Functional Requirements for a HIS-RIS-PACS-Interface Design, Including Integration of “Old” Modalities

K. Adelhard; S. Nissen-Meyer; C. Pistitsch; U. Fink; M. Reiser

doi:10.1055/s-0038-1634149

Methods of Information in Medicine, Inhaltsverzeichnis

Methods Inf Med 1999; 38(01): 01-08
DOI: 10.1055/s-0038-1634149

Original article

Schattauer GmbH

Functional Requirements for a HIS-RIS-PACS-Interface Design, Including Integration of “Old” Modalities

K. Adelhard

¹Institute of Medical Informatics, Biometry and Epidemiology, and Germany

,

S. Nissen-Meyer

²Institute of Radiological Diagnostics, Klinikum Großhadern, Ludwig-Maximilians-Universität, München, and Germany

,

C. Pistitsch

²Institute of Radiological Diagnostics, Klinikum Großhadern, Ludwig-Maximilians-Universität, München, and Germany

,

U. Fink

³Institute of Radiology Schwenningen of the Clinic of the City of Villingen-Schwenningen, Germany

,

M. Reiser

²Institute of Radiological Diagnostics, Klinikum Großhadern, Ludwig-Maximilians-Universität, München, and Germany

› Institutsangaben

Abstract

Abstract:

Radiology, Information Systems (RIS) and Picture Archiving Systems (PACS), have the potential for immense rationalization of operations in radiology and hence for the improvement of health care, as well as the return of investments. These systems must, however, be carefully designed such that they support routine work rather than being an additional burden to radiology staff. Analyses show that comprehensive communication of patient demographic and clinical data between RIS, PACS and Hospital Information Systems (HIS) are necessary prerequisites to achieve cost effectiveness. Based on analyses of radiology operations in a large university primary care hospital, functional requirements and data structures for designing HIS/RIS/PACS interfaces are presented. These concern communication of past examinations, associated written reports and images, appointment scheduling, requests of new examinations, digitizing old analog X-ray films, access from RIS/PACS to other clinical data, and transfer of new radiology reports and relevant images. Consistency of all redundant data stored in the three systems is essential. A pragmatic, safe and inexpensive method of electronically integrating “old” modalities not fully ”PACS capable“ in the HIS/RIS/PACS world is presented.

Keywords:

RIS - PACS - Hospital Information Systems - Imaging - Communication - Interfacing

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Referenzen

REFERENCES
1 Baumann R, Gell G, Dwyer S. Large Picture Archiving and Communication Systems of the World -Part 1. J Digit Imaging. 1996; 9: 99-103.
2 Baumann R, Gell G, Dwyer S. Large Picture Archiving and Communication Systems of the World -Part 2. J Digit Imaging 1996; 9: 172-7.
3 Ratib O, Ligier Y, Scherrer JR. Digital Image Management and Communication in Medicine. Comp Med Imag GrapHIS. 1994; 18: 73-84.
4 Bidgood W, Horii S. Introduction to the ACR-NEMA DICOM Standard. Radio GrapHIS. 1992; 12: 345-55.
5 Scherrer JR. Communications – future needs and present solutions. Int J Biomed Comput. 1995; 39: 47-52.
6 Orthner HF, Scherrer JR, Dahlen R. Sharing and communicating healthcare information. Int J Biomed Comput 1994; 34: 393-418.
7 Offenmüller W. Expectations and Solutions of HIS/RIS/PACS Dataflow and Workflow. J Digit Imaging 1997; 10: 95-8.
8 Inamura K, Umeda T, Harauchi H. et al. Time and Flow Study Results Before and After Installation of a Hospital Information System and Radiology Information System and Before Clinical Use of a Picture Archiving and Communication System. J Digit Imaging 1997; 10: 1-9.
9 Shearer S, Miller T, Gillen S. Picture Archiving and Communication System Implementation: The Practical Considerations of Adapting the Technology to the Real World of Health Care Operations. J Digit Imaging 1997; 10: 158-60.
10 Keayes R, Grenier L. Benefits of Distributed HIS/RIS-PACS Integration and a Proposed Architecture. J Digit Imaging 1997; 10: 89-94.
11 Nissen-Meyer S, Fink U, Pleier M. An improved, clinically oriented archive concept for PACS. A substitute for the conventional film archive. Eur Radiol 1993; 3: 520.
12 Nissen-Meyer SA, Fink U, Pleier M, Becker C. The full-scale PACS Archive: A prerequisite for the filmless hospital. Acta Radio-logica 1996; 37: 938.
13 Internal Report.
14 Pistitsch C, Nissen-Meyer SA, Adelhard K, Ulsenheimer K, Heinemann N, Helmberger TH, Reiser M. Das filmlose Krankenhaus – eine juristische Herausforderung (in English: The filmless Hospital – a legal Challenge;. RöVo; in Press.
15 Safran C. Defining a clinical workstation. Int Biomed Comput 1994; 34: 261-5.
16 Schmiedl U, Rowberg A. Literature review: Picture archiving and communication systems. J Dig Imaging 1990; 3: 178-94.
17 D’Lugin J, Boehme J, Choplin R, Maynard D, Wolfman N. Optimization of image transfer from the central archive to workstations in a picture archiving and communication system (PACS). Medical imaging III: PACS design and evaluation. Newport Beach, CA: Medical Imaging III. SPIE: 1990: 398-405.
18 Erickson J. Evaluating a Picture Archiving Communication System Workstation. J Digit Imaging. 1997; 10: 12-3.
19 HL7-internet reference: [ONLINE]. www.mcis.duke.edu/standards/HL7/hl7.htm
20 American College of Radiology, National Electrical Manufacturers Association, “Digital Imaging and Communications in Medicine (DICOM): Version 3.0”. Draft Standard, ACR-NEMA Committee, Working Group VI; ( 1993. ) Washington, DC.: