Benefits of distributed HIS/RIS-PACS integration and a proposed architecture

Keayes, Robb G.; Grenier, Len

doi:10.1007/bf03168667

Cited by 6 publications

(4 citation statements)

References 15 publications

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“…A distributed gateway model was proposed by Keayes and Grenier [10]. A central communication server that filters and routes messages between communication partners is employed.…”

Section: Discussionmentioning

confidence: 99%

“…The radiological reports and images are also essential components of a HIS and a Computerized Patient Record (CPR). Therefore, when planning a PACS, it is also mandatory to establish a concept for its integration into a comprehensive RIS/HIS environment [10], including an electronic image archive for all radiological modalities, i.e., for conventional as well as for primarily digital procedures. The purely digital "filmless" hospital can be approached this way.…”

Section: Introductionmentioning

confidence: 99%

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

Adelhard

Nissen-Meyer²,

Pistitsch³

et al. 1999

Methods Inf Med

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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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“…A distributed gateway model was proposed by Keayes and Grenier [10]. A central communication server that filters and routes messages between communication partners is employed.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Adelhard

Nissen-Meyer²,

Pistitsch³

et al. 1999

Methods Inf Med

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“…To develop such efficient, standardized PACS, it is important to appreciate the challenge of understanding the intricacies of clinically feasible network topologies and associated information system architectures. This challenge has been studied by many in the 1990s and beyond [55][56][57][58]. In the context of this challenge, and within the perspective of DICOM interoperability in PACS, the author and his team have investigated modelling and realistic simulation methodologies, to model a range of scenarios of DICOM session and application layer implementations over various network communication protocols [59,60].…”

Section: Image Interoperability and Presentationmentioning

confidence: 99%

Informatics Opportunities and Challenges in Medical Imaging: A Journey

Arvanitis

2022

Studies in Health Technology and Informatics

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The role of the field of informatics in medical imaging is vital; novel or adapted informatics’ core methods can be employed to realise innovative information processing and engineering of medical images. As such, imaging informatics can assist in the interpretation of image-based, clinically recorded evidence. This, in turn, leads to the generation of associated actionable knowledge to achieve precision medicine practice. The discipline of informatics has the power to transform data to useful clinical information patterns of observable evidence and, subsequently to generate actionable knowledge in terms of diagnosis, prognosis, and disease management. This paper presents the author’s personal viewpoint and distinct contributions to innovations in the acquisition and collection of imaging data; storage, retrieval, and management of imaging information objects; quantitative analysis, classification, and dissemination of imaging observable evidence.

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“…The integration of PACS and RIS seems to be necessary for realization of an efficient global system (4)(5)(6)(7)(8)(9)(10). We believe that recent standard PCbased software and hardware tools now permit such a system to be realized at an affordable price (11)(12)(13)(14)(15).…”

Section: Introductionmentioning

confidence: 99%

Development of an Electronic Radiologist's Office in a Private Institute

Oberson¹,

Welz²,

Bovisi³

2000

RadioGraphics

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A computer system that improves the quality, user-friendliness, accessibility, and management of radiology data (images, reports, databases, knowledge) was implemented at a private institute. A picture archiving and communication system (PACS) was integrated with the radiology information system (RIS). Two servers and 12 personal computers form the integrated system. The first server is dedicated to management and archiving of Digital Imaging and Communications in Medicine (DICOM) images. The second server is dedicated to management of the RIS and archiving of patient data (Structured Query Language database), reports (hypertext markup language [HTML]), and images in the Joint Photographic Experts Group (JPEG) format (mini-PACS). There are three main client-server networks: a common network of imaging modalities (magnetic resonance imaging, computed tomography, ultrasonography, digital radiography) and two fast Ethernet networks (the PACS network and the RIS network). The RIS-PACS is linked remotely with other workstations and servers via Integrated Services Digital Network (ISDN). Images and reports can be distributed to referring physicians in the form of multimedia HTML and JPEG documents, which can also be used for quick and easy archiving, distribution, and reviewing within the institute. However, referring physicians have been reluctant to use electronic reports and images.

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Benefits of distributed HIS/RIS-PACS integration and a proposed architecture

Cited by 6 publications

References 15 publications

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

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

Informatics Opportunities and Challenges in Medical Imaging: A Journey

Development of an Electronic Radiologist's Office in a Private Institute

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