1. MedProject
Galex Studio

2. Content Expertise & Solution Overview e-Health System Concept
Deploy Architecture
e-Health Platform - Quality Attributes
Architecture Benefits
System components
Hospital Informational System
Laboratory Informational System
Picture Archiving and Communication System (PACS)
PACS File Server Architecture – Presentation Layer
PACS Architecture
Healthcare Public Portal
Business Intelligence
Healthcare Card Solution
Electronic Medical Record
Integrated Hospital System Description
Integrated Hospital System Benefits
Import/Export Data
Platform Technology
Proposed Implementation Plan

3. Expertise & Solution Overview
GALEX Studio Team participated in multiple medical projects at different hospitals (county, municipal, military, specialized, etc.):
“Medproject” solution Implementation at national level project for storing DICOM Investigations in the data center- Dicom Network (dicom.md);
MSP Republican Hospital for ACSR Republic of Moldova
Republican Clinic Hospital
Opargo, LLC (SUA)
Ministry of Agriculture and Food Industry of Moldova

4. e-Health System Concept
HEALTHCARE
CARD
SOLUTION
PUBLIC PORTAL
ELECTRONIC MEDICAL RECORD
BUSINESS INTELLIGENCE (BI)
Hospital 1
Hospital 2
Hospital 3
Hospital 20
…………
Reporting
Statistic
Audit
Integrated Hospital System
HIS
LIS
PACS
Integrated Hospital System
Hospital Information System (HIS)
Laboratory Information System (LIS) and
Picture Archiving and Communication System (PACS)
ONE Complete Electronic Medical Record (EMR) for each person
Healthcare Card Solution
Healthcare Portal
Business Intelligence (BI)

5. STABLE INTERNET CONNECTION
Deploy Architecture
DATA CENTER
BUSINESS INTELLIGENCE
ELECTRONICAL MEDICAL RECORD
PORTAL
EMR INTERFACE
LOCAL HOSPITAL
SERVER REQUIRED
NO HOSPITAL SERVER
HOSPITAL 1
HOSPITAL 2
HIS
HIS
HIS
LIS
PACS
Integrated Hospital System
Hospital Information System (HIS)
Laboratory Information System (LIS) and
Picture Archiving and Communication System (PACS)
ONE Complete Electronic Medical Record (EMR) for each person
Healthcare Card Solution
Healthcare Portal
Business Intelligence (BI)
LIS
LIS
STABLE INTERNET CONNECTION
PACS
PACS
HOSPITAL 1
HOSPITAL 2
HOSPITAL 3

6. The ability to adapt to possible or future changes in its requirements
e-Health Platform - Quality Attributes
The possibility to increase productivity by increasing the number of IIS web servers and DB servers. +
Scalability
Load Testing
Monitoring system productivity when increase load; monitoring response time when more users access the system; monitoring SQL server stability when processing a large volume of data.
Flexibility
The ability to adapt to possible or future changes in its requirements
Extensibility
The ability to have new functionality extended, in which the system’s internal structure, data flow and the effective work time are not affected
Security
The system access is secured depending on access rights, which can be set up to document level; the access can be made from any location, on different devices (smartphones, tablets, laptops, desktops)

7. Architecture Benefits
Elimination of informational redundancy by registering and centralizing information once, making it accessible from any location;
Data consolidation from the entire system on a pyramidal structure;
Secure personal data by consolidating data to one database and grant access only by specific user rights;
Flexible system scalability that allows system to increase performance capacity and more functionalities on the fly;
Dynamics architecture that makes possible future system development and modules enhancing;
Reduced system administration costs by centralizing server cluster.

8. System components HIS LIS PACS EMR – Electronical Medial Record
HOSPITAL
HIS
LIS
PACS
Hospital
Informational
System
Laboratory
Informational
System
Picture
Archiving and Communication
EMR – Electronical Medial Record
BI – Business Intelligence
Public Portal
HealthCare Card Solution
HIS – Hospital Informational System
LIS – Laboratory Informational System
PACS - Picture Archiving and Communication System for DICOM Investigations
HOSPITAL
HIS
LIS
PACS
Hospital
Informational
System
Laboratory
Informational
System
Picture
Archiving and Communication

