HIS M4

• Hospital Information System (HIS)


  Computer system structured to manage all the records of health care providers to make available information and reports useful to health care personnel in doing their job more efficiently
• HIS was introduced and has evolved since then

  1960s
• HIS


  • Used mainly for billing and inventory in the past
  • Today's system is also integrated with other financial, scientific, and administrative programs
  • Provides high-quality patient care and better management of financial records
  • Needs to be affordable, scalable, and centered on the needs of patients and medical personnel
  • Adaptable to rapid technological changes
  • Provides enhanced integrity of facts, minimization of transcription error and duplication of records, and shorter turnaround times of reports
• Order communication system (OCS)


  Modules that assist medical staff in performing medical procedures that need to be performed according to the disease suffered by the patient
• HIS core modules


  • Registration
  • Order communication system (OCS)
  • Medical record
  • Billing
  • Emergency
  • Inpatient
  • Outpatient unit
• Healthcare Information Technology (HIT)


  Area that combines information system, computer science, and health care
• HIT systems


  • Patient monitoring systems in clinical setting (supported with clinical information systems [CIS])
  • Telemedicine/telehealth or m-health (remote patient monitoring)
  • Adequate, reliable medical and related IT devices (i.e., hardware)
• Clinical information system (CIS)


  Computer-supported applications with a relatively large, long-term database containing clinical data that are used to assist in the management of patient care
• Components of an HIS

  • Electronic medical records (EMR)/electronic health records (EHR)
  • Computerized physician order entry (CPOE)
  • Telemedicine
  • Picture archiving and communication system (PACS)
  • Radiofrequency identification (RFID)
  • Financial information systems (FIS)
  • Laboratory information systems (LIS)
  • Nursing information systems (NIS)
  • Pharmacy information systems (PIS)
  • Radiology information systems (RIS)
• Communication standards


  Health Level (HL) 7, Digital Imaging and Communications in Medicine (DICOM), and Clinical Context Object Workgroup (CCOW)
• EMR/EHR and CPOE are considered prerequisites for the efficient delivery of high-quality care and are instrumental to the decrease in medical errors in healthcare delivery to enhance patient safety
• Hospitals should specify communication standards such as HL7, DICOM, and CCOW to communicate between health applications or technologies
• Intensive care information systems (ICIS) have the following functionality: (1) Seamless integration with HIS, PACS, LIS and EMR; (2) Automatic collection and recording of data from bedside monitoring devices and respirators via a centralized transmitter; (3) Extraction of physician order entries from the HIS; (4) Bar-code verification of a patient's identity and the medication to be administered for preventing medication errors; (5) Generation of line charts of patient vital signs; (6) Automatic generation of a daily one-page, 24-h "Critical Care Chart"; (7) Provision of an interface for nurses to enter patient intake and discharge records, body temperature, nursing notes, etc.
• System Outline for Intensive Care Information Systems (ICIS)


  Shows relationship of health applications and technologies
• ICIS functionality


  1. Seamless integration with HIS, PACS, LIS and EMR

  2. Automatic collection and recording of data from bedside monitoring devices and respirators

  3. Extraction of physician order entries from HIS

  4. Bar-code verification of patient identity and medication

  5. Generation of line charts of patient vital signs

  6. Automatic generation of daily "Critical Care Chart"

  7. Interface for nurses to enter patient records
• Hospital Information System (HIS)


  Computer system structured to manage all the records of health care providers to make available information and reports useful to health care personnel in doing their job more efficiently
• HIS was introduced and has evolved since then to cope with changes and demands of modern times

  1960s
• HIS


  • Features used mainly for billing and inventory in the past
  • Today's system is also integrated with other financial, scientific, and administrative programs
  • Hospitals with as many as 200 disparate systems integrated into their HIS
• Hospitals using the HIS experience efficiency in accessing reliable patient information with just a few clicks
• Advancements and new developments in HIS


  Useless if the system is not user-friendly, and training is inadequate
• Effective HIS


