Open HIS - hospital system

Integrated hospital information system was developed during five years of work, in cooperation with the IT department of a general hospital Varazdin, and covers all requirements in the work of a hospital or clinic. In the center of the system is the patient and all related processing over it that are very complex so that in the end we have an electronic record of a patient which is the goal of the system.

WHY USE THIS SYSTEM?

  • functional covers all major needs of one healthcare institution and was developed with the active role of professional staff from the hospital Varazdin

  • the data is entered into the system only once, and all are located in the central database and are available immediately upon entry to anyone on request, depending on the level of access and rights of each user

  • simplicity of operation and ease of use

  • the system is written in web technologies and is extremely easy to implement it

  • requires a minimal amount of additional licenses and costs after the system on the client side can run on Linux OS and it is already a significant saving of resources

  • license is FREE - will be charged only the implementation and subsequent maintenance and upgrading

  • system can be used from anywhere (Internet) with clear adherence to safety rules

  • has a module that connects to the primary health care (doctors) that they can order and view the results of treatment of patients

  • to connect and exchange information with other systems, either external or specialized treatment systems, laboratory and radiological diagnosis

FUNCTIONAL SPECIFICATION

The system is designed as a central information system of the institution which integrates all the other sub-systems into a single entity through which you receive all the facilities and data.

REGISTER OF PATIENTS AND LIST OF PROCESSING

  • basic and biographical data
  • insurance
  • merging data on demand if the same patient is entered multiple times in the system
  • service to check the validity of the insurance
  • search and placement in treatment of patients through a number of parameters or by using the insurance card
  • updating the registry data of patients from the national registryO
  • a quick reference list of patients in treatment at a specific day and by department
  • lista pacijenata u obradi na radilištu
RECEPTION More types of reception, different levels of validation of mandatory data, as well as the necessary amount of data that must be entered.
  • reception with referral Health Insurance
  • emergency room
  • cash processing and payment
  • national programs
  • internal reception
  • preception over the ordered list of patients who are ordered through primary care physicians or in the institution
INTERNAL ORDER AND TRANSFERS WITHIN THE INSTITUTION Electronic internal orders on the basis of which the later works automatically sent to the internal receiving departments. More types of internal order, and depending on where the patient was sent, shall be entered as required, leading diagnosis, and a list of required searches.
  • internal referrals general type
  • referral to a consultative examination
  • referral for inpatient treatment
  • referrals for lab
  • referral for transfusion
  • referral for Microbiology
  • referral to another institution
  • referral for ambulance
  • referral through appointments
  • status of the sent orders
PATIENT MEDICAL TREATMENT Writing medical records of the patient (medical history, discharge letter), writing reports and diagnosis, an automatic transmission of the text or parts of the text from one document to another, the possibility of redefinition contents of all documents and their Parameterization via the user interface, which dynamically affects the final appearance, entry templates (usually entered parts of the text) - which is only slightly modified for an individual patient without having to enter each time, the ability to dynamically determining the signatories of documents.
  • history of illness
  • discharge letter
  • consultative review
  • writing reports
  • work with diagnoses
  • records of medication and therapy
  • operating protocol
  • Surgical MSDS
  • anesthetic protocol
  • Report death
  • urologic documentation
  • login surgical infection
  • departmental documents (categorization of patient visits, pressure ulcers ..)
  • Integration with LIS system (laboratory) - send requests to the LIS and retrieve and display the results in the IHIS, automatic posting procedures for accounts
  • Integration with imaging system and display radiographic images in IHIS
ACCOUNTING MODULE Entry procedures (DRG) according to predefined actions that incorporate more of the same procedures to speed up the entry. Collection participation of departments where the service is created. Updating visiting patients. Automatic generation account when processing is completed and the ability to regenerate the account until the moment of delivery or data entry into the accounting module.
  • Entry procedures - DRG (pharmaceuticals, materials ..)
  • multiple entry procedures - integrated quick entry of all proceedings under predefined procedures
  • account and participation - preparation, collection, printing (for all types of processing - cash, special payers, CIHI accounts ...)
  • entry bar code
  • various reports
  • WAITING LISTS AND ORDERING
    • defining the terms for ordering patients
    • Appointment Booking
    • search for the first available dates
    • module for external ordering and review of the results of work in the hospital (used by doctors who are not from the institution)
    REPORTS
    • accounting
    • medical
    • statistical
    • financial
    • forms and media for CIPH and Health Insurance
    • other reports
    ADMINISTRATION
    • codebooks
    • users and roles
    • adjust the definition of system parameters
    • administrator modules
    • utilities
    SECURITY AND DATA Each user has his name that enters the system, and each user name is assigned a role in a system that is the default for certain rights of access to data and applications. Any changes to the data is recorded (time and user who made it). Physical deletion of the most sensitive information, we have disabled to avoid unintended data loss. For any additional information we have auditing tables in which write down your deleted information.

