MLS 103 (L11): OTHER HIS

transes by lili
1st Semester | A.Y. 2024-2025
are the most common benefits they
enumerate:
COURSE OUTLINE
1. Ease of access while maintaining data
I. CARDIOLOGY INFORMATION SYSTEMS (CIS)
i. Definition security
ii. Evolution
iii. Benefits and Features ➔ unlike in the past when doctors would
iv. Functionalities need to request different imaging results
II. RADIOLOGY INFORMATION SYSTEM
from different departments, CIS
consolidates multiple types of patient
i. What is a Radiology Information System? cardiology information.
ii. Advantages of using RIS

2. Flexibility in the workflow

CARDIOLOGY INFORMATION SYSTEMS (CIS) ➔ allows cardiologists to assess a wide
array of information without having to
leave the patient bedside
11.1 CIS
➔ having cardiology data in a single
11.1.1 Definition platform offers mobility to physicians and
nurses alike, thereby improving the
efficiency of providing service.
➔ storage and retrieval of cardiology-
centric images.
➔ usually receive an order with patient 3. Enhanced comparability
demographics from other information
management systems, and once the ➔ Because a CIS is essentially a repository
images are acquired from imaging of cardiology imagery results, retrieval
modalities, they are profiled against the of past data is effortless. This
order and stored for further distribution, comparability enables healthcare
viewing, and long-term archive (Katipula professionals to make more informed
and Ireland, 2013). decisions for their patient's treatment.

11.1.2. EVOLUTION 11.1.4. FUNCTIONALITIES

➔ Decades ago, the requirements for an
electronic medical information system 1. Editing, Viewing, and Storing Multi-
were restricted by the availability of Modal Cardiology Data
equipment.
★ Modular systems - became the trend in ➔ Different types of data, including
the 80s; emphasized the use of real-time computed tomography (CT), cardiac
applications and minicomputers (Turney ultrasound (echocardiography),
and Kohls, 1997) magnetic resonance imaging (MRI),
➔ Cardiology information systems nuclear imaging (PET and SPECT), and
nowadays have unique features that angiography may be managed on a
enable remote access and easy retrieval. single platform with the help of the CIS.
➔ Some CIS have also attempted to
integrate with a radiology information
system to create a cardiovascular
information system that is capable of 2. Remote Access
more than just storage, but rather
particularly involves more administrative ➔ The use of networks and integrated
processes. information systems, coupled with the
availability of the internet and tablets
and smartphones, offer flexibility to
11.1.3. BENEFITS AND FEATURES Cardiology Information Systems.
➔ Different vendors have varying degrees of
available features. However, the following
 that focuses mainly on the
administrational needs of hospitals.
3. Visualization and Reporting
Capabilities
Picture Archiving and Communication
➔ One of the main benefits of Cardiology System (PACS)
Information Systems is the ease and
consistency of reporting. Virtually real-
time information retrieval is possible ➔ It is a healthcare technology for short-
with just a couple of clicks and queries term and long-term storage, retrieval,
and is possible from multiple locations. management, and distribution and
presentation of images
➔ allows both storage of and access to
4. EHR Integration medical images, including CT and MRI
scans, ultrasounds and standard digital X-
rays. In general, a PACS server in the
➔ Since a CIS may be integrated with hospital serves the following functions:
existing Electronic Health Record
Systems, it can enhance the quality of ➔ Storage
services offered by health ● Once a medical image is taken, it
can be stored in the PACS.
professionals by offering a more
comprehensive view of the patient care ● These images can be retrieved at
a future date.
spectrum.
● During storage, imaging files are
automatically arranged in
chronological order and given a
RADIOLOGY INFORMATION SYSTEM (RIS) label for identification purposes.
➔ Archiving and backup
● “Archive” refers to a collection of
11.2. RIS data that is not needed for use on
a daily basis.
11.2.1. What is a Radiology Information ● This data can therefore be stored
System? in places separate from where
primary data is being acquired and
stored.
➔ a networked software system for ● If certain medical images are not
managing medical imagery and in regular use, it is mandatory for
associated data. the hospital to archive them for a
➔ useful for tracking radiology imaging period of five years.
orders and billing information. ● PACS servers allow large volumes
➔ often used in conjunction with Picture of medical imaging data to be
Archiving and Communication Systems stored that has infrequent use and
(PACS) and Vendor Neutral Archivals to be retrieved when needed.
(VNA) to manage image archives, record- ● PACS servers can also back-up
keeping, and billing within a Hospital medical images and archive them
Information System (HIS) (Rouse, 2017). separately, so that a digital copy
exists in the event of system
Hospital Information Systems (HIS) failure.
➔ Retrieval
● Prior to storage, each medical
➔ A hospital management information image is ‘tagged’ using
system or hospital information system information such as the date of
(HIS) is an element of health informatics image acquisition, patient name
by and referring clinician.
 ● When a particular image is needed ● A VNA enables seamless
for analysis at a later date, the communication between different
clinician can search for it in the healthcare IT systems, such as
PACS server using any one of PACS (Picture Archiving and
these tags and retrieve the file Communication System), RIS
easily. (Radiology Information System),
and EHR (Electronic Health
Record) systems.
Vendor Neutral Archival (VNA) ➔ Long-term archiving
● It provides a reliable storage
solution for the long-term
➔ In a health information technology archiving of medical images,
context, it is medical imaging used by ensuring the data is accessible for
healthcare professionals that stores future reference and analysis.
images in a standard format and
interface, making medical imaging data
accessible through different picture 11.2.2. ADVANTAGES OF USING AN RIS
archiving and communication systems
(PACS). Better Communication with Referring
Doctors
The main features of a VNA include the
following:
➔ Vendor neutrality ➔ An RIS can integrate with the referring
● Unlike most PACS, a VNA is not doctor's electronic health record or EHR
dependent on the vendor’s system, so you can access patient data
software. easily and quickly. The result is a better
● It supports various vendors’ experience for referring doctors, which
multiple formats and imaging dramatically increases the likelihood they
systems, allowing healthcare will refer more patients to you.
providers to integrate different
imaging technologies into a single Faster Payments
repository.
➔ Standardization
● It employs standard protocols and ➔ A chief benefit of a RIS is that you can
formats, such as DICOM (Digital use it to verify insurance before a patient
Imaging and Communications in visit. The electronic payments you are
Medicine), to store and manage now capable of receiving means that you
images and associated metadata. get paid faster.
➔ Scalability
● A VNA is designed to Improved Efficiency
accommodate the growing volume
of imaging data and can be
expanded to meet the evolving ➔ It is much faster to find, input, and create
needs of a healthcare reports from patient data when the
organization. records are computerized. With the
➔ Data security and privacy information digitized and no longer
● It incorporates robust security needing to be entered into records a
features to protect sensitive second or third time.
patient information and comply
with healthcare regulations like
HIPAA.

