SYSTEM INTEGRATION ANALYSIS

MediTech Hospital Information System - Comprehensive Integration Mapping

Document Overview

This document provides a comprehensive analysis of system integration points and dependencies across all 32 systems within the MediTech Hospital Information System. Each system is analyzed for its key features, integration points, data flows, and technical dependencies.

DRG-System

Core Features

Automatic ICD-10 and ICD-9-CM code conversion from SOAP notes
AI-assisted DRG grouping (Thai DRG v5/v6/v7)
Data completeness checking and validation
Risk assessment and code suggestion
Billing simulation and claim processing support

System Integrations

Input from: IPD-CPOE AI Assist (progress notes, diagnosis), ระบบงานเวชระเบียนและเวชสถิติ (patient data)
Output to: บัญชีลูกหนี้-ระบบเรียกเก็บ-ส่งเบิก (billing data), ระบบการเงินผู้ป่วยใน (payment calculations)
Shared resources: ICD-10/ICD-9 databases, DRG calculation engine, NHSO APIs

Technical Dependencies

NHSO/SSO API connections for claim validation
AI engine for code conversion and validation
DRG grouper engine with Thai standards
Integration with billing and financial systems

งานพยาบาลผู้ป่วยนอก

Core Features

Patient queue management and screening
Vital signs recording with IoT device integration
Chief complaint documentation
Pre-clinic order processing
Post-examination care coordination

System Integrations

Input from: ระบบนัดหมายผู้ป่วยและระบบบริหารจัดการคิว (queue data), ระบบห้องตรวจแพทย์ผู้ป่วยนอก (doctor orders)
Output to: ระบบห้องตรวจแพทย์ผู้ป่วยนอก (patient data), ระบบงาน-Admission-ผู้ป่วยใน (admission requests), ระบบห้องปฏิบัติการกลาง (lab orders)
Shared resources: Patient vital signs database, queue management system, IoT devices

Technical Dependencies

Smart IoT devices (BP monitors, digital scales)
CPOE integration for order processing
Real-time queue management system
Mobile and kiosk interfaces

ตรวจสุขภาพ

Core Features

Preventive health checkup management
AI-assisted health risk assessment
Customizable health screening forms
Package-based examination protocols
PHR integration

System Integrations

Input from: ระบบงานเวชระเบียนและเวชสถิติ (patient history), ระบบห้องปฏิบัติการกลาง (lab results)
Output to: ระบบห้องปฏิบัติการกลาง (lab orders), รังสีวิทยา (imaging orders), ระบบงานเวชระเบียนและเวชสถิติ (results)
Shared resources: Health screening databases, AI risk assessment engine, PHR system

Technical Dependencies

AI risk assessment algorithms
Integration with lab and imaging systems
PHR data exchange protocols
Health screening form generators

ธนาคารเลือด-Blood-Bank-System

Core Features

Pre-transfusion screening and compatibility testing
Real-time blood order processing with CPOE AI
Blood inventory management
Transfusion administration tracking
Safety alerts and ADR reporting

System Integrations

Input from: IPD-CPOE AI Assist (blood orders), ระบบงานเวชระเบียนและเวชสถิติ (patient data, allergy history)
Output to: ระบบการบริการจัดการยาผู้ป่วยใน-e-mar (transfusion records), ระบบงานพยาบาลผู้ป่วยใน (nursing tasks)
Shared resources: Blood compatibility database, inventory system, barcode scanning

Technical Dependencies

CPOE integration for blood ordering
e-MAR integration for administration tracking
Blood bank inventory systems
Barcode scanning technology

บริหารความเสี่ยง-งาน-IC

Core Features

Risk event reporting and management
Infection control surveillance
Root cause analysis (RCA) tools
Task assignment and follow-up
Predictive analytics for risk prevention

System Integrations

Input from: All clinical systems (adverse events), ระบบงานห้องผ่าตัด (surgical complications), ธนาคารเลือด-Blood-Bank-System (transfusion reactions)
Output to: ระบบผู้ดูแลระบบ (security alerts), Management reporting systems
Shared resources: Risk management database, task management system, reporting tools

Technical Dependencies

Integration with all clinical modules for event capture
AI predictive analytics engine
Workflow management system
Export capabilities for QA/IA reports

