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)
2
Q
- Support clinical & medical patient care activities
in the hospital - Administer the hospital’s daily business
transactions (financial, personnel, payroll, bed
census, etc) - Evaluate hospital performances & costs, project
the long-term forecast
A
Hospital Information System (HIS)
3
Q
▪ Radiology
▪ Pathology
▪ Pharmacy
▪ Clinical Laboratories
A
Hospital Information System (HIS)
4
Q
Hospital Information System (HIS) Have ______ that
differ from the GENERAL HOSPITAL OPERATIONS
A
Specific Operational Requirements
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)
6
Q
TYPES OF HOSPITAL MANAGEMENT SYSTEM AND ITS USES
A
- Electronic Medical Record (EMR) and Electronic Health Record (EHR)
- Practice Management System
- Master Patient Index (MPI)
- Patient Portal
- Clinical Decision Support (CDS)
- Remote Patient Monitoring (RPM)
7
Q
EMR
A
Electronic Medical Record
8
Q
EHR
A
Electronic Health Record
9
Q
MPI
A
Master Patient Index
10
Q
CDS
A
Clinical Decision Support
11
Q
RPM
A
Remote Patient Monitoring
12
Q
replaces the paper version of a patient’s medical history
A
Electronic Medical Record
13
Q
includes more health data, test results, and treatments.
A
Electronic Health Record
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
15
Q
Helps healthcare providers manage daily
operations such as scheduling and billing.
A
Practice Management System/Software
16
Q
Healthcare providers, from small practices
to hospitals, use practice management
systems to automate many of the
A
Administrative tasks
17
Q
Connects separate patient records across
databases.
A
Master Patient Index
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
19
Q
Used to reduce duplicate patient records
and inaccurate patient information that can
lead to claim denials
A
Master Patient Index
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
21
Q
allows active
communication with their physicians,
prescription refill requests, and the
ability to schedule appointments
A
Patient Portal
22
Q
Remote Patient Monitoring also known as
A
Telehealth
23
Q
allows medical sensors to
send patient data to healthcare professionals
A
Remote Patient Monitoring / Telehealth
24
Q
It frequently monitors blood glucose
levels and blood pressure for
patients with chronic conditions
A
Remote Patient Monitoring / Telehealth
25
The data is used to detect medical
events that require intervention and
can possibly become part of a larger
population health study
Remote Patient Monitoring / Telehealth
26
A system that analyze data from various
clinical and administrative systems to help
healthcare providers make clinical decisions
Clinical Decision Support
27
The data can help prepare diagnoses or
predict medical events — such as drug
interactions.
Clinical Decision Support
28
These tools filter data and information to help
| clinicians care for individual patients.
Clinical Decision Support
29
BENEFITS OF HEALTH INFORMATION SYSTEMS
Data Analytics,
Collaborative Care,
Cost Control,
Population Health Management
30
The healthcare industry constantly produces data
Data Analytics
31
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.
Data Analytics
32
Patients often need to treatments from different healthcare providers.
Collaborative Care
33
HIE
Health information Exchange
34
allow healthcare facilities to access
| common health records — such as health information exchanges (HIEs)
Health information systems
35
Using digital networks to exchange healthcare data creates efficiencies and cost savings
Cost Control
36
When regional markets use health information exchanges to share data, healthcare providers see reduced costs.
Cost Control
37
On a smaller scale, hospitals aim for the same efficiencies with electronic health records.
Cost Control
38
Health information systems can aggregate patient data, analyze it and identify trends in populations.
Population Health Management
39
The technology also works in reverse.
