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Related Concept Videos

Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Integrated Healthcare System01:20

Integrated Healthcare System

An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
Purpose of Health Records I01:11

Purpose of Health Records I

The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:
Quality Assurance01:19

Quality Assurance

Quality assurance is the overarching term used to describe the activities employed to ensure the proper performance of a system. These activities can be classified into three categories: quality control, quality assessment, and internal corrective measures. Typically, these activities work cyclically: quality control is performed before and during the analysis, while quality assessment occurs during and after the investigation. Internal corrective measures are implemented based on the findings...
Data Reporting and Recording01:24

Data Reporting and Recording

Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
Purpose of Health Records II01:19

Purpose of Health Records II

Health records serve various essential purposes in the healthcare system. Here are some key purposes:

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Related Experiment Video

Updated: Jul 20, 2026

Establishment of a Clinic-based Biorepository
07:50

Establishment of a Clinic-based Biorepository

Published on: May 29, 2017

Creating an IHE ATNA-based audit repository.

Bill Gregg1, Horacio D'Agostino, Eduardo Gonzalez Toledo

  • 1Department of Radiology, LSU Health Sciences Center, Shreveport, LA, USA. bgregg@lsuhsc.edu

Journal of Digital Imaging
|September 15, 2006
PubMed
Summary

Picture Archiving and Communications Systems (PACS) audit logs are crucial for Health Insurance Portability and Accountability Act (HIPAA) compliance. The Integrating the Healthcare Environment (IHE) framework, specifically the Audit Trail and Node Authentication (ATNA) profile, offers a standardized solution for managing this data.

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Published on: May 29, 2017

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08:56

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Published on: September 3, 2016

Area of Science:

  • Medical Informatics
  • Health Information Systems
  • Digital Imaging in Medicine

Background:

  • Compliance with the Health Insurance Portability and Accountability Act (HIPAA) necessitates comprehensive audit trails from Picture Archiving and Communications Systems (PACS).
  • Historically, accessing and analyzing PACS audit data has been challenging due to manual processes and limited database accessibility.
  • Emerging eXtensible Markup Language (XML) audit logs from PACS vendors require user-driven conversion for effective data mining and compliance management.

Purpose of the Study:

  • To address the need for organized PACS audit information management for regulatory compliance and quality control.
  • To explore the feasibility of utilizing the Integrating the Healthcare Environment (IHE) framework, particularly the Audit Trail and Node Authentication (ATNA) profile, for standardizing PACS audit data.
  • To outline steps towards an automated solution for storing and managing PACS audit information according to IHE ATNA standards.

Main Methods:

  • Reviewing current challenges in accessing and processing PACS audit logs.
  • Investigating the specifications and capabilities of the IHE framework and its ATNA profile for security and audit data management.
  • Conducting a feasibility study on storing existing PACS audit information within the defined IHE ATNA data structure.
  • Discussing potential pathways for automating the process of collecting and storing audit data.

Main Results:

  • The IHE framework, with its ATNA profile, provides a standardized approach for secure transmission and storage of audit records.
  • The ATNA profile defines a data structure with various record types suitable for capturing diverse audit events from PACS.
  • A general feasibility for storing PACS audit information according to the ATNA profile has been established.
  • The study discusses the progression towards automated solutions for managing PACS audit data.

Conclusions:

  • The IHE ATNA profile offers a viable and standardized framework for managing PACS audit trails, enhancing HIPAA compliance.
  • Standardization through IHE facilitates easier data mining, quality control, and efficient handling of audit information across different PACS.
  • Implementing automated solutions based on the IHE ATNA profile is recommended for streamlined and secure audit log management in healthcare settings.