บัญชีลูกหนี้-ระบบเรียกเก็บ-ส่งเบิก

Core Features

Accounts receivable management
Automated claim generation for multiple payers
AI-powered dry-run simulation for claim validation
Rejection handling and resubmission
Dashboard analytics for billing performance

System Integrations

Input from: DRG-System (diagnostic codes), ระบบการเงินผู้ป่วยนอก (billing data), ระบบการเงินผู้ป่วยใน (billing data)
Output to: External payer systems (NHSO, Social Security, Private Insurance), Financial reporting systems
Shared resources: Billing databases, claim formatting engines, AI validation tools

Technical Dependencies

Integration with NHSO and other payer APIs
AI simulation engine for claim validation
File upload/API submission capabilities
Rejection handling and tracking systems

พยาธิวิทยา(Pathology-System)

Core Features

CPOE AI-assisted pathology orders
Specimen management with barcode tracking
External laboratory integration
Digital pathology image storage
Manual result entry for patient-brought reports

System Integrations

Input from: ระบบห้องตรวจแพทย์ผู้ป่วยนอก (pathology orders), IPD-CPOE AI Assist (inpatient orders)
Output to: ระบบงานเวชระเบียนและเวชสถิติ (pathology results), Clinical decision support systems
Shared resources: PACS for digital pathology, HL7/FHIR interfaces, Specimen tracking system

Technical Dependencies

HL7/FHIR integration for external labs
PACS integration for digital pathology
Barcode tracking system
PDF/image upload capabilities

ระบบการบริการจัดการยาผู้ป่วยใน-e-mar

Core Features

Medication administration record (MAR)
Real-time medication tracking
Drug interaction and allergy checking
IV therapy and high-alert medication management
Nursing workflow integration

System Integrations

Input from: IPD-CPOE AI Assist (medication orders), ระบบห้องจ่ายยาผู้ป่วยใน (dispensed medications)
Output to: ระบบงานพยาบาลผู้ป่วยใน (nursing tasks), ระบบงานวิสัญญี (anesthesia medications)
Shared resources: Medication database, barcode scanning, real-time monitoring

Technical Dependencies

Integration with CPOE and pharmacy systems
Barcode scanning for medication verification
Real-time nursing workflow management
Drug interaction databases

ระบบการเงินผู้ป่วยนอก

Core Features

Outpatient billing and payment processing
Multi-channel rights verification (NHSO, Social Security)
QR Code and mobile payment support
Real-time copayment calculations
Insurance claim processing

System Integrations

Input from: ระบบห้องตรวจแพทย์ผู้ป่วยนอก (services rendered), ระบบงานห้องจ่ายยาผู้ป่วยนอก (medications)
Output to: บัญชีลูกหนี้-ระบบเรียกเก็บ-ส่งเบิก (billing data), ระบบรับส่งต่อ - Referal (billing for referrals)
Shared resources: Payment gateways, insurance APIs, billing databases

Technical Dependencies

NHSO/Social Security API integration
Payment gateway integrations (QR, Credit card)
Insurance verification systems
Mobile payment platforms

ระบบการเงินผู้ป่วยใน

Core Features

Inpatient billing with daily ward charges
Multi-payer billing support
Deposit and installment payment handling
Length of stay billing calculations
Insurance verification and processing

System Integrations

Input from: ระบบงาน-Admission-ผู้ป่วยใน (admission data), IPD-CPOE AI Assist (services and medications), ระบบงานห้องผ่าตัด (surgical procedures)
Output to: บัญชีลูกหนี้-ระบบเรียกเก็บ-ส่งเบิก (billing data), DRG-System (payment calculations)
Shared resources: Payment processing systems, insurance APIs, billing databases

Technical Dependencies

Integration with admission and clinical systems
Insurance verification APIs
Payment processing systems
DRG integration for cost calculations

ระบบงาน-Admission-ผู้ป่วยใน(Inpatient-Admission-System)

Core Features

Inpatient admission processing
Bed management with real-time availability
Patient transfer and discharge management
Ward assignment optimization
Temporary bed creation for emergencies

System Integrations

Input from: ระบบห้องตรวจแพทย์ผู้ป่วยนอก (admission orders), ระบบงานห้องฉุกเฉิน (emergency admissions), งานพยาบาลผู้ป่วยนอก (admission requests)
Output to: IPD-CPOE AI Assist (admitted patient data), ระบบการเงินผู้ป่วยใน (billing initiation), ระบบงานพยาบาลผู้ป่วยใน (ward assignments)
Shared resources: Bed management system, patient database, ward configuration