    GENERAL

    The core of the system is a web application developed in Microsoft tools by Web 2.0 standards. Only mass data processing for a variety of reports is done as a Windows desktop application, but that part of the application is already intended only for the administrative level of use, that is for a narrow range of users. All other parts of the application are classic / advanced ASP.NET applications.

    The system is multi-layered and have such a database part which is used for data storage (MS SQL Server 2005) and for more or less demanding the need for manipulation of data (stored procedures, functions, views). Communication with the database module workin over business layer which is initially automatically generated with ORM tools and leans on its architecture. In the business layer is the very essence of this system and it is designed so that it can later be used with any of the presentation layer, not only in the web environment. And finally, we have a presentation layer (UI layer) which is a web application (ASP.NET) based on ExtJs UI components. To generate reports using the iTextSharp PDF component for dynamically creating PDF documents (the report) and Crystal Reports tools as traditional reporting tools.

    SERVER REQUIREMENTS

    Minimum need a stronger server with Windows Server 2003 (or later) operating system, installed IIS version 6.0 and installed Microsoft.NET 4.0+ Framework. In case you used the database on the same server, requires the installation of MS SQL Server 2005 (or later). The optimal use two servers: an application server for the main application and database server. If we plan to access the application remotely, then need the web server modules that can be accessed over the Internet. However to provide a data backup and backup application server add another 2 server to make the system completely safe.

    CLIENT REQUIREMENTS

    On the client side can use Linux OS with the Mozilla Firefox web browser included with the installed browser PDF documents. The system naturally also works on Windows OS on IE 6.0+ and Mozilla Firefox web browsers. The system would probably do without major difficulties on Google Chrome and Opera web browsers but not fully tested. No additional installation is required on client machines.

    LICENSE

    The only thing required to pay compulsory licenses: one license for Microsoft SQL Server 2005/2008/2012 Standard Edition and licenses for Microsoft Windows 2003/2008 Standard Edition operating system (as long as the server is used - from 1 to 4 an optimum or even more if desired). On the client side do not need a license if you are using Linux OS, and if you use some of the Windows OS then you must buy a license for it.

    Quick Overview treated patients

    View

    All medical records of the patient

    View

    Document Entry (history, letter of discharge ..)

    View

    Working with diagnoses

    View

    Multiple entry procedures

    View

    The first patient admission in a new episode of treatment

    View

    Sending patients within the institution

    View

    Internal the booking procedure, linked to the national health system

    View

    Health Network

    The project was conceived as a health care network that will connect patients with medical experts and institutions. Is coming to the end of development and ready to produce, and for this reason will not be described until it is completed.

    Patients

    The central figure of this service.

    Communication

    Patient and doctor communicate and provides the greatest benefit to one and the other users.

    Doctors

    A number of benefits for doctors to help them deal with patients.

    Health institutions

    They have the opportunity to participate in the system and derive maximum benefit from it.

    DASO Framework

    Application framework to develop your web and mobile projects. More details when framework will be in use.