MODULE 9: Integration of HIS, RIS and PACS Flashcards
A computerized management system for handling three categories of tasks in a healthcare environment;
Hospital Information System (HIS)
TYPES OF HOSPITAL MANAGEMENT SYSTEM AND ITS USES (6 items)
- 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)
The ______________ replaces the paper version of a patient’s medical history.
electronic medical record
The ______________ includes more health data, test results, and treatments.
electronic health record
Helps healthcare providers manage daily operations such as scheduling and billing.
Practice Management Software
Helps healthcare providers manage daily operations such as scheduling and billing.
Practice Management Software
Connects separate patient records across databases. Used to reduce duplicate patient records and inaccurate patient information that can lead to claim denials.
Master Patient Index (MPI)
allow patients to access their personal health data such as appointment information, medications and lab results over an internet connection.
Patient Portals
- allows medical sensors to send patient data to healthcare professionals.
-It frequently monitors blood glucose levels and blood pressure for patients with chronic conditions.
- 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 (RPM)
allows medical sensors to send patient data to healthcare professionals.
Telehealth
A system that analyzes data from various clinical and administrative systems to help healthcare providers make clinical decisions.
Clinical Decision Support
Benefits of Health Information Systems (4 items)
- Data Analytics
- Collaborative Care
- Cost Control
- Population Health Management
BEST HOSPITAL INFORMATION SYSTEM YOU CAN CONSIDER USING
- AAROGYA
- e-HOSPITAL
- e-VISIT
- CARESOFT HOSPITAL INFORMATION SYSTEM
- A hospital management system that aims to streamline the daily operations of a hospital for maximized performance output.
- This system offers a comprehensive set of tools that enable to manage of all aspects of a hospital — from
administrative clinical, and financial tasks. - It is best suited for large- or- mid-sized
hospitals.
AAROGYA
- A hospital information system developed by
one of the IT product development companies
— Adroit Infosystem. - Best suited for clientele like multi-specialty
clinics, healthcare facilities, and medical
practitioners. - Some of its functionalities include electronic
sharing of patient records, scheduling facility
to book the next appointment, and more - Doctors can even view lab results and past
medical records of the patient online to save
time and provide quick treatment.
e-HOSPITAL
- Considered as one of the best hospital information systems
- Aims to improve patient care and satisfaction
- Offers an intuitive and interactive platform, suitable for all sizes of healthcare centers — from small private medical practice to a large hospital.
- 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 cloud-based application.
e-VISIT
- Streamlines the entire workflow of managing a healthcare center.
- Uses the latest technology to deliver the best in quality patient care.
- Enables easy integration of data exchange between different interfaces and users, thus prevents duplication of data entry.
CARESOFT HOSPITAL INFORMATION SYSTEM
- A networked software system for managing medical imagery and associated data.
- Especially useful for tracking radiology imaging orders and billing information
RADIOLOGY INFORMATION SYSTEM
BASIC FUNCTIONS OF RADIOLOGICAL INFORMATION SYSTEM (RIS)
(PM, SS, PT, RR, IT, B)
- Patient Management
- Scheduling and Sharing
- Patient Tracking
- Result Reporting
- Image Tracking
- Billing
Basic Function of RIS
- RIS can track a patient’s workflow within the radiology department.
- It can add images and reports to EHRs where they can be viewed by authorized radiology staff.
- It facilitates patient management as processes like patient registration, scheduling and Patient Tracking is
digitized.
Patient Management
Basic Function of RIS
- Radiological Information System (RIS) allows staff to make appointments for patients and other people.
- It enables the distribution of patient data and medical images.
- The interaction between physicians is made easier by allowing access to documents within the computer system
Scheduling and Sharing
With the RIS system, providers can easily track
patients’ radiology history from admission to discharge
and coordinate with past and future appointments.
Patient Tracking
A RIS can generate statistical reports for a single patient, group of patients or particular procedures.
Result Reporting
- Radiology providers use RIS to track the patient’s associated data.
- Like EHRs have become a standard to use in the healthcare sector, PACS is widely adopted in the medical enterprise
- RIS provides a detailed financial report of automated claims and electronic payments
Image Tracking
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
Began as a component of HIS
Radiology Information System (RIS)
were developed because of the limited support from HIS in handling special data & information required by the radiology operation.
Radiology Information System (RIS)
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
2 METHODS OF TRANSMITTING DATA BETWEEN INFORMATION SYSTEMS
- Database-to-Database Transfer
- Interface Engine
2 METHODS OF TRANSMITTING DATA BETWEEN INFORMATION SYSTEMS
- Database-to-Database Transfer
- Interface Engine
- Allows 2 or more networked information systems to share a subset of data by storing them in a common local area
- Most often used to share information between the HIS and the RIS
Database-to-Database Transfer
Provides a single interface and language to access distributed data in networked heterogeneous information systems
Interface Engine
To interface HIS, RIS and PACS, some guidelines are required:
(unchanged, extends to software and hardware to? , data are shared but functions remain?)
- Each system (HIS, RIS, PACS) remains unchanged in its configuration, data & functions
- Each system is extended to both hardware & software, to allow each system to communicate with the other systems.
- Only data are shared; functions remain local
FOLLOWING THESE GUIDELINES, SUCCESSFULLY INTERFACING HIS, RIS & PACS REQUIRES THE FOLLOWING STEPS
(Identify, Convert, Define)
I. Identify the subset data that will be shared by other systems. Set up access rights & authorizations.
II. Convert the subset data to HL7 & standard form.
III. Define the protocol of data transfer (e.g. TCP/IP or DICOM)
NECESSITY OF INTERFACING (A,D,D)
- Avoidance of mistyped data entry
- Development of compatible databases
- Development of more automated,
more intelligent PACS
BENEFITS OF INTERFACING
(P, S, R)
- Prevents repetitive data entry
- Sharing of Information
- Reduction in workload
THE RIS-PACS INTERFACE CAN BE IMPLEMENTED BY EITHER:
(T, QP)
- Trigger Mechanism Between Two Databases
- Query Protocol
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
Communication Level transfers the HL7 file to the PACS
server
Level 5-7
- IHE patient information can be used to combine different data: ADT in HIS, RIS in radiology, and DICOM image management archive in PACS
- 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
Reconciliation Profile
The _______________ is a part of the hospital, thus is the ____ a part of the HIS.
The imaging center is a part of the hospital, thus is the RIS a part of the 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
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 HL7 standard.
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
HL7 standard is primarily focused on?
issues and problems that occur on the seventh layer, the application level
Data, time of data exchange
and communication are
shared at this level, where
errors between certain
applications can be seen.
Level 7
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
can be integrated into RIS & HIS or other medical information systems; most used in RIS
combines the functions of teleradiology services and systems for archiving, searching and reviewing of
medical images
PACS
Network Addresses in PACS Network
Internet Protocol (IP) and Transmission Control Protocol (TCP)
Network Addresses in PACS Network
Internet Protocol (IP) and Transmission Control Protocol (TCP)
Network Addresses in PACS Network
Internet Protocol (IP) and Transmission Control Protocol (TCP)
makes sure the pieces arrive at
their destination address
Internet Protocol
puzzle assembler on the receiving side who puts the pieces together in the right order
Transmission Control Protocol
7 Layers of the OSI Model
- Physical
- Data Link
- Network
- Transport
- Session
- Presentation
- Application
The Information that RIS & HIS Exchange Would be
A. Patient Registry
B. Examination of the Patient
C. Status of Examination and Reports
D. Deilvery of findings and distribution to patients
E. Synchronization of data in HIS and RIS