9. Hospital Informational System
Component should be installed for each Hospital.
Track all patient activity in the Hospital.
Generates medical documentation
Integrated with Patient Insurance Information.
Consumable accounting
Calculate costs.
Medical Consultations
Generates reports for hospital.
REGISTRY
CASHDESK
AUDIT
SECTION
NUTRITION
STATISTICS
DRUGS
PHARMACY
REPORT CENTER

10. INVESTIGATIONS REQUEST
Laboratory Informational System
Integrated with HIS
Support Equipment integration
Print Test result
Calculate costs.
Consumable accounting
Generates reports for laboratory.
INVESTIGATIONS REQUEST
LABORATORY
PROCEDURES
CONSUMABLES
MEDICAL EQUIPMENT

11. Laboratory Information System (LIS)
Management of analysis requests and costs;
Tests identification by using bar codes labels;
Automatically takeover of the results from all types of laboratory equipment that permits the automatic mode;
The results centralization from the entire laboratory equipment, connected to the system;
Creates the unique analysis electronic file for each patient;
Using various types of results (number, text, graphic, list, image);
Integrates the requests of lab analysis on patients, distributing them on the following types: payment/ discounting modalities, doctors, clients and contracts;
Connection to cash registers, generating the receipt.

12. INVESTIGATIONS REQUEST
PACS
Integrated with HIS
Equipment integration.
Online DICOM Viewer
Calculate costs.
Write results to CD/DVD
Print Images
Consumable accounting
Generates reports.
INVESTIGATIONS REQUEST
DICOM EQUIPMENT
DICOM SERVER
DICOM VIEWER
CONSUMABLES

13. Picture Archiving and Communication System (PACS)
Allows physicians to acquire a chronological view of patients’ radiology histories, facilitating the comparison of a number of previous studies;
Quick and easy access to patient images and reports, by remotely viewing images, submitting reports, archiving images and transporting them if necessary via portable media;
Diagnosis and data transfer – telemedicine;
Zoom in on images and manipulate them for better viewing and analysis;
More than 70% cost reduction related to the use of classical radiological films and decrease of storage space;
Reduce the number of duplicate images since previous results are available electronically, improving data management efficiency.

14. PACS File Server Architecture – Presentation Layer
DICOM DATA
Interface
HIS
DICOM File Server 1
DICOM File Server 2
Hospital 1
Hospital 2
Hospital 3
…………
Hospital 20
HEALTHCARE CARD
Asigurarea ciclului integral de colectare, prelucrare și stocare a imaginilor DICOM, de la preluare din dispozitivul medical până la afișarea finală la utilizatorul sistemului.
Dicom Portal este un modul integrat in National Healthcare Portal care va fi posibil acessat pentru fie care spital sau centrul diagnostic.
DICOM Data Interface asigura schimb datelor DICOM intre spitale

15. High Performance Computer
PACS Architecture
PACS
DICOM
server
Specialist
medical images
Medical
Equipment
DICOM images
High Performance Computer
External Processing
Processing Interface
Investigations
DICOM Viewer
User
HIS
Investigation
visualization
Patient and
investigation info
investigating
archive
Investigation Info
Notes and Decision
Access
Monitoring
HEALTHCARE CARD

16. Healthcare Public Portal
Mini web Page for each Hospital.
Publish News and Events.
Publish public statistics integrated with HIS.
GENERAL INFO
NEWS
NEWS
PUBLIC STATISTIC
HOSPITAL PAGE
INFO
CONTACT INFORMATION
EVENTS
CONTACTS

17. Healthcare Portal
Access to general information about the institution, types of activities, information about specialists working in the institution;
Minipage for each Hospital.
Publish news and articles – CMS.
Public information (statistics).
Healthcare Portal
Hospital 1
Hospital 2
Hospital 3
Hospital 20
…………

18. Healthcare Portal
The structure of the algorithm management information and user interaction
External administrator (department)
Global settings
Institutions adding
Export data setting from HIS
Local administrator (hospital)
Content administrator
Local settings
HIS
Data export
User
Visits scheduling
Online results
Medical services history
Secure access

19. Business Intelligence
Advanced reporting tool
Each report have features for paging, grouping, filtering, export print.
Medical Statistics reports
Drug reporting and consumable calculations
Estimate consumable for each hospital
Monitor current hospital activity
Drugs
Consumables
Contracts and invoices, etc.
ALERT SYSTEM
STATISTICS
REPORT CENTER
AUDIT
PLANNING
MONITORING

20. Healthcare Card Solution
Gives the permission to access the patient’s EMR (as a hard key);
Easy identification of the people;
Enables increased accessibility, acceptability, efficiency, effectiveness and equity of medical services provided by the healthcare institutions;
Allergies and blood type can be printed on the card;
Better control of the healthcare services;
Facilitates the implementation of e-Prescription system, to assure, monitor and control the prescribing and release drugs methods.

