Sharing

70
Q

The interaction between physicians is made
easier by allowing access to documents
within the computer system

A

Scheduling and Sharing

71
Q

With the RIS system, providers can
easily track patients’ radiology history from admission to discharge
and coordinate with past and future appointments.

A

Patient Tracking

72
Q

A RIS can generate statistical reports
for a single patient, group of patients or
particular procedures.

A

Result Reporting

73
Q

Radiology providers use RIS to track the

patient’s associated data

A

Image Tracking

74
Q

Like EHRs have become a standard to use in the
healthcare sector, PACS is widely adopted in the
medical enterprise

A

Image Tracking

75
Q

RIS provides a detailed financial report of

automated claims and electronic payments

A

Image Tracking

76
Q

RIS systems provide detailed financial record-keeping and process electronic payments and
automated claims, though these functions are
becoming incorporated into medical organizations’
overall EHR systems

A

Billing

77
Q

Radiological Information System Began as a component of

A

HIS

78
Q

were developed because of the limited support from HIS in handling special
data & information required by the radiology operation

A

Independent RIS

79
Q

Integration of these two systems is extremely important for the healthcare center to operate as a total functional entity

A

HIS and RIS

80
Q

Designed to support both the administrative & clinical operation

A

Radiology Information System

81
Q

Manages general radiology patient information from schedule, examination, to reporting

A

Radiology Information System

82
Q

Similar to HIS configuration but much smaller in scale

A

Radiology Information System

83
Q

WS

A

Without Image Display

84
Q

consists of a computer system with peripheral devices such as RIS WS (without
image display), printers, barcodes readers

A

RIS equipment

85
Q

Autonomous systems with limited access to HIS

A

Radiology Information System

86
Q

Some HIS offer embedded RIS as _____ with a higher degree of integration

A

subsystem

87
Q

Maintains many types of patient/examination-related information

A

Radiology Information System

88
Q

medical, administrative, patient demographics, & billing information

A

(RIS) Patient-related information

89
Q

procedural descriptions & scheduling, diagnostic reporting,

patient arrival documentation, film location, film movement, & examination room scheduling

A

(RIS) Examination-related information

90
Q

The exchange of information between a Radiology
Information System (RIS), Hospital Information System (HIS)
and PACS in order to optimize the utility of PACS for sharing
of information, its retrieval, etc. with the help of a common
platform

A

Interfacing

91
Q

2 METHODS OF TRANSMITTING DATA BETWEEN INFORMATION SYSTEMS

A

A. Database-to-Database Transfer

B. Interface Engine

92
Q

Allows 2 or more networked information systems to share a subset of data by storing them in a common
local area

A

Database-to-Database Transfer

93
Q

Most often used to share information between the HIS and the RIS

A

Database-to-Database Transfer

94
Q

Provides a single interface and language to access distributed data in networked heterogeneous information
systems

A

Interface Engine

95
Q

To interface HIS, RIS and PACS, some guidelines are required:

A
  1. Each system (HIS, RIS, PACS) remains unchanged in its configuration, data & functions
  2. Each system is extended to both hardware & software, to allow each system to
    communicate with the other systems.
  3. Only data are shared; functions remain local
96
Q

INTERFACING HIS, RIS & PACS

REQUIRES THE FOLLOWING STEPS

A
  1. Identify the subset data that will be shared by other systems.
    Set up access rights & authorizations.
  2. Convert the subset data to HL7 & standard form.
  3. Define the protocol of data transfer (e.g. TCP/IP or DICOM)
97
Q

NECESSITY OF INTERFACING

A
  1. Avoidance of mistyped data entry
  2. Development of compatible data bases
  3. Development of more automated, more
    intelligent PACS
98
Q

BENEFITS OF INTERFACING

A
  1. Prevents repetitive data entry
  2. Sharing of Information
  3. Reduction in workload
99
Q 
THE RIS-PACS INTERFACE CAN BE IMPLEMENTED
BY EITHER (PROTOCOL):
A
  1. Trigger Mechanism Between Two Databases

2. Query Protocol

100
Q

ADT

A

Admission Discharge Transfer

101
Q

IHE

A

Integrating the Healthcare Enterprise

102
Q

OSI

A

Open Systems Interconnection

103
Q

LIMS

A

Laboratory Information Management System

104
Q

Most important rationale of interfacing with HIS and RIA

A
  1. Only data are shared; functions remain local
105
Q

The PACS is notified of the following events in HL7 format when they occur in the RIS: ADT,
order received, patient arrived, examination cancelled, procedure completed, & report approved.

