e-Health

Mexican Social Security Institute

(IMSS)

July, 2006
Igor Rosette Valencia
CIO/CTO
•Introduction
•Mexico quick facts
•IMSS
•EHR
•Hospital Information Systems
•IMSS-VISTA
•Imaging
•Future Development
•Digital Hospital
•Video
July, 2006
Igor Rosette Valencia
CIO/CTO
INTRODUCTION: MEXICO QUICK FACTS

Territory: About 2 millions km².

Political Division: 31 States, 1 Federal
District.
Total population (2000): 97.5 millions
Annual population growth rate (1990-
2000): 1.85%
Urban population (2000): 74.6%
Population density (2003): 53.0 Hab/Km2
Life expectancy: 68.5, males; 74.7, females
Ethnic groups: 60% mestizos (Amerindian-
Spanish) ; 30% amerindian; 9% white;
1% other.

Fuente: Secretaría de Relaciones Exteriores http://www.sre.gob.mx

INTRODUCTION: IMSS CHALLENGES

Demographic Epidemiologic
transition transition

Economy performance Quality of services

INTRODUCTION: DEMOGRAPHIC TRANSITION

2000 2010
65 and • During the next
more
Men 10 years, the
60 to 64 fastest growing
Women
group will be
65+ years old.
50 to 59

Age range
40 to 49

30 to
39

20 to 29

10 to 19

0 to 9

25 20 15 10 5 0 5 10 15 20 25 25 20 15 10 5 0 5 10 15 20 25

% of population % of population

National Population
97.4 MILLION 112.2 MILLION
INTRODUCTION: EPIDEMIOLOGICAL TRANSITION

• Poliomyelitis
Control, Prevention
• Diphtheria
and/or
• Gastrointestinal
Eradication
• Respiratory
Degenerative/chronic diseases

• AIDS • Diabetes mellitus

• Cardiovascular illnesses
• Cancer

• renal / nephritic
illnesses
INTRODUCTION: ECONOMY PERFORMANCE

• Economy growth is positive related with workers

incorporation.

•Incorporation of female population into formal labor markets.

•During last 10 years covered population grew 27.5%

•There are new labor relationships

 INTRODUCTION: QUALITY OF SERVICES
Covered Population
Workers
Beneficiaries (relatives)
Pensioned and Relatives
Total
Medical Units:
1st Level (primary care)
2nd Level (community hospitals)
3rd Level (tertiary/educational)
Total
• 2nd largest collection authority
15,130,640 (Approx. 9.5 Billion USD per
27,098,612 year).
3,643,151 • 1 out of every 3 children in Mexico
45,872,403
are born at IMSS.
• 37% of all hospital beds.
• 74% of all Kidney Transplants.
• 76% of all Heart Transplants.
• 65% of all Pancreas Transplants.
• Daycare centers with a population
of over 200,000 children.
• 25% of all medical research
country-wide.
1,510
219
40
1,769
IMSS: THE CORE BUSINESS

Instituto Mexicano del

Seguro Social

PENSIONS, SUBSIDES AND

TAX AND REVENUE DIVERSIFIED SERVICES
(INCORPORACIÓN A LA HEALTHCARE SERVICES
SEGURIDAD SOCIAL Y (PRESTACIONES MÉDICAS) -Pensions
-Subsidies
COBRANZA) -Funerary services
-Medical Services
-Retail stores
-Tax collection -Preventive healthcare
-Facilities:
-Validation -Education & Research
-Vacational centers
-Sports
-Theatres
EHR ORIGINS

• December 2000
– President Fox launched e-Mexico
Program
• e-government
• e-health
• e-learning
• e-economy

• Health Sector
– Ministry of Health
– IMSS
– ISSSTE
– OPDs
– Private Sector Healthcare providers

• Legal framework
– March 2001> e-health
– December 2001> Social Security Law
– August 2003> Reforms to NOM 168 A
EHR LEGAL FRAMEWORK

• Electronic Health
Record complies with
the lines stated in
article 111A of IMSS
Law and in the Official
Standard NOM-168-
SSSA1-1998,
modified in August
2003, which provides
valid legal support to
EHRs.

