IT in Radiography

Chapter 4

OVERVIEW

Definition of HIS

Importance of HIS

Modules of HIS

DEFINITION

A hospital information sstem !HIS" is a

comprehensi#e$ inte%rated information sstem
desi%ned to mana%e the administrati#e$
financial and clinical aspects of a hospital&

This encompasses paper'(ased information

processin% as )ell as data processin%
machines&

DEFINITION
A hospital information system:

Is an important *ualit factor$ (ut an enormous

cost factor as )ell&

Is (ecomin% a producti#it factor

Should offer a holistic #ie) of the patient and of

the hospital&

IM+ORTAN,E OF HIS
The inte%rated processin% of information is
important (ecause

all %roups of people and all areas of a hospital

depend on its *ualit$

the amount of information processin% in

hospitals is considera(le$ and

health care professionals fre*uentl )or- )ith

the same data

MOD./ES OF HIS

Patient care

Suppl and disposal mana%ement$ schedulin%

and resource allocation

Hospital administration

Hospital mana%ement

Research and education

+ATIENT ,ARE
+atient ,are aspect can (e cate%ori0ed as follo)s1

Patient admission

Decision ma-in%$ plannin% and or%ani0ation of patient

treatment

Order entr

E2ecution of diacnostic$ therapeutic and nursin%

procedures

,odin% of dia%noses and procedures

+atient dischar%e

+atient Admission

+atient admission aims at recordin% and

distri(utin% the patient demo%raphics and
insurance data as )ell as medical and nursin%
data of the patient histor

In addition$ each patient must (ecorrectl

identified$ and a uni*ue patient and case
identifier must (e assi%ned

+atient Admission

Appointment schedulin%

+atient identification and chec-in% for recurrent

Administrati#e admission

Medical admission

Nursin% admission

Visitor and information ser#ice

+atient Admission

Appointment scheduling

The hospital must (e a(le to schedule an

appointment for a patient3s #isit& In addition$
unplanned patient admissions must (e possi(le
!e&%&$ in case of emer%encies"

+atient Admission

Appointment schedulin%

Patient identification and checking for

recurrent

Administrati#e admission

Medical admission

Nursin% admission

Visitor and information ser#ice

+atient Admission

Patient identification and checking for

recurrent:

A uni*ue re%istration num(er !R4N" must (e

assi%ned to each patient1

This R4N should (e #alid and unchan%ea(le

The R4N is the main precondition for a patient'

oriented com(ination of all information arisin%
durin% pre#ious$ recent as )ell as future
hospitali0ations

+atient Admission

Patient identification and checking for

recurrent:

If the patient has alread (een in the hospital$ she

or he must (e identified as recurrent$ and pre#iousl
documented information must (e made a#aila(le
!such as pre#ious dia%noses and therapies"&

In addition$ the hospital must (e a(le to distin%uish

different cases or hospital stas of a patient&

+atient Admission

Appointment schedulin%

+atient identification and chec-in% for recurrent

Administrative admission

Medical admission

Nursin% admission

Visitor and information ser#ice

+atient Admission

Administrative admission:

Administrati#e data form the (ac-(one of

information processin%

Administrati#e admission starts follo)in% patient

identification& It creates a so'called case&

In case of inpatient treatment$ a case summari0es

the hospital sta from patient admission until
dischar%e

+atient Admission

Administrative admission:

Each case is uni*uel identified ( its case num(er&

Important administrati#e data such as insurance
data$ details a(out special ser#ices$ patient3s
relati#es$ admittin% phsician$ and transfer
dia%noses must (e recorded

In case of chan%es$ patient data must (e

maintained and communicated& If the admittin%
phsician has communicated rele#ant information
!e&%&$ pre#ious la(orator findin%s"$ this information
must (e communicated to the responsi(le phsician
in the hospital

+atient Admission

Administrative admission:

Administrati#e admission is usuall done either in a

central patient admission area or directl on the
)ard

E#en in emer%encies patient admission is

necessar& At least patient identification and
chec-in% for recurrent has to (e performed in order
to assi%n a proper R4N and case num(er&

If the patient is unconscious and does not (ear an

identit card$ onl a dumm name ma (e recorded
to pro#ide R4N and case num(er&

+atient Admission

Appointment schedulin%

+atient identification and chec-in% for recurrent

Administrati#e admission

Medical admission

Nursin% admission

Visitor and information ser#ice

+atient Admission

Medical admission:

The responsi(le phsician )ill carr out the medical

admission&

This tpicall comprises the patient histor !disease

histor$ sstems re#ie)$ social histor$ past medical
histor$ famil histor$ medication"&

Some of this information ma (e collected from

documents of the referrin% phsician and is ta-en to
the hospital ( the patient himself&

Medical admission is usuall done on the )ard

+atient Admission

Medical admission:

As a result of medical admission the admission

dia%nosis has to (e stated and to (e coded

The (asic patient histor data ha#e to (e made

a#aila(le for other hospital functions&

For the patient histor there ma also (e

department'specific$ !semi'" standardi0ed data
entr forms a#aila(le

The collected information should (e a#aila(le

durin% the )hole sta

+atient Admission

Appointment schedulin%

+atient identification and chec-in% for recurrent

Administrati#e admission

Medical admission

Nursing admission

Visitor and information ser#ice

+atient Admission

Nursing admission:

The responsi(le nurse )ill proceed )ith the nursin%

admission&

This tpicall comprises the introduction of the

patient to the )ard and the nursin% histor&

Nursin% admission is usuall done at the )ard$ and

administrati#e data and the reason of
hospitali0ation are alread at her or his disposal

+atient Admission

Nursing admission:

For the nursin% histor there ma (e computer'

(ased or department'specific$ !semi'" standardi0ed
data entr forms a#aila(le&

These ma contain information a(out the current

dia%nosis and therap$ orientation$ communication
a(ilit$ social contacts$ nutrition$ mo(ilit$ personal
h%iene$ and #ital si%ns

The collected information should (e a#aila(le

durin% the )hole sta

+atient Admission

Appointment schedulin%

+atient identification and chec-in% for recurrent

Administrati#e admission

Medical admission

Nursin% admission

Visitor and information service

+atient Admission

Visitor and information services:

The hospital mana%ement must al)as ha#e an

o#er#ie) of the recent (ed occupation$ i&e&$ a(out
the patients5 stain% at the hospital&

This is$ for e2ample$ important for the receptionist at

the information des-$ )ho must (e a(le to inform
relati#es and #isitors correctl$ and also for some
%eneral hospital mana%ement statistics