Population Health Management
40
Clinical decision support systems can use big data to help diagnose individual patients and treat them
Population Health Management
41
BEST HOSPITAL INFORMATION SYSTEM YOU CAN CONSIDER
| USING
Aarogya,
e-Hospital,
e-Visit,
Caresoft Hospital Information System
42
A hospital management system that aims to
streamline the daily operations of a hospital for
maximized performance output
Aarogya
43
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
Aarogya
44
It is best suited for large- or- mid-sized hospitals
Aarogya
45
e-Hospital was developed by
Adroit Infosystem
46
A hospital information system developed by one of the IT product development companies — Adroit Infosystem
e-Hospital
47
Best suited for clientele like multi-specialty clinics,
| healthcare facilities, and medical practitioners.
e-Hospital
48
Some of its functionalities include electronic sharing
| of patient records, scheduling facility to book the next appointment, and more
e-Hospital
49
Doctors can even view lab results and past medical
records of the patient online to save time and
provide quick treatment.
e-Hospital
50
Considered as one of the best hospital information systems
e-Visit
51
Aims to improve patient care and satisfaction
e-Visit
52
Offers an intuitive and interactive platform, suitable for all
sizes of healthcare centers — from small private medical
practice to a large hospital
e-Visit
53
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
e-Visit
54
A cloud-based application
e-Visit
55
Streamlines the entire workflow of managing a
| healthcare center
Caresoft Hospital Information System
56
Uses the latest technology to deliver the best in
| quality patient care
Caresoft Hospital Information System
57
Enables easy integration of data exchange
between different interfaces and users, thus
prevents duplication of data entry
Caresoft Hospital Information System
58
Other Hospital Infomation Systems
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
IMS
Intelligent Medical Software
60
A networked software system for managing
| medical imagery and associated data.
Radiology Information System
61
Especially useful for tracking radiology
| imaging orders and billing information
Radiology Information System
62
Used in conjunction with PACS & VNAs to
manage image archives, record-keeping and
billing
Radiology Information System
63
BASIC FUNCTIONS OF
| RADIOLOGICAL INFORMATION SYSTEM (RIS)
1. Patient Management
2. Scheduling and Sharing
3. Patient Tracking
4. Result Reporting
5. Image Tracking
6. Billing
64
RIS
Radiological/Radiology Information System
65
RIS can track a patient’s workflow within the
| radiology department
Patient Management
66
It can add images and reports to EHRs where
they can be viewed by authorized radiology
staff
Patient Management
67
It facilitates patient management as processes
like patient registration, scheduling, and Patient
Tracking is digitized
Patient Management
68
Radiological Information System (RIS) allows
staff to make appointments for patients and
other people
Scheduling and Sharing
69
It enables the distribution of patient data and
| medical images
Scheduling and Sharing
70
The interaction between physicians is made
easier by allowing access to documents
within the computer system
Scheduling and Sharing
71
With the RIS system, providers can
easily track patients’ radiology history from admission to discharge
and coordinate with past and future appointments.
Patient Tracking
72
A RIS can generate statistical reports
for a single patient, group of patients or
particular procedures.
Result Reporting
73
Radiology providers use RIS to track the
| patient’s associated data
Image Tracking
74
Like EHRs have become a standard to use in the
healthcare sector, PACS is widely adopted in the
medical enterprise
Image Tracking
75
RIS provides a detailed financial report of
| automated claims and electronic payments
Image Tracking
76
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
Billing
77
Radiological Information System Began as a component of
HIS
78
were developed because of the limited support from HIS in handling special
data & information required by the radiology operation
Independent RIS
79
Integration of these two systems is extremely important for the healthcare center to operate as a total functional entity
HIS and RIS
80
Designed to support both the administrative & clinical operation
Radiology Information System
81
Manages general radiology patient information from schedule, examination, to reporting
Radiology Information System
82
Similar to HIS configuration but much smaller in scale
Radiology Information System
83
WS
Without Image Display
84
consists of a computer system with peripheral devices such as RIS WS (without
image display), printers, barcodes readers
RIS equipment
85
Autonomous systems with limited access to HIS
Radiology Information System
86
Some HIS offer embedded RIS as _____ with a higher degree of integration
subsystem
87
Maintains many types of patient/examination-related information
Radiology Information System
88
medical, administrative, patient demographics, & billing information
(RIS) Patient-related information
89
procedural descriptions & scheduling, diagnostic reporting,
| patient arrival documentation, film location, film movement, & examination room scheduling
(RIS) Examination-related information
90
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
Interfacing
91
2 METHODS OF TRANSMITTING DATA BETWEEN INFORMATION SYSTEMS
A. Database-to-Database Transfer
| B. Interface Engine
92
Allows 2 or more networked information systems to share a subset of data by storing them in a common
local area
Database-to-Database Transfer
93
Most often used to share information between the HIS and the RIS
Database-to-Database Transfer
94
Provides a single interface and language to access distributed data in networked heterogeneous information
systems
Interface Engine
95
To interface HIS, RIS and PACS, some guidelines are required:
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
INTERFACING HIS, RIS & PACS
| REQUIRES THE FOLLOWING STEPS
1. Identify the subset data that will be shared by other systems.
Set up access rights & authorizations.