• IMSS Juridical Areas La información del Expediente Clínico Electrónico del IMSS será resguardada en los
are evaluating the equipos informáticos que la División de Sistemas de Expediente Clínico Electrónico
designe de acuerdo al diseño de su arquitectura y a las políticas de seguridad
secondary rules for establecidas para salvaguardar su integridad por la División de Seguridad Informática.
Tales equipos se encontrarán ubicados en los Centros Nacionales de Tecnologías de
EHR based on such Información (CENATI) del Instituto en las ciudades de México y Monterrey, protegidos
111A Article. por los estándares de infraestructura y seguridad que el administrador de dichos centros
determine de acuerdo a la normatividad vigente.

Una vez almacenada, la información no podrá ser modificada o alterada. El único caso
en el que dicha información podrá ser removida del equipo de almacenamiento, será
cuando haya cumplido con su ciclo de vida y se cree un respaldo en medio magnético,
óptico o magento óptico para su conservación a perpetuidad y aún en esta circunstancia
la información deberá permanecer inalterada.
EHR IN MEXICO

Ministry of Health
– Disperse efforts in several Medical Facilities in the country.
– Currently analyzing a standardization process.

Private Medical Centers

– Clínica Lomas Altas: Ambulatory Patient Care + PACS
– Clínica Londres: EHR System
– Hospital Inglés: PACS
– Hospital ABC: EHR + PACS

ISSSTE
– Tele-medicine services being developed.
– Deploying an appointment control system.

IMSS
– HL7, CDA and DICOM standards are adopted.
– State of the art technological infrastructure being used:
Unisys ES 7000 Orion as central repository, BEA WebLogic 8.1
– 1000+ Medical Units online by the end of 2006.
– Medical Imaging Centralization project currently under
development to be tied into the EHR.
EHR: IMSS VISION

• To improve attention model of primary care (80% of medical attentions)

• Every IMSS affiliated must be provided with an Electronic Health Record

• EHR must be compliance with standards for availability, privacy,

integrity and confidentiality.

• Consolidation of a tremendous knowledge database that will support

research, education and administrative healthcare activities.

• To provide with enhanced services through the integration of different

medical systems via an interoperability platform.

• To build up a set of interoperable systems and to enhance a better

informed health-related decision making process, based
on a well defined knowledge database.
VISION – THE INTERNATIONAL EXAMPLE

• IMSS EHR considers several outstanding issues that

international experiences such as the USA NHII case, have
taken into consideration:

– Privacy Protections.

– Consideration of information as a private resource and a

public good.

– Utilization of international Standards (HL7, LOINC, DICOM).

– Technology.

– Costs.
 Results
2003 2004 2005 Accumulative

Total of Units with EHR 105 297 416 818

% of covertures of the Medical 8.73% 24.69% 34.58% 68.00%

Unit
Potential Patients for the EHR 12,879,088 11,422,185 6,190,795 30,492,068

% of covertures of patients 39.89% 35.13% 16.07% 91.09%

Given Training 5,440 6,583 4,433 16,456
Participants 34,750 40,299 27,323 102,372

Patients with
Electronic Health
Record Primary Care Attentions Prescriptions Medical Disabilities
14,530,824 54,825,535 46,904,025 2,227,091
 Appointment Book (Agenda)

2003
Engagement electronic
book for all the services

•New Appointment
•Appointment Modification
•Appointment Cancellation
•Appointment Confirmation
•Appointment Transfer
 Appointment Book (Agenda)
2005
• Appointments for the
insurance out of their shift and
medical office.
• Incorporation of the agreement
schedule
• Access of the patients marked
as “without validity”
 EHR: Outlook

2003
• View of the Clinic History
• Alerts
• Chronology

2005
• Link to the resume of
Chronicle Diseases
• Previous Medical
Disability Documents
• Print the Medical History
 Integral Attention

