playbook/antigravity-awesome-skills/skills/it-manager-hospital/references/his-pep-guide.md

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HIS/PEP & Interoperability Guide

Technical reference for the management of core hospital information systems and standard integrations.

1. Leading ERPs in Brazil

MV-SOUL & MV-PEP

  • Architecture: Robust clinical and administrative integration.
  • Key Focus: Beira-leito (Bedside) automation, clinical pharmacy integration, and strategic faturamento (billing) modules.
  • Optimization: Focus on Reducing "Click-Counts" for physicians and nurses to improve clinical adoption.

Philips Tasy

  • Architecture: Deeply integrated clinical workflows and process-oriented management.
  • Key Focus: Integration with imaging (PACS) and laboratory systems (LIS).
  • Strategy: Ensuring the "Single Source of Truth" for patient data across all Tasy modules.

2. Interoperability Standards

HL7 (Health Level Seven)

  • The global standard for messaging between disparate health systems (e.g., ADT - Admission, Discharge, Transfer).
  • v2.x: Common for legacy system integrations.
  • FHIR (Fast Healthcare Interoperability Resources): The modern, RESTful API standard for health data. Essential for HIMSS Stage 7.

DICOM (Digital Imaging and Communications in Medicine)

  • Protocol for handling, storing, and transmitting medical imaging information and related data.
  • Essential for PACS (Picture Archiving and Communication System) and RIS (Radiology Information System).

RNDS (Rede Nacional de Dados em Saúde)

  • The Brazilian national health data network.
  • Integration requirements: Authenticating via Gov.br, complying with the "Modelo de Informação" (RAC, Sumário de Alta), and securing data transmission.

3. Critical Infrastructure & Availability

Zero-downtime is mandatory for:

  • Main HIS Database.
  • Clinical Decision Support (CDSS).
  • Laboratory Results delivery.
  • Radiology (PACS) access in the Operating Room.

Recommendation: Use active-active clustering and tiered Disaster Recovery (RTO < 15 min for critical systems).


Reference for it-manager-hospital HIS/PEP domain expertise.