➔ Interoperability
 11.2.3. FUNCTIONS OF AN RIS industry and digitized images and PACS
have been widely adopted, radiology
departments and their RIS-PACS
systems have been more drawn into the
clinical workflow of the entire medical
enterprise.

Billing

➔ RIS systems provide detailed financial

record-keeping and process electronic
payments. and automated claims, though
Patient Management these functions are becoming
incorporated into medical organizations'
overall EHR systems.
➔ An RIS can track a patient's entire
workflow within the radiology
department; radiology providers can add 1.0 KEY POINTS TO REMEMBER
images and reports to EHRs, where they
can be retrieved and viewed by ➔ Cardiology Information Systems (CIS)
authorized radiology staff. are mainly focused on the storage and
retrieval of cardiology-centric images.
Scheduling ➔ The benefits and features of CIS include
ease of access while maintaining data
security, flexibility in the workflow, and
➔ The RIS allows staff to make enhanced comparability.
appointments for both inpatients and ➔ The functionalities of CIS are (a) editing,
outpatients. viewing, and storing multi-modal
cardiology data, (b) remote access, (c)
visualization and reporting
capabilities, and (d) EHR Integration.
Patient Tracking
➔ A Radiology Information System (RIS) is a
➔ Using a RIS system, providers can track a networked software system for managing
patient's entire radiology history from medical imagery and associated data. An
admission to discharge and coordinate RIS is especially useful for tracking
the history with past, present, and future radiology imaging orders and billing
appointments. information and is often used in
conjunction with Picture Archiving and
Communication Systems (PACS) and
Results Reporting Vendor Neutral Archivals (VNA) to
manage image archives, record-keeping,
➔ A RIS can generate statistical reports for and billing within a Hospital Information
a single patient, group of patients, or System (HIS).
particular procedures. ➔ The following are functions of a RIS:
Patient management, Scheduling, Patient
Tracking, Results Reporting, Image
Image Tracking Tracking, and Billing.

➔ Traditionally, radiology providers use RIS

to track individual films and their
associated data. But as EHRs have
become standard across the healthcare
LECTURE #11 | COURSE MLS 103 (HIS)– OTHER HEALTH
INFORMATION SYSTEMS