2003
• Cover of the Clinic Record
– View of the Clinical History
– Alerts
– Chronology
• Clinical History
• Clinical Measurements
• Medical Attention
– Clinical Note
– Diagnostic Searcher with the IDC 10
– Menopause
– Prenatal Vigilance
• Dentistry
• Integrated Programs (PrevenIMSS)
• Diagnosis Auxiliary
• Interface with AcceDer
 Clinical History
2003
• Family Background
• No Pathological Background
• Pathological Background
• Pediatric Background
• Gyn-Ob Background
Medical Attention
2003
• Medical Note
– Clinic Resume
– Diagnosis and Treatment
• IDC 10 Searcher
 Medical Attention
2005
• Link with the Integrated
Programs show as an
Alert at Medical
Attention
• IDC 10 Simplify
Searcher
• Diagnosis Advanced
Search (at the IDC 10
complete catalog)
2005 Menopause
• 3 out of the 7 pages were left:
– Initial Note
– Subsequent Note
– Diagnosis and Treatment

• List of the 25 Diagnosis of the

pathology

• Automatic feed of the detections

of: CaCu (CervicUterine Cancer),
CaMa (Mammal cancer), as well
as the Hormonal Base Treatment,
at the Women Medical Carnet
(PrevenIMSS)

• Preview and print of the

Accumulative Note
 Prenatal Surveillance
2005
• MF 5:
– Backgrounds
– Actual Estate
– Evolution and Lab Results
– Diagnosis and Treatment
• Preview and Print of the
accumulative Note
• Facility to let you introduce
the information of the new
pregnancy
• Graphics
– Height of the Utter
– Blood Pressure
 Stomatologist
2003
• Initial Note
• Odontogram
• Diagnosis and
Treatment

2005
• Procedures (based
on RAIS –SIAIS)
• Treatment Discharge
 Health Integrated Programs

Change of design and an exhaustive revision for

the information transfer to SIAIS
 Health Integrated Programs

• Health Education
• Nutrition Vigilance
• Nutrition
• Mouth Health
• Vaccines
• Opportune Identification of
Diseases
• Reproductive Health
 Ancilliary
4.30.8
2003
• Reference
• Service Solicitude in 4.30.200
the same Medical Unit
• Lab Solicitude
• X Ray Solicitude
Lab Solicitude

X Ray Solicitude
 Electronic Prescription
2005

• Interface with the System of

Supply of the Institute
• Prescription
– Individual
– Resurtible
– Transcription
• Expedition
• Cancellation
• Re-Impression
• Separates the prescriptions by:
– Control Drugs
– Denied Drugs
– Milk
– Oxygen
• Consult the previous prescriptions
 Electronic
Prescription
 Electronic Medical Disability Check
2005

• Interface with the System of

Subside Payments
• Expediton
• Cancellation
• Re-print
• IMSS Oportunidades:
– Generation of the Medical
Disability Check for non-
graduate physicians
– Obtaining of the folio for
authorization
Electronic
Medical
Disability
 Ancillary Results
2003 2005
• Lab • Lab
• X Ray – Reports
– Value Reference
– Searcher
 Health at Work (SISAT)
• Administrative Discharges
• Pending Cases for
Valuation
• Re-Impression of formats
• Notifications (SISAT)
 Integration EHR – Health at Work
• Now a days the process of determination for work risk and disability to give the
pensions takes around 120 to 150 days.

• Through the link of EHR – SISAT, the work flow process has been automate,
involving the medical units and the central instances of Health Work until the
conclusion at Economic Benefits.

Expediente
Expediente Medico Electronico
Notas medicas/ referencia

ST1, ST3, ST4, ST6,

rechazada

UMF/ HGZ
Modulo de ST
Subdelegacion
SIMF/SICEH DIST.
3
2 4 5
Aprueba o rechaza. Coordinador
1 Coordinador Clinico
elaboración y cambios ST3, ST4, ST6 PRESTACIONES
Medico de ST. de ST. Delegacional de ST.
de formatos ST1, ST2, ECONOMICAS
Elaboracióny cambios Aprueba o rechaza. Autoriza
ST3,ST4 Y ST6.
de formatos ST1, ST2, SPES
ST3,ST4 Y ST6.

