HIS-MLS MT TERM

HIS-MLS
LECTURE \ ANIÑON 01
HIS LEC LESSON 11: OTHER HEALTH INFORMATION SYSTEM

OUTLINE HISTORY
I Evolution of Cardiology Information System EVOLUTION OF CIS
A Definition
• Decades ago, the requirements for an electronic
B History of CIS
C Benefits of CIS medical information system were restricted by the
D Functionalities of CIS availability of equipment.
II Radiology Information System • A good database schema combined with a functional
A PACS and VNA user interface was deemed adequate.
B Advantages of RIS • In the 1970s, available cardiology information
C Functions of RIS systems originated from mainframe environments,
whose technical specifics would be considered
ridiculous in today's context.
OBJECTIVES • In the 1980s, modular systems that emphasized the
• At the end of the lesson, you will be able to: use of real-time applications and mini computers
o Discuss the features, benefits, and functionalities became the trend (Turney & Kohls, 1997).
of a cardiology information system • Over the years, the trend for smaller computers
o Define radiology information system and remained, but the introduction of the internet
describe its functions. became a turning point that shifted the focus of most
systems towards creating networks and facilitating
EVOLUTION OF CARDIOLOGY INFORMATION integration.
SYSTEM • Cardiology information systems nowadays have
unique features that enable remote access and easy
CARDIOLOGY INFORMATION SYSTEM retrieval.
• Focused on the storage and retrieval of cardiology- • Some systems have also attempted to integrate
centric images radiology information systems (RIS) to involve more
administrative processes and go beyond storage
• Personal Notes purposes.
• Signals
• Images BENEFITS OF CIS
• Reports from Investigations • Different CIS, coming from different sellers, vary in
• Procedures their available features. However, the following are
the most common benefits:
DEFINITION
• The cardiology information system (CIS) is mainly • Ease of Access while Maintaining Data Security
focused on the storage and retrieval of cardiology- o CIS consolidates multiple types of patient
centric images. cardiology information, thus eliminating the need
• This system usually receives an order with patient for doctors to request different imaging results
demographics from other information management from different departments.
systems. o Admin – hospital
o User – patient
• Once the images are acquired from imaging
• Flexibility in the Workflow
modalities, they are profiled based on the order and
o Availability of mobile technology allows
stored for further distribution, viewing and long-term
cardiologists to assess a wide array of
archiving (Katipula & Ireland, 2013).
information without having to leave the patient's
• The information used by cardiologists for the
bedside.
diagnosis and treatment of illnesses varies from
o Having cardiological data in a single platform
personal notes (history, physical examination), to
offer mobility to physicians and nurses, thereby
signals (electrocardiograms), images
improving the efficiency of providing service.
(echocardiograms, angiograms, CT, MRI), and o You don’t need to allocate so much time because it
reports from investigations and procedures. usually take 2-3 minutes to upload the laboratory
• All these types of information can currently be results. Patients don’t have to go to the hospital to
provided in digital format, and the system serves as view the results. You can indicate normal, abnormal,
repository of these forms of images. and low normal values in your data.
• Unfortunately, most systems are limited by their • Enhanced Comparability
storage capabilities and do not include post- o CIS is an essential repository of cardiology
processing functions. imagery results; thereby, retrieval of past data
is convenient.

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 TRANS: Laboratory Management Information System