Technical Dependencies

Real-time bed availability tracking
Integration with OPD and ER systems
Patient flow management systems
Ward and room configuration management

ระบบงานทันตกรรม

Core Features

Dental SOAP notes with AI assistance
Specialized dental procedure coding
Intraoral/extraoral imaging integration
Drug interaction and allergy checking for dental treatments
Dental-specific body mapping (FDI, Palmer charts)

System Integrations

Input from: ระบบนัดหมายผู้ป่วยและระบบบริหารจัดการคิว (appointments), ระบบงานเวชระเบียนและเวชสถิติ (patient records)
Output to: ระบบงานห้องจ่ายยาผู้ป่วยนอก (prescriptions), รังสีวิทยา (dental X-rays), ระบบการเงินผู้ป่วยนอก (billing)
Shared resources: Dental imaging systems, drug interaction databases, dental procedure codes

Technical Dependencies

Dental imaging equipment integration
Specialized dental charting systems
Drug interaction checking specific to dentistry
Integration with standard medical records

ระบบงานพยาบาลผู้ป่วยใน(Inpatient-Nursing-System)

Core Features

Nursing order execution and task management
Electronic nursing assessments
Smart device integration for vital signs
e-Kardex shift reporting
Real-time care plan updates

System Integrations

Input from: IPD-CPOE AI Assist (doctor orders), ระบบงาน-Admission-ผู้ป่วยใน (patient assignments), ระบบการบริการจัดการยาผู้ป่วยใน-e-mar (medication schedules)
Output to: ระบบการบริการจัดการยาผู้ป่วยใน-e-mar (medication administration), ระบบงานเวชระเบียนและเวชสถิติ (nursing notes)
Shared resources: Smart devices, nursing assessment databases, task management systems

Technical Dependencies

IoT device integration for vital signs
Real-time task management system
Integration with CPOE and e-MAR
AI-assisted shift reporting

ระบบงานวิสัญญี

Core Features

Pre-anesthesia evaluation and planning
Intraoperative monitoring and documentation
PACU (Post-Anesthesia Care Unit) management
Drug interaction checking for anesthetics
Complication tracking and follow-up

System Integrations

Input from: ระบบงานห้องผ่าตัด (surgical schedules), IPD-CPOE AI Assist (anesthesia orders)
Output to: ระบบการบริการจัดการยาผู้ป่วยใน-e-mar (anesthetic medications), ระบบงานเวชระเบียนและเวชสถิติ (anesthesia records)
Shared resources: Drug interaction databases, anesthesia equipment interfaces, monitoring devices

Technical Dependencies

Integration with OR scheduling systems
Anesthesia equipment data interfaces
Drug interaction and safety databases
Real-time monitoring system integration

ระบบงานสังคมสงเคราะห์

Core Features

Social work case management
Patient screening and assessment
Financial assistance workflow
External agency coordination
Outcome tracking and reporting

System Integrations

Input from: ระบบงานเวชระเบียนและเวชสถิติ (patient demographics), ระบบการเงินผู้ป่วยนอก (payment difficulties), ระบบการเงินผู้ป่วยใน (financial hardship cases)
Output to: External social services, Management reporting systems
Shared resources: Case management database, external agency interfaces, document management

Technical Dependencies

Integration with financial systems for hardship identification
Document management and workflow systems
External agency communication interfaces
Reporting and analytics tools

ระบบงานห้องจ่ายยาผู้ป่วยนอก

Core Features

Outpatient pharmacy dispensing
AI-assisted prescription verification
Multi-location printing and dispensing
Queue management for medication pickup
Drug interaction and allergy checking

System Integrations

Input from: ระบบห้องตรวจแพทย์ผู้ป่วยนอก (prescriptions), ระบบบริหารการจัดการคลังยาและเวชภัณฑ์ (inventory)
Output to: ระบบการเงินผู้ป่วยนอก (medication costs), ระบบบริหารการจัดการคลังยาและเวชภัณฑ์ (dispensed quantities)
Shared resources: Drug interaction databases, inventory management, queue systems

