Barnaclínic implements a Digital Cardiology integral solution with MIO™ tech technology Barnaclínic, within the framework of Corporació Sanitària Clínic de Barcelona, is a referral in management and generation of private resources in public health centres. Barnaclínic develops assistance activities for patients non-financed by the public healthcare system, offering private healthcare services, linked to Hospital Clínic de Barcelona.
In 2006, Barnaclínic carried out 6.500 visits to specialists, 6.402
of Odontology, 1.131 of dermatologic consulting and 1.985 in
Barnaclínic. Corporació Sanitària Clínic (Barcelona, Spain)
Unidad de Fecundación in Vitro.
Inside its strategy of permanent technologic update, oriented to
To integrate electrocardiograms with the patient Electronic Health Record (SAP)
improve patient assistance, Barnaclínic added recently in its
To strength the existent Imaging Archiving solutions (PACS UDIAT)
facilities a Picture Archiving and Communication System (PACS) from UDIAT that had been used to date as Radiological Imaging
To centralize the information generated by ECG devices of any provider
Recently, Barnaclínic acquired two electrocardiography devices
MIO™ Desktop with gateway for SAP
from PHILIPS (TRIM III model), aiming to implement a digital
MIO™ Desktop with gateway for UDIAT PACS
electrocardiography pilot. This concept test would serve to
MIO™ Desktop with gateway for PHILIPS’ ECGs Results Simplification of Cardiology clinical staff workflow.
evaluate the advantages and difficulties associated to the Radiological information with Central Data Processing, to in a satisfactory case export this model to all hospital, as a global
Access to ECG’s graphic information and numeric values, as to Cardiology reports, from any net access point.
project of digital electrocardiography, covering all healthcare
Extraction of ECGs’ meaning data and its exportation to SAP (report).
units: emergency room, ICU, cardiology, inpatient, pre-surgery,
New functionalities for the existent PACS, as Cardiology information repository. Reduction of amortization deadline of the existent Picture Archiving and Communication System (PACS). Suppression of the associated costs of ECG’s printing (paper) Guarantee of Cardiology information safety, eliminating the possibility of studies misplacement. Scalable solution, regardless of Electrocardiography provider. Evaluation Satisfaction of clinical staff Satisfaction of IT Department staff Satisfaction of Managerial staff.
“MIO™ helped Barnaclínic to maintain its excellence services provision. Our staff is able now to accede to cardiology studies, in a quickly and secure way”. Dra. Catiana Cabrer Recientemente adquirieron 2 dispositivos de Chief Executive electrocardiografía de la empresa Philips modelo TRIM I Barnaclínic
Project Aims The proposed needs and objectives within the
Since the early project stages was identified the need
framework of the digital electrocardiography global
of a tool that answer to the typical difficulties of a
multi-provider and multi-technology project (SAP,
To incorporate ECGs fundamental information (waveform, numeric values, reports, etc) to the patient Electronic Health Record, to be easily
UDIAT, PHILIPS), in which its different components (HIS, PACS, ECGs) were not designed to work jointly.
Solution Technical Description
accessible to the clinicians. In this line, each ECG
typical parameters was exported to the
The graphic above shows in a resumed way the
Barnaclínic’s Hospital Information System (HIS),
implemented solution, in which MIO™ integration
developed in SAP technology.
capacities are seized to the utmost.
To use the existent UDIAT as the Global Repository of all digital electrocardiography generated at all healthcare institution.
To use PACS viewer as the global visualization tool for the Hospital digital electrocardiography.
To maintain the Cardiology specific viewer (Philips TraceMasterVue) for those specific actions provided by the hospital PACS.
To store numerically each ECG waveforms to view it, if need, with new generation future tools. Total warranty of scalability.
To guarantee the usual circuit to professionals in electrocardiography context, optimizing time with minor difficulty performing ECGs.
“With MIO™ we had incorporate ECGs to the patient Electronic Health Record, reducing to zero the errors caused by the studies lost”. Gregorio Gorjas Financial Management Chief Barnaclínic
Specifically the implemented solution includes:
MIO™ Desktop with gateway for PageWriter Trim III devices from Philips.
Afterwards it’s possible to load patient data from
this one processes it, extracts the information,
MIO™ Desktop with gateway for UDIAT PACS
anonymous it and dicomize it.
acting as SCU of C-Store and as Worklist Retrieve (DICOM).
services and HL7 XML v2.5 messaging.
David Vidal Information Systems’ Manager Corporació Sanitària Clínic
The numeric values of the ECG waveform are automatically introduced in the DICOM obtain
MIO™ Desktop with gateway for SAP, using web
“Thanks to its total compatibility with DICOM, HL7 and XML, MIO™ has become the optimum technical solution for modalities integration into any PACS”.
Once the ECG request arrives to MIO™ Desktop,
Once the ECG has been dicomized, the nursing staff decides its sending or not into UDIAT PACS, from MIO™ Desktop.
Once the ECG is sent to the PACS, MIO™ Desktop sends the report and finalization notification to SAP, through a web service.
From this moment on the ECG is stored in a centralized way at the hospital PACS; it can be visualized by:
The PACS’ proprietary viewer (with general propose).
Solution’s functional description
The PHILIPS’ proprietary tool TraceMasterVue
The electrocardiography global circuit and workflow
(for those actions over the image, specifics from
implemented at Barnaclínic is the following:
the Cardiology department).
The nursing staff makes a request in SAP for an
PACS, and recovering the original waveform
patient from the worklist (DICOM Worklist
stored in the DICOM image’s tag, in an automatic
and transparent way to the user.
The clinical staff realizes the ECG, without having
parameter in the device. The realized ECG can be
In Barnaclínic was possible to implement an integral
immediately visualized in the device.
solution for digital Cardiology, fulfilling the primordial
Once the transfer is done, the ECG appears automatically in MIO™ Desktop. MIO™ Desktop presents also a report with numeric values extracted from the electrocardiograph. The report is totally configurable through a template.
MIO™ Desktop, making a query/retrieve from the
ECG, launch MIO™ Desktop and select the
the need of introduce any patient’s identification
In case of Emergency is possible to execute the ECG without making the request in SAP.
premise of clinical staff’s satisfaction and combining the different technologies of the involved collaborating companies:
RAIM PACS from UDIAT Centre de Diagnostic
ECG devices PageTrim Writer III and software TraceMasterVue processor from PHILIPS
MIO™ Desktop Imaging Integration Engine from
Possibility of creation of new TeleCardiology and second opinion services.
The described solution’s implementation has brought
Reduction of the existent Picture Archiving and
huge operational and management advantages; to
Communication System’s (PACS) amortization
Workflow simplification to clinical staff in
Easiness following up the patients in their
Guarantee of Cardiology information safety,
hypertension processes, acute coronary
eliminating the possibility of studies
syndrome, etc, thanks to the Cardiology Global
Suppression of the additional associated costs of
Automatic extraction of important data from ECGs and its integration within the clinical history through reports.
Scalable solution, regardless of Electrocardiography provider.
Satisfaction of clinical, technical and managerial staff.
Copyright © 2007 C2C the eHealth company – Success Cases Barnaclínic v1.0 Nov 2007 C2C the eHealth company – www.c2ctsis.com – email@example.com