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Xray

The document outlines the importance of clinical documentation in patient care, detailing systems like Hospital Information System (HIS), Radiology Information System (RIS), and Picture Archiving Communication System (PACS). It discusses their functions, benefits, and integration, emphasizing the role of DICOM in standardizing medical imaging communication. Additionally, it covers image compression, teleradiology, and strategies for preventing errors in medical practice.

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samsunggalaxy92019
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10 views21 pages

Xray

The document outlines the importance of clinical documentation in patient care, detailing systems like Hospital Information System (HIS), Radiology Information System (RIS), and Picture Archiving Communication System (PACS). It discusses their functions, benefits, and integration, emphasizing the role of DICOM in standardizing medical imaging communication. Additionally, it covers image compression, teleradiology, and strategies for preventing errors in medical practice.

Uploaded by

samsunggalaxy92019
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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DOCUMENTATION OF

INFORMATION ABOUT THE


PATIENT CARE, THE PROCEDURE
AND FINAL OUTCOME
INTRODUCTION :
 Documentation is any material that provides official
information or evidence and serves as a record.

CLINICAL DOCUMENTATION:
 It is the creation of a digital or analogue record that
gives details of medical treatment, medical trial,
medical imaging or clinical tests.
HIS

PACS RIS
Hospital information system(HIS):
HIS provides,
❑ Demographic data of all the
patients whether or not they have
any imaging procedures performed.
❑ Also records the admission and
discharge dates, outpatient
appointments etc.
❑ Other modules : laboratory reports
COMPONENTS:
Include the following:
 Clinical Information System (CIS)
 Financial Information System (FIS)
 Laboratory Information System (LIS)
 Nursing Information Systems (NIS)
 Pharmacy Information System (PIS)
 Picture Archiving Communication System (PACS)
 Radiology Information System (RIS)
HIS consists of:
 Medication Management
 Electronic Medical Record
 RIS/PACS
 Financial Management
 HR Management
 Materials Management
Benefits:
 Easy Access to Patient Data
 Structured Information
 Improved Drug Prescription and Patient Safety
Radiology information system(RIS):

❑ A separate system or a part of HIS


❑ Stores information specific to the radiology
department
Functions performed by RIS:
❖ Patient registration
❖ Examination scheduling
❖ Patient tracking
❖ Film archiving
❖ Report generation
❖ Administration and billing
❖ documentation
PACS:
 PACS refer to a computer system that is used to
capture, store, distribute and then display medical
images.
 For diagnostic imaging applications, PACS technology
can be utilized to achieve near filmless operation.
Major components:
Types of PACS:
 FULL PACS:
PACS system where all imaging modalities in radiology are
connected to the PACS system, with the ultimate goal of
eliminating film.

 MINI-PACS:
PACS system limited to one modality or some other subset
of the medical imaging equipment in radiology.
IMAGE COMPRESSION:
❖ Once images are acquired and sent through the
computer network, they are generally displayed for
viewing and stored temporarily or permanently for
retrospective viewing and analysis.
❖ The digital images acquired are large files with varying
matrix size.
❖ One way to manage the size of image files for
transmission and storage is image compression.
▪ Purpose of compression is to speed up transmission
of information and to reduce storage requirements.
▪ Compression can be either :
➢Lossless or reversible compression: where no
information is lost in the process.
➢Lossy or irreversible compression: where some
information is lost in the process.
PACS and information systems integration:
❖ The role of information systems integration in radiology have
identified at least five separate information systems, including
▪ PACS
▪ RIS
▪ HIS
▪ A voice-recognition direction system
▪ Electronic teaching/research file system
❖ Integration of these systems is essential because it is intended to
solve many problems.
DICOM:
❖ Stands for ‘’ Digital imaging communication in
medicine.’’
❖ It is the imaging communication protocol for
PACS.
❖ DICOM provides standardized formats for
images, a common information model,
application service definitions and protocols for
communication.
STORAGE CAPACITY:
 The storage capacity of the different storage devices is
determined by the number of bytes that the device can hold.
 Storage capacities are expressed in kilobytes(K), MB,
gigabytes(GB), and terabytes(TB).

Main CT has a storage capacity of 1 TB


TELERADIOLOGY:
 The transmission of radiological patient images, such as X-rays, CTs,
and MRIs, from one location to another for the purposes of sharing
studies with other radiologists and physicians.
 Teleradiology improves patient care by allowing radiologists to provide
services without actually having to be at the location of the patient.
 Teleradiology utilizes standard network technologies such as
the internet, telephone lines, wide area network(WAN), local area
network (LAN)
 Through Teleradiology, images can be sent to another part of the
hospital, or to other locations around the world.
Main classes of strategies for preventing
errors and adverse events include:
❖Tools that can improve communication
❖Make knowledge more readily accessible
❖Require key pieces of information (such as the
dose of a drug)
❖Assist with calculations
❖Perform checks in real time
❖Assist with monitoring
❖Decision support system
REFERENCE:

Computed tomography – Euclid Seeram


THANK YOU

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