1. Convert the subset data to HL7 & standard form.
2. Define the protocol of data transfer (e.g. TCP/IP or DICOM)
97
NECESSITY OF INTERFACING
1. Avoidance of mistyped data entry
2. Development of compatible data bases
3. Development of more automated, more
intelligent PACS
98
BENEFITS OF INTERFACING
1. Prevents repetitive data entry
2. Sharing of Information
3. Reduction in workload
99
```
THE RIS-PACS INTERFACE CAN BE IMPLEMENTED
BY EITHER (PROTOCOL):
```
1. Trigger Mechanism Between Two Databases
| 2. Query Protocol
100
ADT
Admission Discharge Transfer
101
IHE
Integrating the Healthcare Enterprise
102
OSI
Open Systems Interconnection
103
LIMS
Laboratory Information Management System
104
Most important rationale of interfacing with HIS and RIA
3. Only data are shared; functions remain local
105
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.
Trigger Mechanism Between Two Databases
106
Application Level of the interface software waits for the occurrence of one of
these events & triggers the corresponding data to be sent
Level 1-4
107
Communication Level transfers the HL7 file to the PACS server
Level 5-7
108
The PACS server receives this file and archives it in the database for subsequent use
Trigger Mechanism Between Two Databases
109
Allows access to information from the HIS, RIS and PACS
databases by using an application-layer software on top of
these heterogeneous database systems
Query Protocol
110
From a PACS Workstation, user can retrieve information
uniformly from any of these systems & automatically integrate
them to the PACS database
Query Protocol
111
IHE patient information can be used to combine different data: ADT in HIS, RIS
in radiology, and DICOM image management archive in PACS
Reconciliation Profile
112
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)
Reconciliation Profile
113
The ______ is a part of the hospital,
| thus is the ___ a part of the HIS.
imaging center,
| RIS
114
AS THE SYSTEM IS INTEGRATED WITH HIS;
| THE INFORMATION THAT RIS & HIS EXCHANGE WOULD BE:
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
New patient data, updating data of existing patients
Patient Registry
116
Which type of review is requested, who requested radiological examination, the diagnosis, urgency, etc
Examination of the Patient
117
Radiological findings, report of a specialist, laboratory findings, etc.
Status of Examination and Reports
118
(methods of examination, doctors, departments, etc.) and other pieces of information
Synchronization of data in HIS and RIS
119
```
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
```
HL7
120
```
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.
```
HL7 (Health Level 7) Standard
121
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
HL7
122
In the OSI reference model, communication between software and hardware is
divided into ____ layers.
seven
123
is primarily focused on issues and problems that occur on the
seventh layer, the application level (Level 7).
HL7 standard
124
Data, time of data exchange and
communication are shared at this
level, where errors between certain
applications can be seen
Level 7
125
▪ 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
PACS (Picture Archiving and Communication System)
126
▪ 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
PACS (Picture Archiving and Communication System)
127
can be integrated into RIS & HIS or
other medical information systems;
most used in RIS
PACS (Picture Archiving and Communication System)
128
combines the functions of teleradiology
services and systems for archiving,
searching and reviewing of medical
images and patient data
PACS (Picture Archiving and Communication System)
129
```
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
```
PACS (Picture Archiving and Communication System)
130
EACH COMPUTER IS IDENTIFIED BY ITS NETWORK ADDRESS IN
| THE PACS NETWORK
```
Internet Protocol (IP),
Transmission Control Protocol
```
131
TCP
Transmission Control Protocol
132
IP
Internet Protocol
133
makes sure the pieces arrive at their
| destination address
Internet Protocol
134
puzzle assembler on the receiving side who
| puts the pieces together in the right order
Transmission Control Protocol