Resoluciónde pension por

ST1, ST3, ST4, ST6 ST1, ST3, ST4, ST6 ST1, ST3, ST4, ST6 RT e IV,
 Control Notes
Specific Medical Notes
• Diabetes Mellitus
– Includes Information of the
examination of the Diabetic
Foot
• Hypertension

Graphic possibilities
 Hospital Information Systems
(HIS)
Once Primary Care
was attended, our
software was
adapted for
outpatient hospital
activities…

And Vista was

July 10, 2006
adopted for
inpatients
HIS : OBJECTIVE

Objective

Develop and deploy a Hospital Information System that covers all the
needs dictated by the Medical Direction for the hospitals operation and
health processes.
HIS : BACKGROUND
THE IDEA OF HAVING A HIS IS NOT NEW FOR THE INSTITUTE, NEVERTHELESS
PREVIOUS SYSTEMS HAVE HAD LIMITED ADOPTION AND LIMITED
FUNCTIONALITY UNABLE TO FULLY AUTOMATIZE COMPLEX HEALTH
PROCESSES. . .

Legacy systems
•Information System for Inpatients (SINPHOS)
•Hospital Management System SXXI (SAHSXXI)
•Operative Medical Information System (SIMO)
•Unique Information System (SUI)
•Clinical Laboratories Automatization System
•SIAIS for Hospitals (Integration of SINPHOS y SIMO)

Normative guidelines
• Accomplishment of Institutional Program for Informatics Modernization
2001-2006.
• Accomplishment of the Official Mexican Norm NOM-168-SSSA1-1998.
• Accomplishment of the Social Security Law, Article 111A.
HIS : EVALUATION PROCESS
THE EVALUATION PROCESS TO DETERMINE THE BEST SOLUTION WAS BASED
UPON EHE EVALUATION OF THE NEXT CRITERIA

EVALUATED VISTA, NOVAHIS, SPK, CERNER, SIVSA, SIEMENS, KNOW-

APPLICATIONS: MENT, HP, AG, Care 2x

EVALUATION MATRIX (4 major providers)

Criterio Vista NovaHIS Cerner Siemens
Integrity and Availability 4 3 4 2
Communications 11 11 10 11
Portability across platforms 8 8 7 6
Integration Capability 8 9 9 7
Ease of Tropicalization 4 2 1 2
Ease of Management 5 5 5 5
Security 5 5 5 4
Support 8 8 8 8
Expertise and Cost 3 0 0 0
TOTAL 56 51 49 45

Hoja de cálculo de
Microsoft Excel
HIS: Evolution

IMSS VistA Evolution Plan

Institutionalization

Limited adoption
Resources and Support

Pilot

Comprehension

Discovery Diffusion

2003 2004 2005 2006

IMSS-VISTA ACHIEVEMENTS
Phase I (2004 -2005): 15 Third Level Hospitals

3
1
3
IMSS-VISTA : PROJECTED GOALS
Phase II (2005-2006)

11 Third Level Hospitals 62 General Hospitals

1
3
1 3

2 1
1 2 1
1 2

1 1 1
2 2 1
1 2 5 2 31
1 1
3 2 1 1 91
1 1
0 1 1
1
1 1
IMSS-VISTA : ADEQUATIONS

Several modifications –visual, language, content- were made in order to adequate

VistA to the IMSS needs…
IMSS-VISTA

Legacy Architecture - VistA

Web telnet
Services (vt100)
GT.M /
VistA

Web Central Eligibility

Module
Services
&
Acceder
Master Patient
Index
WAN
Web
Services Central EHR
(via HL7)

EHR
HIS: VISTA MEDICAL NOTES Adecuaciones para el IMSS

The medical notes within the application follow the same formats used by the IMSS

<Nombre del Hospital > < Nombre del Hospital >

< Nombre de le Especialidad > < Nombre de le Especialidad >
< Nombre del Médico > < Nombre del Médico >
< Matrícula del Médico >
< Matrícula del Médico >
<Nombre del Paciente >
< Número de Seguridad Social > - <Agregado Médico> < Nombre del Paciente >
< Número de Seguridad Social > - <Agregado Médico>

