Radiology, Healthcare IT Terminology

IMAGE AND PATIENT MANAGEMENT TOOLS

DICOM ROUTER

A DICOM router, also known as a “DICOM Broker,” “Gateway,” “Middleware,” or “Edge Device” works with your imaging equipment to send, receive and route quickly and easily deliver, retrieve and route medical digital images. Some DICOM routers, such as RamSoft’s Gateway Router, are also archiving solution with no limits on storage, number of studies or number of modalities, including mammography. Sites have the ability to archive their images on a PC or server. Our Gateway Router is so robust and flexible that it can work with multiple storage volumes; any number of hard drives, NAS or SAN, and can even store images on a USB flash drive.

PACS

Picture Archiving Communication System is a medical imaging technology that provides storage and access to digital images acquired by imaging modalities. A PACS may or may not include a diagnostic viewer. A PACS transmits digital images and reports electronically which eliminates the need for manually file, retrieve and transport film jackets. Implementing a digital infrastructure such as a PACS can achieve significant gains in workflow and productivity.

RIS

A Radiology Information System is software used to store, manipulate and distribute patient radiological data. A RIS may be integrated with a PACS or be provided as an option in a single-platform database solution; the later creating a seamless connection between the RIS and PACS for ease of use and complete workflow management. A RIS commonly includes patient registration and scheduling, provides patient data to the modality via MWL (DICOM Modality Worklist) includes workflow management and maintains form and report templates. With an HL7 interface, a RIS can also transmit data securely to separate systems such a reporting or billing system.

Teleradiology

Teleradiology is the practice of transmitting patient images, commonly via the internet, from one location to another for the purpose of interpretation and/or consultation. Teleradiology is commonly used in rural areas where access to radiology specialists is sometimes limited as well by radiology groups.

Teleradiology Software

Specialized RIS and/or PACS software used to transmit patient studies and enable the Radiologist to effectively analyze a given study. Technologies such as advanced graphics processing, voice recognition, and image compression are often used in Teleradiology. Through Teleradiology, images can be sent to another part of the hospital, or to other locations around the world.

WORKFLOW ENHANCING TOOLS

Voice Recognition

Voice Recognition is specialized software that identifies a speaker’s speech patterns and converts the spoken word into text. Software such as Dragon Medical are specially designed to recognized commonly uses medical terminology so providers can create new reports quickly and accurately without typing; a major time saving technique for both the radiologist and the practice as it can reduce reliance upon transcription. Additionally, voice recognition can be used to control the computer and software with minimal key strokes.

Auto Faxing

Services such as Interfax, MyFax and ActFax utilize digital or analog transmission to send faxes from a computer. Internet faxing converts files to a TIFF or PDF for transmission via email. Computer-based faxing sends a fax directly from a computer to a fax machine.

INDUSTRY STANDARDS TERMINOLOGY

DICOM

Digital Imaging and Communications in Medicine is the global Information Technology for handling, storing, printing and transmitting information in medical imaging and it’s used in virtually all hospitals and by imaging providers worldwide. DICOM enables the integration of modalities, servers, printers, and network hardware from multiple manufacturers into picture archiving and communication systems (PACS). The different devices come with DICOM conformance statements which clearly state the DICOM classes they support.

HIPAA

Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a multi-tiered law that protects health insurance coverage for workers and their families; establishes national standards for electronic health care transactions; and provides federal protection for personal health information held by covered entities and gives rights to patients with respect to that information. HIPAA also specifies a series of administrative, physical, and technical safeguards for covered entities to use to assure the confidentiality, integrity, and availability of electronic protected health information.

HL7

Health Level Seven International (HL7) is a not-for-profit, ANSI-accredited standards developing organization dedicated to providing a comprehensive framework and related standards for the exchange, integration, sharing, and retrieval of electronic health information that supports clinical practice and the management, delivery and evaluation of health services.

IHE Profiles

IHE Profiles provide a common language for purchasers and vendors to discuss the integration needs of healthcare sites and the integration capabilities of healthcare IT products. They offer developers a clear implementation path for communication standards supported by industry partners and carefully documented, reviewed and tested. They give purchasers a tool that reduces the complexity, cost and anxiety of implementing interoperable systems. IHE Profiles organize and leverage the integration capabilities that can be achieved by coordinated implementation of communication standards, such as DICOM, HL7 W3C and security standards. They provide precise definitions of how standards can be implemented to meet specific clinical needs.

Integration

Utilizing such standards as DICOM, HL7, and IHE profiles help vendors set up and define a common language in which disparate systems can communicate.

MEANINGFUL USE TERMINOLOGY (USA Only)

Meaningful Use

Meaningful Use refers to incentive programs that provide financial benefits for Eligible Professionals (EPs) that achieve specified healthcare IT objectives.

ONC

The Office of the National Coordinator for Health Information Technology is federal agency charged with the coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information.