Technical Dependencies

Integration with CPOE systems for prescription receipt
Real-time inventory management
Multi-location printing systems
Queue management and patient notification

ระบบงานห้องฉุกเฉิน(Emergency-Room-System-ER)

Core Features

Emergency triage and patient flow management
SOAP notes with AI assistance for emergency care
Critical patient monitoring
EMS integration and trauma documentation
Real-time status communication to families

System Integrations

Input from: EMS systems (pre-hospital data), ระบบนัดหมายผู้ป่วยและระบบบริหารจัดการคิว (emergency arrivals)
Output to: ระบบงาน-Admission-ผู้ป่วยใน (emergency admissions), ระบบงานห้องผ่าตัด (emergency surgeries), ระบบรับส่งต่อ - Referal (transfers)
Shared resources: Triage systems, emergency equipment interfaces, communication systems

Technical Dependencies

EMS data integration
Real-time patient monitoring systems
Emergency equipment interfaces
Family communication platforms

ระบบงานห้องผ่าตัด

Core Features

Surgical scheduling and pre-op preparation
Intraoperative documentation with imaging
PACU recovery monitoring
Surgical complication tracking
Equipment and supply management

System Integrations

Input from: ระบบห้องตรวจแพทย์ผู้ป่วยนอก (surgical orders), IPD-CPOE AI Assist (pre-op orders), ระบบงานวิสัญญี (anesthesia plans)
Output to: ระบบงานเวชระเบียนและเวชสถิติ (operative notes), ระบบการเงินผู้ป่วยใน (surgical charges), บริหารความเสี่ยง-งาน-IC (complications)
Shared resources: Surgical equipment interfaces, PACS for surgical imaging, supply management

Technical Dependencies

Integration with anesthesia and nursing systems
Surgical equipment data capture
PACS integration for surgical imaging
Barcode scanning for surgical supplies

ระบบงานเวชระเบียนและเวชสถิติ

Core Features

Patient registration across multiple channels
Visit management and medical record creation
Multi-channel registration (staff, kiosk, mobile, Line)
Rights verification and demographic management
Document management and archival

System Integrations

Input from: All clinical systems (medical records), Registration kiosks, Mobile applications, Line Bot
Output to: All clinical systems (patient demographics), Statistical reporting systems, External registries
Shared resources: Patient master database, document management system, identity verification

Technical Dependencies

Smart card readers for ID verification
Mobile and web application interfaces
Line Bot integration
External API connections for rights verification

ระบบงานแพทย์และการให้คำสั่งผู้ป่วยใน(IPD-CPOE-AI-Assist)

Core Features

AI-assisted CPOE for inpatient care
Structured progress notes (SOAP)
Multi-media documentation (images, videos, sketches)
Protocol-based order sets
Digital signature integration

System Integrations

Input from: ระบบงาน-Admission-ผู้ป่วยใน (patient data), ระบบห้องปฏิบัติการกลาง (lab results), รังสีวิทยา (imaging results)
Output to: ระบบการบริการจัดการยาผู้ป่วยใน-e-mar (medication orders), ระบบงานพยาบาลผู้ป่วยใน (nursing orders), DRG-System (diagnostic data)
Shared resources: AI order translation engine, digital signature system, multimedia storage

Technical Dependencies

AI natural language processing for order conversion
Digital signature infrastructure
Multimedia storage and annotation systems
Integration with all ancillary services

ระบบนัดหมายผู้ป่วยและระบบบริหารจัดการคิว

Core Features

Multi-channel appointment booking
Real-time queue management
Doctor schedule integration
Patient notification systems
Wait time optimization

System Integrations

Input from: Mobile applications, Line Bot, Staff interfaces, Kiosks
Output to: งานพยาบาลผู้ป่วยนอก (patient queues), ระบบห้องตรวจแพทย์ผู้ป่วยนอก (appointment data), SMS/notification services
Shared resources: Scheduling engine, notification systems, queue displays

Technical Dependencies

Mobile application and Line Bot integration
SMS and push notification services
Real-time queue management systems
Digital signage for queue displays

ระบบบริหารการจัดการคลังยาและเวชภัณฑ์

Core Features

Comprehensive drug and supply inventory management
Purchase planning and vendor management
Lot tracking and expiration monitoring
Distribution to department pharmacies
Regulatory compliance tracking

