Onesys Navigator in the Hospital Information System... and beyond 

What’s in store for doctors and nurses and patients?


March 12, 2009

John Koivukangas, MD
Jaakko Alamäki, MS

 

   Let’s start with doctors and patients and hospitals. Doctors have always wanted to keep things simple. We used to mark important radiological films with tape or paper clip, and have the radiologist circle or draw arrows to important findings. We used to write by hand important notes during the patient’s visit to the hospital on forms separate from the dictated typewritten paper record. And the images and papers were delivered on foot and on demand to where they were needed.

    Of course, all of this seems highly inefficient today.  Now all the information is digitally stored on servers and can be accessed anywhere in the hospital system. Clinicians are faced with huge amounts of digital information, and need new ways to simplify access to the most important, selected patient information. The problem is that this information is scattered in many different kinds of databases, all of which need to be scoured over and over again in order to repeatedly find the essential information, while patients are waiting outside the clinic door, in the operating room and on the patient ward.

    And patients want to be adequately informed. They want access to their information. They take important tests (blood sugar, for example) at home, and they want to record important symptoms and health related events. They travel a lot. They simply want important information to be recorded and accessible from any place, at any time, even with mobile devices.

    Enter Onesys … We developed a Graphical User Interface, a new “window” to the patient’s digital information scattered all over the health care system. Designed to “simplify, simplify, simplify”, the Onesys Navigator is currently used in hospitals to integrate especially the two most complicated and massive databases, the Electronic Patient Record (EPR) and the radiological Picture Archiving and Communications System (PACS). And, yes, it does work with mobile systems.

    Now, any information in any database connected to the hospital information system (HIS) can be gathered together and stored on this unique workspace. It saves time, reduces hassle, and improves quality of care. Once again, now in the digital age, doctors can keep things simple.

    This time, however, patients can also use this “window” to the health care system, anywhere, anytime, even with mobile devices.

    Our vision? This unique graphical user interface, the Onesys Navigator, because of the logic behind it, will enable people to manage all kinds of health related information, as doctors and nurses and other health care personnel “within the system”, and as patients and consumers who actually own their personal information and want to truly live with it.

Where are we now? Please read on …


    Onesys Navigator (ON) software is a Graphical User Interface for managing and visualizing pertinent patient information stored in hospital databases. It has been developed by clinicians for clinicians, allowing them to collect relevant information onto a patient specific workspace and to write annotation notes related to the patient management process. Created patient workspaces can be accessed throughout the hospital network
allowing physicians to e.g. view patient’s treatment process history in the outpatient clinic, open a surgical plan in the operating room and access relevant information at the point of care.


Onesys Navigator consists of ON Client and ON Server software

    Figure 1 shows the Onesys Navigator installation in hospitals. The ON Client is installed to doctors’ computers (office, ward, outpatient clinic, operating room…) and integrated to the EPR and PACS. The ON Server is installed to server hardware in the hospital network.

Figure 1. Onesys Navigator installation

ON Client

    ON Client consists of the patient workspace, 2D viewer and 3D viewer. With the 2D viewer physicians can examine patient images and choose the relevant ones as snapshots (links to the images) to the workspace. The software’s 3D viewer creates three dimensional models of image series in a few seconds, thus allowing its use in the clinical workflow. Points of interest and, for example, planned surgical approaches in 3D models can also be saved as snapshots to the workspace. The annotations field in the patient workspace is used to write annotation notes related to the patient management process e.g. decision-based notes. Saved patient workspaces are also saved to the ON Server.


System requirements

Microsoft Windows NT 4.0, Windows 2000 or Windows XP

1 GHz CPU

RAM 512 MB

3D Graphics card 128 MB

Hard disk 180 MB

 
ON Server

    The ON Server is database software that stores created patient workspaces. It is installed as a Windows service. Stored patient workspaces are very light (less than 20kB) and include annotation notes and links to the chosen images. When the ON Client is opened by the doctor, it is synchronized to the ON Server ensuring that the stored patient workspace is retrievable at any point of care.


EPR integration

    Onesys Navigator uses user and patient information transferred from the EPR. The user logs into the EPR and selects a patient. The ON Client is then started from the ON icon created to the EPR. The user (name) and patient information (name and ID) are transferred from the EPR to the ON workspace as starting parameters.


PACS integration

    The ON Client uses DICOM connectivity for image retrieval from PACS. With the ON, physicians create links to the relevant patient images as they examine them. At follow-up visit or next patient encounter in the treatment process, only the chosen images are retrieved from PACS, thus decreasing the PACS traffic.

    Now you, too, can start to work with us as a valued customer, and to imagine with us as an innovative partner… Whether you are the patient, doctor, nurse or other professional, or a company involved in technological solutions (internet, mobile, EPR or PACS, for example), please join us at collaborating sites using the contact information.

  

Back