21. Electronic Medical Record
Electronic Medical Record system contains all the medical information describing the dynamics of medical care and health state of all patient treatment events:
Patient EMR
Personal
Patient Data
Primary and
secondary diagnosis
Transfers inside hospital
List of temperature and blood pressure
Daily status
Consultations
Other specific documents
DICOM investigations
Laboratory
tests
Medical
procedures
Medication
Information on hospitalization

22. Integrated Hospital System Description
An integrated information system for the hospital management;
Complete Patient Record(EMR), doubled by patient evaluation management;
Healthcare Workflow for different healthcare units’ operations;
Modular structure, easy to use, with intuitive screens, to reflect the roles and responsibilities performed by hospital employees. The modules can be used separately or together, depending on the specific activities of each healthcare institution;
Web-based technology – implies efficient implementation schedule;
Easy integration with mobile devices (IOS, Android);
Real-time complete patient information, regardless of their location;
Multi-language platform;
Extensive knowhow built through implementations in a fast evolving market.

23. Electronic Medical Record

24. Modules’ General Features
Each module can work independently or together and it is designed to include custom components that can be group according to beneficiary requirements specifications. Each module allows collecting, monitoring, printing, reporting.

25. DashBoard BI
Each system role has a specific configured dashboard, with quick access to necessary data, alerts and notifications.

26. Configuration
Each module can be configured in Control Panel and System Management Interface.

27. Forms
Systems forms includes mandatory and drop-down fields according to requirements.

28. Print
All forms and reports can be printed.

29. Revisions
Each data change affects log file.

30. Reports (BI)
Each report has paging, sorting, filtering, export (excel, csv, pdf), print, grouping and calculations.

31. Import/Export Data Report Data Image Excel CSV MS-Word PDF XML Json
Web Services
Image
DICOM

32. Integrated Hospital System Benefits
Patient level
Complete electronic medical history for the patient;
Optimized the time patients have to spend at hospital;
Storage and access real time data of patient’s electronic medical records;
Access to EMR from any places, regardless of their location;
Efficient and accurate administration process;
Increase time for patient to receive result after testing;
Fast and more accurate examination and treatment process.

33. Integrated Hospital System Benefits
B. Hospital level
Obtaining data in real-time allows the management to stabilize the hospital functioning through efficiency of its subordinate hospital wards;
Reduce time and amount of administration work, in favor of the strictly professional one;
Providing all necessary information to reduce costs of hospitalization day for not wasting money;
Automating the processing and transfer of data and images;
Transparency of prescribing activity and drugs release;
Optimizing the time for releasing a prescription;
Real-time medical information series increases the forecast supply process (eg. stocks);
Increase productivity of hospital and quality of treatment.

34. Integrated Hospital System Benefits
C. Health Department level
Provide a full management audit and control tool over all processes undertaken in the province medical filed;
Budgeting efficiency of the province’s healthcare level;
Total control over the reporting;
Accurate and real-time data;
Real-time viewing of management indicators for evaluating the managers’ activity, to implement preventive and corrective measures needed to modify them in order to achieve the targeted level;
Everyone is satisfied: patient, doctor, management board;
Overview of the whole activity of the province healthcare system;
Integrated healthcare services.

35. Platform Technology
All Platform components are developed using the latest Microsoft technologies:
Frameworks:
.Net Framework 4.5.1
Jquery 3.1.1
Hosting:
IIS 7
Database:
MS SQL Server 2014
Programming language: C#
MVC.NET
WPF
Cache:
Memcached server
Session:
ASP.net session
state server

36. Proposed Implementation Plan The first phase consists of the following steps:
Duration 1
System Analysis and Design 2
Development and customization of the Platform 3
Deployment (including testing and training) 4
Ongoing technical support for users
3 months
4 months
2 months

37. Thank you for your attention!
Alexander GOLUBEV
Technical Director, GALEXSTUDIO
Mobile: