Patient databases
(EPR, HIS, RIS, LIS, CIS, PACS etc)
and communication platform.
Our global offers for the digitizing of
hospitals may integrate several information systems (EPR, HIS, RIS, LIS, CIS, PACS, endoscopy software, gynaecology software, etc) produced by selected partners.
Those systems could be embedded in others, or at least will be perfectly integrated to each other
The HIS proposed by Pansys is together global and
customizable. Its conceptual priorities are the improvement of the medical
workflow and the facilitation of the all the data transfers in the
hospital. The LIS (laboratory information system) either is autonomous and
can be integrated with any HIS, or is natively embedded in the HIS by
being a part of a global system produced by the same
developers. The integration between the RIS and the PACS aims mainly,
either at the synchronized viewing of images and data/texts, or at the
transfer of the respective data from one system to the other. But when together the RIS and the PACS have to be
replaced, the easiest, safest and cheapest way consists of acquiring one
single system, named in that case RMS (radiology management system),
conceptually based on the concept of "one single bag per patient" and
providing globally all the features of PACS (diagnostic viewing,
teleradiology, image distribution, archive) and of RIS (scheduling,
worklist server, reporting). That software can be used as clinical management system,
and provides then the tools dedicated to cardiologists (CIS = cardiology
information system), to gynaecologists (gynaecology information system),
or to gastroenterologists (endoscopy software), besides the radiology
management system.
Regarding specially
the PACS, our proposal provides the suitable security, which protects the confidentiality and the integrity of the data, and a selectable compression, which increases the speed of the transmission and the effective storage capacity and decreases the cost to the same extent.
Several solutions of archiving and of backup are available:
As basic hardware of archiving medium of that PACS
we first propose a RAID system, as extension of a server [see: Hardware
But the software must be appropriate. The PACS that we propose offers a multiple document storage path that allows an extensible storage capacity. It can so deal with any size of RAID, NAS or SAN.
Moreover that PACS provides a hierarchical storage
management able to store differently the images on one hand on the server
(+ its eventual RAID extension), on the other hand on any other support
(like another server, RAID, NAS, SAN, or an Enterprise Archive, or a
remote datacenter, or a jukebox using CDs, or DVDs, or tapes, etc).
When the integration between the pre-existing systems faces any
problem (for instance: incomplete system, obsolete concept, obstructive
producer, absence of master patient index, etc…) a communication platform
can be proposed by Pansys.
The access to the data can be protected by a failover, and optimally distributed by a load balance.
That cheap, robust and stable solution provides an on-line access to the archived images, even in the long term [see: Transmission of digital images].
That solution is the best compromise of capacity=cost, security, and speed of access (on-line access).
So the most recent images are stored on the server ( + its eventual RAID extension) where the oldest images are deleted on a FIFO-way (first in, first out).
But
all the images, even old, remain preserved on the second support (NAS, SAN, Enterprise Archive, external datacenter, jukebox). Those images, being so not more "on-line" can be fetched "near-line" within a short delay.
About our proposals of secondary archive, see our section: Hardware