A

Trigger Mechanism Between Two Databases

106
Q

Application Level of the interface software waits for the occurrence of one of
these events & triggers the corresponding data to be sent

A

Level 1-4

107
Q

Communication Level transfers the HL7 file to the PACS server

A

Level 5-7

108
Q

The PACS server receives this file and archives it in the database for subsequent use

A

Trigger Mechanism Between Two Databases

109
Q

Allows access to information from the HIS, RIS and PACS
databases by using an application-layer software on top of
these heterogeneous database systems

A

Query Protocol

110
Q

From a PACS Workstation, user can retrieve information
uniformly from any of these systems & automatically integrate
them to the PACS database

A

Query Protocol

111
Q

IHE patient information can be used to combine different data: ADT in HIS, RIS
in radiology, and DICOM image management archive in PACS

A

Reconciliation Profile

112
Q

This integration profile can extend the scheduled workflow profile by providing
the means to match images acquired for an unidentified patient’s registration &
order history.
Example: Emergency room patient (trauma)

A

Reconciliation Profile

113
Q

The ______ is a part of the hospital,

thus is the ___ a part of the HIS.

A

imaging center,

RIS

114
Q

AS THE SYSTEM IS INTEGRATED WITH HIS;

THE INFORMATION THAT RIS & HIS EXCHANGE WOULD BE:

A

A. Patient Registry
B. Examination of the Patient
C. Status of Examination and Reports
D. Delivery of findings and distribution to patients
E. Synchronization of data in HIS and RIS

115
Q

New patient data, updating data of existing patients

A

Patient Registry

116
Q

Which type of review is requested, who requested radiological examination, the diagnosis, urgency, etc

A

Examination of the Patient

117
Q

Radiological findings, report of a specialist, laboratory findings, etc.

A

Status of Examination and Reports

118
Q

(methods of examination, doctors, departments, etc.) and other pieces of information

A

Synchronization of data in HIS and RIS

119
Q 
In order to achieve an 
integration of RIS into a unique HIS,
it is necessary that information systems
communicate by exchanging messages (information)
according to \_\_\_\_ standard
A

HL7

120
Q 
Enables the exchange of medical 
information between different 
information systems of healthcare 
organization units within one hospital 
regardless of the written program 
language and the platform they are 
realized at.
A

HL7 (Health Level 7) Standard

121
Q

is not a software application, but a standard that includes thousands of pages
that contain detailed explanations, which presents the concept of the standard,
allowing analysts and programmers to implement it technically

A

HL7

122
Q

In the OSI reference model, communication between software and hardware is
divided into ____ layers.

A

seven

123
Q

is primarily focused on issues and problems that occur on the
seventh layer, the application level (Level 7).

A

HL7 standard

124
Q

Data, time of data exchange and
communication are shared at this
level, where errors between certain
applications can be seen

A

Level 7

125
Q

▪ A modern system for image archiving and communication
▪ It is designed as a computer system for paper and film archiving
▪ It is based on the web technology

A

PACS (Picture Archiving and Communication System)

126
Q

▪ It deals with medical records and information
▪ Provides archiving, viewing and distribution of medical images to radiologists, physicians of
other specialties, doctors in other hospitals
▪ Communicates with HIS, RIS & DIS, and allows data to be accessed from different locations
within a health facility or outside the health care facility

A

PACS (Picture Archiving and Communication System)

127
Q

can be integrated into RIS & HIS or
other medical information systems;
most used in RIS

A

PACS (Picture Archiving and Communication System)

128
Q

combines the functions of teleradiology
services and systems for archiving,
searching and reviewing of medical
images and patient data

A

PACS (Picture Archiving and Communication System)

129
Q 
stores images from various 
medical devices (modalities): 
ultrasound (color Doppler, 
ultrasound, etc.), MRI, CT, 
mammography, angiographic, 
digital X-ray machines, PET 
scanners, nuclear medicine 
cameras and other devices
A

PACS (Picture Archiving and Communication System)

130
Q

EACH COMPUTER IS IDENTIFIED BY ITS NETWORK ADDRESS IN

THE PACS NETWORK

A 
Internet Protocol (IP),
Transmission Control Protocol
131
Q

TCP

A

Transmission Control Protocol

132
Q

IP

A

Internet Protocol

133
Q

makes sure the pieces arrive at their

destination address

A

Internet Protocol

134
Q

puzzle assembler on the receiving side who

puts the pieces together in the right order

A

Transmission Control Protocol

RT 202 (9 decks)

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