<8..5.1 Fecha>

<6.2.5 Tratamiento e
<Fecha> Indicaciones Médicas>
<Hora>

<6.2.2 Signos Vitales>

<Peso>
<6.2.1 Evolución y actualización del cuadro clínico>
<8.5.5>
<Talla>

<Temperatura>
<8.5.2 y 8.7.1. Diagnóstico Preoperatorio>

<Frecuencia
Cardiaca> <8..5.4 y 8.7.2. Tipo de Intervención Quirúrgica>

<Frecuencia
Respiratoria>

<6.2.3. Resultados de los estudios de los servicios auxiliares de diagnóstico

y tratamiento>

<8.7.4 Diagnóstico Preoperatorio>

<8.7.3 Tipo de Intervención Quirúrgica>

<8.7.15 Envío de piezas para examen histopatológico>

<8.7.11 Anestesiologo>
<6.2.4 Diagnósticos>

<8.7.7 Reporte de Gasas y <8.7.11 Ayudantes, instrumentistas, circulante>

Compresas>

<8.7.17 Nombre del Médico Responsable>

HIS: BENEFITS Beneficios para el Instituto

Benefits from the Health Systems Automation:

Benefits for the Users/Affiliates

• Better time of attention
• Complete health record available anytime, from anywhere
• Overall patient care improvement

Benefits for the IMSS

• Costs improvement
. . . No more paper files (management and administration)
. . . Electronic imaging management
. . . Reference archives messaging logistic
. . . Better asset utilization in patients care
• Knowledge base generation . . .
. . . Health processes management
. . . Research and development projects
• Benefits for the Doctors
. . . Access to organized, online information
. . . Decisions support systems based in statistical analysis
. . . Diagnosis, prescriptions tools
HIS: BENEFITS Beneficios

Benefits from HIS Implementation

• Average hospitalization reduction time of 2 days

• Imaging: 40% savings, time of attention from 4 hours to 15 minutes
• 20% admission increase
• Medicine prescriptions downtime: from 3 to 1 hour
• Treatment discrepancies reductions in 60%
• Confirmation studies requests decreases 20% (diagnosis, treatment)
• Imaging losses reduction from a typical 50% to 0%
• Access to online libraries: more than 400 health magazines, international standards
guides
HIS: EFECTIVINESS Beneficios

Benefits from HIS Implementation

Savings

Shorting the average time of

Refered
hospitalization a 20% costs reduction
Admission
is achieved in the Health Process

Stay time (average) 4.65 days

Savings: MX$4,091,708,942

Stay time reduction due to:

• Faster medical studies results.
• Better chronic patient attention
Hospitalization x patient x day
(chronic patients represents 6 times
the average patient cost of attention 2nd Level 3rd Level
Admission (scheduled) 3,000 M.N. 3,815 M.N.
Emergency 1,800 M.N. N/A
Admission (non scheduled) N/A 1,333 M.N.
Therapy 12,000 M.N. 22,460 M.N.
 IMSS-VISTA
•New
•New web
web interfaces
interfaces
o PATIENT REGISTRATION.
• A completely new web user interface for
patient registration, uses web services to
check eligibility and demographics if patient
already has EHR.

o ADMISSION/TRANSFER/DISCHARGE
• A completely new web user interface for bed
control (Vista’s ADT module), uses web
services to check eligibility and demographics
if patient already has EHR.

o SURGERY
• A completely new web user interface for
surgery control (Vista's Surgery module).

o URGENCIES (ADT)
• A completely new web user interface for
patient admission into Urgency Service,
similar to ADT but with enhancements to
match IMSS business model.
 IMSS-VISTA
•New
•New CPRS
CPRS modules
modules
o CENTRAL EHR INQUIRY
• Provider can consult patient’s central EHR and
see all clinical notes, lab results, haemodialysis
sessions and blood transfers made at other
IMSS facilities.

o CLINICAL NOTES
• Clinical notes with rich format and coded fields
(no just free text). Also we developed a graphic
environment to design additional clinical notes
in a easily and quickly fashion, as soon as the
new design is saved it is available within CPRS.

o URGENCIES (CPRS)
• A completely new module (accessible through a
CPRS tab). Providers at Urgency Service have
an interactive screen that permits the capture
patient‘s information like: Glasgow scale, ISS,
RTS, TRISS, AO code (in case of fractures), a
body/skeleton map to locate burns/fractures.
This information is reported within a clinical
emergency note.
 IMSS-VISTA
•New
•New CPRS
CPRS modules
modules

o NURSERY
• A completely new module (accessible
through a CPRS tab). Has been designed
to meet IMSS Nurses needs. Nurses can
receive provider's orders and follow up
clinical attention within CPRS.

o DIRECT COMMUNICATION TO LEGACY HIS

• A completely new CPRS tab used to
retrieve information from a legacy HIS
that has been used for the last 10 years
(necessary for patients with chronic
diseases).
IMSS-VISTA : Project Schedule
HIS: IMSS-IMAGING
HIS: IMSS-IMAGING
IMSS imaging system includes: • General Radiography
• Computed tomography • Nuclear medicine scan
• Nuclear Magnetic Resonance • Pathology
IMSS-IMAGING: HOSPITALS IN IMPLEMENTATION PROCESS

México D.F.:
• Cardiology Hospital - Siglo XXI
• Specialized Treatments Hospital -
Siglo XXI
• Oncology Hospital - Siglo XXI
• Traumatology Hospital -
Magdalena de la Salinas

Monterrey, N.L.:
• Cardiology Hospital 34
• Specialized Treatments
Hospital 25

Lomas Verdes, E.M.:

• Traumatology and Ortopedy
IMSS-IMAGING: DICOM Image Example (Imaging Module)
IMSS-IMAGING : DICOM Image Example
IMSS-IMAGING : DICOM Image Example
IMSS-IMAGING : DICOM Image Example
IMSS-IMAGING : DICOM Image Example
IMSS-IMAGING : DICOM Image Example
IMSS-IMAGING : DICOM Image Example
 Future Development

Evolution
New modules
New functionality in modules already developed
New Hospitals
e-Hospitals
 Evolution Model
• Proposed by Gartner Group:

• 1st Generation – Recollection

• 2nd Generation – Documentation
• 3rd Generation – Helper
• 4th Generation – College
• 5th Generation – Mentor

Model of Generations of the

Electronic Clinic Record of
the patient (computer-based
patient record - CPR)
 New functionality
Data Quality
– SNOMED
– CIE10 Predictive software
DataMart
Full integration (agendas, reference, results)
Full interaction
• General Hospital
• UMAEs
• IMSS-Oportunidades
• Mobile Unit
• Telehealth
• Outside facilities (Ministry of Health, Private Hospitals, other
countries)
 In accordance to president Fox
e-goverment strategy, and within
the e-health program, IMSS has
begun developing its first e-
Hospital

e-Hospital
 A lot of paper work is still going
on inside IMSS Hospitals

The Digital Hospital will reduce

administrative workflows

Will reduce times and enhance

communications

A progressive approach will take

place:
• First stage: Deployment of our
own software
•Second stage: Deployment of
venture companies:
–INTEL
–MICROSOFT
–CISCO
–PHILLIPS
–AWARIX
–EMAGEON
–Deloitte*
 TODAY NOVEMBER 2006
FUNCTIONALITY •RFId
•Siceh (Outpatient) • Doctors
•IMSS-Vista • Nurses
•LIS (laboratory) • Patients
•Pharmacy • Medical devices
•PLACA (Nourishment) •Digital Board
•SIFAVI (Drug surveillance) •Tablet PC
•MDA •Telehealth
•e-learning •IP communications
•Digital Publications •Dictation
•3D images
•CIE10 Predictive Software
•Class Server
•Medical Portal
•HL7 Messenger
 First Stage

Punto de Servicio
Computadoras personales
(Módulos de Asistentes y Enfermería, Consultorios, Áreas de Trabajo, Jefaturas de Servicio)

Interacciones
Esquema de Ver Expediente Clínico Control de Alimentos Farmaco-vigilancia Calidad

System / Network Monitoring & Management

Portal Electrónico Integrado (PLACA) (SIFAVI) ISO9000
Security & Identity Management Services

Administración de

(SICEH /IMSS-VISTA)

Biblioteca Digital Registro de pacientes y Prescripción en línea Reportes Operacionales