o This comparability enables health care • The system enables easier access to patient
professionals to make more informed decisions information because it can be integrated in referring
on their patient's treatment. to the doctor's electronic health record (EH) system,
resulting in better patient experience.
FUNCTIONALITIES OF CIS • It also allows faster processing of payments because
the insurance plans of patients may be verified prior
EDITING, VIEWING, AND STORING MULTI-MODAL to their visit and electronic payment is an available
CARDIOLOGY DATA option.
• With the help of CIS, different types of data, • It also permits reports to be easily generated and
including those of computed tomography (CT), sent to the requesting department which
cardiac ultrasound (echocardiography), magnetic dramatically improves the efficiency of the workflow
resonance imaging (MRI), nuclear imaging (PET of the institution.
and SPECT), and angiography may be managed on
a single platform. PICTURE ARCHIVING AND COMMUNICATION
SYSTEM (PACS)
REMOTE ACCESS • It is a healthcare technology for short and long term
• The use of networks and integrated information storage, retrieval, distribution and management,
systems, coupled with the availability of the internet presentation of images.
and tablets and smart phones, offers flexibility to • You cannot retrieve information without consent of patient
CIS. and attending physician.
• High security.
VISUALIZATION AND REPORTING CAPABILITIES • PACS is the hardest. You cannot delete the image without
the consent of the patient. It needs a lot of authentication
• Two of the main benefits of CIS are the ease and the and process to delete or modify the information/images of
consistency of reporting. the patient.
• As a result, virtual real-time information retrieval is
possible anytime and anywhere with just a couple of VENDOR NEUTRAL ARCHIVAL (VNA)
clicks. • In a health information technology context, it is as
medical imaging used by the healthcare
HR INTEGRATION professionals that stores images in a standard
• CIS may be integrated with existing electronic health format and interface, making medical imaging data
record systems; this results in the enhancement of accessible.
the quality of services of the health professionals by • VNA – Lesser mb. No need for high quality images
offering a more comprehensive view of the patient because it is already fixed.
care spectrum.
ADVANTAGES OF RIS
RADIOLOGY INFORMATION SYSTEM • Better communication with referring doctors
• It is a networked software system for managing • Faster payments
medical imagery and associated data. • Improved efficiency

• This is not specific, e.g. CT Scan without the FUNCTIONS OF RIS

diagnosis of the physician.

• Tracking Radiology Imaging Orders

• Billing Information
• Conjunction with PACS and VNA
• Manage image archives (one of the most expensive
features of CIS)
• Record Keeping
• Billing within HIS Rouse (2017) describes the following functions of an
RIS:
• A radiology information system refers to a • Patient Management
network system used in managing imagery and o The system tracks the patient's entire workflow
associated data in the radiology department. within the radiology department.
• The system tracks the orders and billing information o It can add images and generate reports to HRs
of the requesting department. for easy retrieval and viewing by the authorized
• It uses picture archiving and communication radiology staff.
systems (PACS) for the storage and management of • Scheduling
medical images and vendor neutral archivals (VINA) o The system allows staff to schedule
to manage image archives and for record-keeping appointments for in-patients and out-patients.
and billing within a hospital information system (HIS) • Patient Tracking
(Rouse, 2017). o Patient tracking means tracing the patient's
• The use of RIS in health care institutions has many radiology history starting from admission to
advantages in the context of improving overall discharge and coordinating it with his or her past,
operations of the institution. present, and future appointments.

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 TRANS: Laboratory Management Information System

• Results reporting
o Results reporting is possible through the
statistical reports generated by RIS. The reports
may be done for a single patient or a group of
patients, as well as for specific procedures,
depending on the needs.
• Image tracking
o RIS was traditionally used to track individual films
and associated data.
o Nowadays, RIS-PACS systems managed by
radiology departments cover the entire clinical
workflow of the medical enterprise.
• Billing
o Billing is made convenient through the system's
financial record keeping and processing of
electronic payments and automated claims.

!KEY POINTS TO REMEMBER!

Cardiology information system (CIS) is mainly
focused on the storage and retrieval of cardiology-
centric images.
The benefits and features of CIS include:
• ease of access while maintaining data security
• flexibility in the workflow
• enhanced comparability
The functionalities of CIS:
• editing, viewing, and storing multi-modal cardiology
data
• remote access
• visualization and reporting capabilities
• EH integration.
A radiology information system (RIS) is a network
software system designed to manage medical imagery
and associated data.
An RIS is especially useful for tracking radiology
imaging orders and billing information, and is often used
in conjunction with Picture Archiving and
Communication Systems (PACS) and Vendor
Neutral Archivals (VINA) to manage image archives
and for record-keeping and billing within a Hospital
Information System (HIS).
LIMS covers:
• registration
• billing
• contact management
• accounts receivable
The functions of an RIS are:
• patient management,
• scheduling,
• patient tracking,
• results reporting,
• imaging tracking,
• billing.

REFERENCES
• Health Information System for Medical Laboratory
Science (Jose Jurel M. Nuevo)
• Online reference: PASMETH Health Information
System Student Portal :
https://eruditedevforums.com.
• Notes from the discussion

MADE BY: CLEMENTE | 1D-MT 3