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
1   Institute of Medical Informatics, Biometry and Epidemiology, and Germany
,
S. Nissen-Meyer
2   Institute of Radiological Diagnostics, Klinikum Großhadern, Ludwig-Maximilians-Universität, München, and Germany
,
C. Pistitsch
2   Institute of Radiological Diagnostics, Klinikum Großhadern, Ludwig-Maximilians-Universität, München, and Germany
,
U. Fink
3   Institute of Radiology Schwenningen of the Clinic of the City of Villingen-Schwenningen, Germany
,
M. Reiser
2   Institute of Radiological Diagnostics, Klinikum Großhadern, Ludwig-Maximilians-Universität, München, and Germany
› Author Affiliations
Further Information

Publication History

Publication Date:
08 February 2018 (online)

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.

 
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