  • Affordable
  • Scalable
  • Centered on the needs of patients and medical personnel
  • Adaptable to rapid technological changes
  • Provides enhanced integrity of facts
  • Minimizes transcription error and duplication of records
  • Shorter turnaround times of reports
• HIS is a must for all hospitals, whether large or small, government or non government owned, local or global, etc.
• Hospital Information System


  Integrated information system that improves patient care by increasing users' knowledge and reducing uncertainty, allowing rational decisions to be made from the information provided
• Definition of Hospital Information System


  Integrated electronic system that collects, stores, retrieves, and displays overall patient data and information, such as the history of the patient's information, results of laboratory tests, diagnoses, billing, and others related hospital procedures that are used by several departments within hospitals
• Architecture of Hospital Information System

  1. Hospitals are required to implement HIS core modules that consist of at least registration, order communication system (OCS), medical record, billing, as well as emergency, inpatient, and outpatient unit module

  2. These HIS core modules will be integrated with back-office and support services modules
• Healthcare Information Technology (HIT)


  Area that combines information system, computer science (CS), and health care
• HIT systems available for patient monitoring

  • Clinical setting (supported with clinical information systems [CIS])
  • Remotely (usually from home), such as telemedicine/telehealth or m-health
• Clinical information system (CIS)


  Computer-supported applications with a relatively large, long-term database containing clinical data that are used to assist in the management of patient care
• Components of an HIS

  • Electronic medical records (EMR)/electronic health records (EHR)
  • Computerized physician order entry (CPOE)
  • Telemedicine
  • Picture archiving and communication system (PACS)
  • Radiofrequency identification (RFID)
  • Financial information systems (FIS)
  • Laboratory information systems (LIS)
  • Nursing information systems (NIS)
  • Pharmacy information systems (PIS)
  • Radiology information systems (RIS)
• EMR/EHR and CPOE are considered prerequisites for the efficient delivery of high-quality care and are instrumental to the decrease in medical errors in healthcare delivery to enhance patient safety
• Hospitals should specify communication standards such as Health Level (HL) 7, Digital Imaging and Communications in Medicine (DICOM), and Clinical Context Object Workgroup (CCOW) to communicate between health applications or technologies
• Example of System Outline for Intensive care information systems (ICIS)


  1. Seamless integration with the hospital information system (HIS), picture archiving and communication system (PACS), laboratory information system (LIS) and electronic medical records (EMR)

  2. Automatic collection and recording of data from bedside monitoring devices and respirators via a centralized transmitter

  3. Extraction of physician order entries from the HIS

  4. Bar-code verification of a patient's identity and the medication to be administered for preventing medication errors

  5. Generation of line charts of patient vital signs

  6. Automatic generation of a daily one-page, 24-h "Critical Care Chart"

  7. Provision of an interface for nurses to enter patient intake and discharge records, body temperature, nursing notes
• System Outline for Intensive Care Information Systems (ICIS)


  Shows relationship of health applications and technologies
• ICIS functionality


  1. Seamless integration with HIS, PACS, LIS and EMR

  2. Automatic collection and recording of data from bedside monitoring devices and respirators

  3. Extraction of physician order entries from HIS

  4. Bar-code verification of patient identity and medication

  5. Generation of line charts of patient vital signs

  6. Automatic generation of daily "Critical Care Chart"

  7. Interface for nurses to enter patient records
• Nursing Information Systems (NIS)


  Developed to enhance patient care by providing nurses with accurate information to assist them in their duties more efficiently
• This is where the responsibility of the materials management department ends as inspection of a nursing unit, suite, or exam floor will reveal a smaller, self-managed inventory in supply closets, nurses' stations, and individual rooms
• These inventories are essential in maintaining supplies conveniently available for use
• Management Reporting


  Today, management reporting is not limited to data retrieval. It has become a platform for reporting and controlling information valuable to the institution
• Recent technological advancements help management reports to provide non-monetary information, which enables the management to have an oversight of its operations
• These advancements pave the way for the emergence of management reporting systems