Hospital Information Systems

Garant předmětu:

Lecturer:

Tutor:

Supervisor:

Department of Biomedical Informatics

Synopsis:

Definition of hospital episodes, organization and workflow of hospital care. Data items and structuring electronic patient record. The structure of patient-oriented databases, monitoring and correction of incompleteness. Record of medical information and data, display and prints of medical records and information.

Patient admission, transfer and discharge module. The structure of electronic medical record forms. Medical order and record of drug and infusion therapy. Electronic patient record, registration physiological condition of the patient and nursing care. Checking the quality of care, standardization and accreditation of providers of hospital care. Protocols of patient care.

Orders, findings and neutral services, structure, format of order status monitoring. Structured patient record and its interpretation. Intensive care and resuscitation. Resuscitation record. Calculation of physiological liquid, ions and energy balance and classification of severity of patient condition. Surgical care, surgery planning, traffic management of operating rooms. Anesthesiology and operational protocol. Postoperative care.

Outpatient episode, outpatient patient record and outpatient information subsystems.

Laboratory information systems, LIS database, communication and quality control. Integration of the laboratory complement. Radiology IS, specific workflow, planning, testing, generation, transmission and archiving of digital image information (PACS). One-dimensional and multi-dimensional medical data coding systems (ICD-10, SNOP, SNOMED ,..). Data standards for transmission and storage of information and data (HL7, DaSta CR, DICOM ,..). Accounting of health care, performance-related systems, DRG, controlling of clinical departments.

Requirements:

Basic knowledge of health care organization

Basic knowledge of clinical care and patient records

Syllabus of lectures:

1.Introduction (1.1. Historical overview of health care IS application, 1.2. Health care with the view of IT)

2.Inpatient and outpatient episode (2.1. Inpatient episode definition, 2.2. Hospital care workflow, 2.3. Electronic patient record, 2.4. Data items of patient record, 2.5. Patient oriented database structure, 2.6. Outpatient care record, 2.7. Reservation and scheduling systems)

3.Clinical information systems (3.1. Admission, transfer and discharge module, 3.2. Order and request systems, 3.3. Drug and infusion therapy record, 3.4. Structured patient's finding, 3.5. Neutral and „order“ services, 3.6. Electronic form of inpatient record, 3.7. Electronic daily record, 3.8. Registration and evaluation of nursing care)

4.Specialized modules of clinical IS (4.1. Module of postoperative and intensive care, 4.2. Systems for patient status classification and range of care evaluation, 4.3. Patient monitoring and life function support, 4.4. Liquid energy and ion balance, 4.5. Surgery operation protocol, 4.6. Anesthesiology a resuscitation protocol)

5.Support and care quality control (5.1. Quality of patient care, 5.2. Health care providers accreditation, 5.3.Standardization of diagnostic and therapy processes, 5.4. Electronic protocols of patient care)

6.Laboratory information systems (6.1. Basic overview of LIS representative, 6.2. Order form requisition, 6.3. Identification of biological substance, 6.4. Analytical processes control, 6.5. Actual and cumulative laboratory findings, 6.6. Results and process quality control, 6.7. Consolidation and integration of lab operations)

7.Information systems of radio diagnostic departments (7.1. Order form requisition and patient scheduling, 7.2. Reception desk and patient distribution, 7.3. Examination process control and recording, 7.4. Image description and creating of findings, 7.5. Distribution of images and findings, 7.6. Archiving of radiology films and images, 7.7. Archiving systems and images transfer - PACS)

8.Accounting of health care and cost control (8.1. Contract base relation between health care providers and payers, 8.2. Performance - related refund system, 8.3. DRG, 8.4. Assembling of patient bills and a batches, 8.5. Verification of bills and error correction batches)

9.Other HIS subsystems (9.1. Accounting and financial IS, 9.2. IS of human resources and payroll, 9.3. Facility management IS, 9.4. Pharmacy and material stores IS, 9.5. Food services IS)

10.Management information systems (10.1.Data warehouse and data pumps, 10.2.Data transformation to indicators, 10.3.Types and indicator's attributes overview, 10.4.Indicator's parameterization and deviation identification, 10.5.Management IS outcomes)

11.Data and communication standards (11.1.Czech data standard DaSta, 11.2.HL7, 11.3.Digital image communication standard DICOM)

12.Medical information coding systems (12.1.One and multi dimensional nomenclatures, 12.2.International classification of diseases ICD, 12.3.Nomenclatures SNOP and SNOMED, 12.4.Specialized and special purpose coding systems)13.Heterogeneous information systems integration

Syllabus of tutorials:

1.Model solution based on HIS Clinicom

2.Admission, transfer and discharge

3.Creating prototypal electronic orders

4.Functional examination finding creation

5.Daily medical record assembly

6.Creating inpatient episode bill

7.Creating outpatient episode record

8.Data and communication standards

9.Creating order and finding in DaSta standard

10.Creating order and finding in HL7 standard

11.Medical information coding

12.Creating code interpretation of medical text in SNOMED nomenclature

13.Creating self designed coding system based on tree structurs

Study Objective:

The main objective of this subject is detailed familiarization with structure and properties of complex hospital information system. Particular attention is paid to clinical subsystems of the HIS, electronic form of patient record and accounting of medical care.

Study materials:

[1] J.H. van Bemmel, M.A. Musen:Handbook of Medical InformaticsSpringer 1997

[2] E.H. Shortliffe, L.E. Perreault: Medical Informatics 2000

Note:

Further information:

No time-table has been prepared for this course

The course is a part of the following study plans:

• Biomedical Informatics - full-time study (compulsory course)