Identidades

MDA Programación en línea (agenda, SICEH) (receta electrónica, SICEH) (SICEH / IMSS-VISTA)
Control de Acceso Basado en
Roles (SICEH / IMSS-VISTA)

Servicio de
Respaldos
Interoperabilidad (HL7 version 3)
Identidades de Personal

SUN Identity Manager)

Procesos Integrados de Registro

(SICEH / IMSS-VISTA /

Integrated Electronic Medical Records

Datos de Registro (EMR)
y

Services
Procesos Integrados de Programación Programación
(agenda, SICEH / IMSS-VISTA) (agenda, SICEH / IMSS-
VISTA)
Resultados de
Imágenes
Laboratorio y Reportes
(DICOM v3.0 nativas
numéricos y dicomizadas) Minería de Datos
Procesos Integrados de encuentros (SICEH / IMSS-VISTA) (SSD)

Monitorización
clínicos (SICEH / IMSS-VISTA) CPOE Digital Forms
Solicitud de Imagen y Laboratorio
(SICEH / IMSS-VISTA) Awarix Modules

Existing Enterprise Resources (HL7 v3.0)

(SICEH/IMSS-VISTA)
Autenticación

Administración
Sistema de Laboratorio

de Sistemas
ECE Central Banco de Sangre Hemodiálisis Incapacidades
Farmacia clínico
de Pacientes
Identidades

(WS IMP)

Lotus Sametime

Lotus QuickPlace
 HIPPA
Digital Hospital HIPPA

Puntos de Atención

Seguridad
Auditoría

Recuperació
Servicios de

Computadoras personales

Desastres
de
identidad

(Módulos de Asistentes y Enfermería, Consultorios, Áreas de Trabajo, Jefaturas de Servicio)

n de
Servicios Interconectados
Administración de

(SICEH /IMSS-VISTA)
Identidades
Control de Acceso Basado en

Esquema de Expediente Clínico Electrónico Control de Alimentos Farmaco-vigilancia Calidad

Monitoreo y Adminsitración de TI
Roles (SICEH / IMSS-VISTA)

Portal Integrado (PLACA) (SIFAVI) ISO9000

Servicio de
Respaldos
Identificación y Seguridad

Biblioteca Digital Registro de pacientes y Prescripción en línea Reportes Operacionales

MDA Programación en línea (agenda, SICEH) (receta electrónica, SICEH) (SICEH / IMSS-VISTA)

Mensajería y Localización por Red Reportes de

Personalización Telefonía por IP
colaboracón en linea radiofrecuencia inalámbrica auditoria
Identidades de Personal

SUN Identity Manager)

Interoperabilidad (HL7 versión 3.0)

Notificación
(SICEH / IMSS-VISTA /

SNMP
Procesos Integrados de Registro Notificationes por
Registros Médicos
Firma única

correo electrónico
Datos de Registro y Programación
Registro desde Unidades Médicas
(agenda, SICEH / IMSS-VISTA)
Auditoria

Monitorización
Procesos Integrados de Programación Resultados de
(agenda, SICEH / IMSS-VISTA) Imágenes
Laboratorio y Reportes
Encripción

(DICOM v3.0 nativas

numéricos Minería de Datos
Identidad de
proveedores

y dicomizadas)
Procesos Integrados de encuentros (SICEH / IMSS-VISTA) (SSD)
clínicos (SICEH / IMSS-VISTA)
Solicitud de Imagen y Laboratorio
(SICEH / IMSS-VISTA) Tablero de Control
(SICEH/IMSS-VISTA)

Identificación por Radiofrecuencia Operativo

Autenticación

Administración
de Sistemas
de Pacientes
Identidades

(WS IMP)

Sistemas Informáticos
Sistema de Laboratorio
ECE Central Banco de Sangre Hemodiálisis Incapacidades
Farmacia clínico

Un Hospital Digital se apoya en diversos conceptos tecnológicos para integrar todos los procesos y hacer posible que la información médica esté
disponible para los profesionales de la salud en el lugar y momento en que se requiere, sin el uso de papel.
2007 GOAL
1 Digital Hospital in each state of the Republic
We are still working…

Thank You