RamSoft’s ONC-ATCB Complete Certified EHR

This is an option for PowerServer RIS/PACS and PowerServer Tele Plus which collects the necessary data for eligible radiology professionals to attest to Meaningful Use. Existing customers are encouraged to upgrade their existing systems to take advantage of the EHR Incentive Programs.

BILLING TERMINOLOGY (USA & Canada)

CPT

Current Procedural Terminology code set is maintained by the American Medical Association through the CPT Editorial Panel and is designed to communicate uniform information about medical services and procedures among physicians, coders, patients, accreditation organizations, and payers for administrative, financial, and analytical purposes.

ICD

International Classification of Diseases is a medical classification that provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or disease. This system is designed to promote international comparability in the collection, processing, classification, and presentation of these statistics. The ICD is a core classification of the WHO Family of International Classifications (WHO-FIC).

OHIP

Ontario Health Insurance Plan is the plan provided to residents of the province of Ontario which entitles them to health care services. The Ministry of Health and Long-Term Care pays for a wide range of services except those that are not medically necessary, such as cosmetic surgery. Medical services are provided across Canada with the province or territory billing the Ontario Ministry of Health and Long-Term care for hospital and physician services.

HOSTING AND CLOUD COMPUTING TERMINOLOGY

Cloud Computing

Cloud computing is the delivery of computing as a service rather than a product. Resources such as hardware, software and data provided over a network, such as the internet.

Hosted Model

A hosted model provides clients with solid IT infrastructure that guarantees 100% uptime and security for your PACS, RIS/PACS or Teleradiology software. Hosted models are sold as either a Hosted/Rental Model or a Hosted/Purchased Model. A Hosted/Rental solution includes a monthly fee for both the software and hosting of your servers where in Hosted/Purchase Model, the end user pays in full for the software and pays monthly fee for hosting the software.

Pay Per Study Model

A completely hosted and fully managed web based PACS or RIS/PACS solution for physician offices, hospitals, and radiology groups. With the Pay Per Study model, facilities of all types and sizes are able to leverage the latest digital imaging technology while reducing capital costs for equipment purchase, maintenance, and personnel. Sold on a subscription basis, Pay per Study models offer a per study price point with no long term contracts.

RADIOLOGY TERMINOLOGY

CAD

Computer-Aided Detection (CADe) and Computer-aided Diagnosis (CADx) are procedures in medicine that assist doctors in the interpretation of medical images. CAD systems help scan digital images for typical appearances and to highlight suspicious sections, such as possible diseases.

Computed Radiography (CR)

Computed Radiography uses very similar equipment to conventional radiography except that the latent image is captured through the use of imaging plates as opposed to conventional film screen. This eliminates the need for a darkroom to develop film. However, a special laser scanner, or CR reader, is required to process the image. From there, the digital image can then be viewed and enhanced using software as a PACS.

Digital Radiology (DR or DX)

Digital Radiography is filmless X-ray image capture. In place of X-ray film, a digital image capture device is used to record the X-ray image and make it available as a digital file that can be presented for interpretation and saved as part of the patient’s medical record. Like CR, a DR system eliminates the need for a darkroom and can reduce costs associated with processing, managing and storing films. DR differs from CR in that DR immediately displays a digital image where CR requires image plates to be processed by a CR reader before they can be viewed.

RAMSOFT ONLINE CUSTOMER TOOLS

Customer Support Portal

RamSoft’s Customer Support Portal is an online access point for system documentation and to report non-urgent problems.

RamSoft e-Learning University

The RamSoft e-Learning University is a web-based, on-demand environment offering over 200 lessons for educating clinicians and enhancing their proficiency on RamSoft software solutions. Available courses include: PACS Administration, Patient Registration, Order Management, Advanced Visualization, and Post-Processing Procedures.The RamSoft e-Learning University is utilized as a preliminary training tool for new customers prior to onsite training and go-live. It can also be utilized follow-up tool to ensure retention of the material covered during live training sessions.

SECURITY TERMINOLOGY

SSL

Secure Sockets Layer (SSL) protocol used by web servers and browsers to create a uniquely encrypted channel for private communications over the public Internet. Each SSL Certificate ensures that data is encrypted during transmission and can be deciphered on the receiving end. SSL Certificates can offer up to 256-bit encryption.

TLS

Transport Layer Security is an Internet security protocol that encrypts data transmission at the Transport Layer. TLS is commonly used is communication transmissions via web browsing, email, internet faxing, instant messaging and voice-over-IP.

Firewall

A Firewall is a device or set of devices, and even software, designed to permit or deny network transmissions based upon a set of rules and is frequently used to protect networks from unauthorized access while permitting legitimate communications to pass.

VPN

A Virtual Private Network (VPN) is a method of computer networking–typically using the public internet–that allows users to privately share information between remote locations, or between a remote location and a business’ home network. A VPN can provide secure information transport by authenticating users, and encrypting data to prevent unauthorized persons from reading the information transmitted. The VPN can be used to send any kind of network traffic securely.