MTY1106 LEC: HEALTH INFORMATION SYSTEM
MODULE 11: OTHER HOSPITAL INFORMATION SYSTEMS
2nd Semester | SY 2021-2022
LECTURER: Mr. Theo Segismundo
TOPIC
SUBTOPIC
SUB-SUBTOPIC
CARDIOLOGY INFORMATION SYSTEM
Ø Focused on the storage and retail cardiology-
centric images.
Ø Receives an order with patient demographics
for information management systems.
Ø Images are acquired from imaging modalities
à profiled based on the order and stored for
further distribution, viewing, and long-term
archiving (Katipula & Ireland, 2013).
Ø The information used by cardiologists for the
diagnosis and treatment of illnesses varies
from personal notes (history, physical
examination), to signals
(electrocardiograms), images
(echocardiograms angiograms, CT, MRI),
and reports from investigations and
procedures.
Ø Serves as repository of these forms of
images Unfortunately, most systems are
limited by their storage capabilities and do
not include post-processing functions.
EVOLUTION OF CIS
Ø Decades ago- a good database schema
combined with a functional user interface
was deemed adequate.
Ø 1970s- CIS originated from mainframe
environments, whose technical specifics
would be considered ridiculous in today's
context.
Ø 1980s- modular systems that emphasized
the use of real-time applications and mini
computers became the trend (Turney &
Kohls, 1997).
Ø Introduction of the internet became a turning
point that shifted the focus of most systems
towards creating networks and facilitating
integration.
Ø Today- unique features that enable remote
access and easy retrieval.
TRANSCRIBED BY: NINA RICCI O. DELA PAZ
Ø Some systems have also attempted to
integrate radiology information systems
(RIS) to involve more administrative
processes and go beyond storage purposes.
BENEFITS OF CIS
Ø Different CIS, coming from different sellers,
vary in their available features. However, the
following are the most common benefits:
1. Ease of Access while Maintaining
Data
o Eliminating the need for doctors to
request different imaging results from
different departments.
2. Flexibility in the Workflow
o Mobile technology à assess a wide
array of information without having to
leave the patient's bedside.
o Cardiological data in a single platform
à mobility to physicians and nurses,
à improve efficiency of providing
service.
3. Enhanced Comparability
o CIS- essential repository of
cardiology imagery results
o Retrieval of past data is convenient.
o Make more informed decisions
FUNCTIONALITIES OF CIS
1. Editing, Viewing, and Storing Multi-Modal
Cardiology Data
o Different types of data, including
those of computed tomography (CT),
cardiac ultrasound
(echocardiography), magnetic
resonance imaging (MRI), nuclear
imaging (PET and SPECT), and
angiography may be managed on a
single platform.
2. Remote Access
Ø Networks and integrated information
systems + availability of the internet and
tablets and smart phones = CIS flexibility
3. Visualization and Reporting Capabilities
 o Main benefits: ease and the
consistency of reporting.
o Virtual real-time information retrieval
is possible anytime and anywhere
4. EHR Integration
o CIS may be integrated with existing
electronic health record systems
o Enhancement of the quality of
services of the health professionals
o More comprehensive view of the
patient care spectrum.
RADIOLOGY INFORMATION SYSTEM
Ø Network system used in managing imagery
and associated data in the radiology
department.
Ø Tracks the orders and billing information of
the requesting department.
Ø Picture archiving and communication
systems (PACS)- storage and management
of medical images
Ø Vendor neutral archivals (VNA)- manage
image archives and for record-keeping and
billing within a hospital information system
(HIS) (Rouse, 2017).
Ø Many advantages in the context of improving
overall operations of the institution.
Ø Easier access to patient information
o It can be integrated in referring to the
doctor's electronic health record
(EHR) system à better patient
experience.
Ø Faster processing of payments
o Insurance plans of patients may be
prior to their visit and electronic
payment is an available option.
Ø Permits reports to be easily generated à
sent to the requesting department à
improves the efficiency of the workflow
FUNCTIONS OF RIS
Rouse (2017)
Ø Patient Management
o Tracks the patient's entire workflow
within department
o Add images and generate reports to
EHRs for easy retrieval and viewing
Ø Scheduling
o Schedule appointments for in-
patients and out-patient
Ø Patient Tracking
o Tracing the patient's radiology history
starting from admission to discharge
à coordinating it with his or her past,
present, and future appointments
Ø Results reporting
o Possible through the statistical
reports RIS.
o For a single patient or a group of
patients, as well as for specific
procedures
Ø Image tracking
o Track individual films and associate
o RIS-PACS systems- managed by
radiology departments
§ Cover the entire clinical
workflow of the medical
enterprise
Ø Billing
o Made convenient through the
system's financial record keeping and
processing of electronic payments
and automated claims.
KEY POINTS
Ø Cardiology information system (CIS) is
mainly focused on the storage and retrieval
of cardiology centric images.
Ø The benefits and features of CIS include
ease of access while maintaining data
security, flexibility in the workflow, and
enhanced comparability.
Ø The functionalities of CIS are editing,
viewing, and storing multi-modal cardiology
data; remote access; visualization and
reporting capabilities; and EHR integration
Ø 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 (VNA) to manage image archives
and for record-keeping and billing within a
hospital information system (HIS).
Ø The functions of an RIS are patient
management, scheduling, patient tracking,
results reporting, tracking, and billing.