System Integrations

Input from: ระบบงานห้องจ่ายยาผู้ป่วยนอก (dispensing data), ระบบห้องจ่ายยาผู้ป่วยใน (usage data), Vendor systems
Output to: All pharmacy systems (inventory levels), Financial systems (purchase data), Regulatory reporting
Shared resources: Inventory databases, supplier interfaces, regulatory databases

Technical Dependencies

Integration with all dispensing systems
Vendor electronic ordering systems
Lot tracking and barcode systems
Regulatory reporting interfaces

ระบบผู้ดูแลระบบ

Core Features

User management and role-based access control
Multi-factor authentication (RFID, biometric, smart card)
Digital signature management
System configuration and security monitoring
Audit trail management

System Integrations

Input from: All HIS systems (user activities), Authentication devices
Output to: All HIS systems (security policies), Audit systems, Management dashboards
Shared resources: User databases, authentication infrastructure, security monitoring

Technical Dependencies

Multi-factor authentication devices
Digital signature infrastructure (PKI, Thai ID)
LDAP/Active Directory integration
Security monitoring and SIEM systems

ระบบรับส่งต่อ - Referal

Core Features

Patient referral management (outbound and inbound)
Integration with external hospital systems
Referral tracking and status updates
Document and image attachments
Follow-up coordination

System Integrations

Input from: ระบบห้องตรวจแพทย์ผู้ป่วยนอก (referral orders), ระบบงานห้องฉุกเฉิน (emergency transfers), External hospitals
Output to: External hospital systems (HDC, e-Referral), ระบบการเงินผู้ป่วยนอก (billing for referrals), Follow-up scheduling
Shared resources: HDC/e-Referral systems, document management, notification systems

Technical Dependencies

HDC and e-Referral system integration
HL7 FHIR for data exchange
Document and image management systems
External hospital API connections

ระบบห้องคลอด

Core Features

Labor and delivery documentation
Real-time fetal and maternal monitoring
CTG/NST equipment integration
Digital partograph
Newborn care coordination

System Integrations

Input from: งานพยาบาลผู้ป่วยนอก (prenatal data), ระบบงาน-Admission-ผู้ป่วยใน (admission data)
Output to: ระบบงานเวชระเบียนและเวชสถิติ (birth records), Newborn care systems, ระบบการเงินผู้ป่วยใน (delivery charges)
Shared resources: Fetal monitoring equipment, PACS for obstetric imaging, newborn databases

Technical Dependencies

CTG/NST monitoring equipment integration
Real-time data streaming and alerts
PACS integration for obstetric imaging
Newborn identification and tracking systems

ระบบห้องจ่ายยาผู้ป่วยใน

Core Features

Inpatient pharmacy dispensing with AI verification
Unit dose and IV admixture preparation
High-alert medication management
Compounded medication tracking
ADR investigation and reporting

System Integrations

Input from: IPD-CPOE AI Assist (medication orders), ระบบบริหารการจัดการคลังยาและเวชภัณฑ์ (inventory)
Output to: ระบบการบริการจัดการยาผู้ป่วยใน-e-mar (medication delivery), ระบบการเงินผู้ป่วยใน (medication costs)
Shared resources: Drug interaction databases, compounding records, barcode systems

Technical Dependencies

AI prescription verification systems
Compounding and IV preparation tracking
Barcode verification systems
Integration with e-MAR for administration tracking

ระบบห้องตรวจแพทย์ผู้ป่วยนอก(OPD-CPOE-AI-Assist)

Core Features

AI-assisted outpatient SOAP notes
Automated order generation from clinical notes
Multi-media documentation capabilities
Cost estimation and billing integration
Package order management

System Integrations

Input from: งานพยาบาลผู้ป่วยนอก (patient screening), ระบบนัดหมายผู้ป่วยและระบบบริหารจัดการคิว (appointments)
Output to: ระบบห้องปฏิบัติการกลาง (lab orders), รังสีวิทยา (imaging orders), ระบบงานห้องจ่ายยาผู้ป่วยนอก (prescriptions), ระบบการเงินผู้ป่วยนอก (charges)
Shared resources: AI order processing engine, cost calculation systems, multimedia storage

Technical Dependencies

AI natural language processing for SOAP note analysis
Real-time cost calculation integration
Multimedia capture and annotation systems
Integration with all ancillary services

ระบบห้องปฏิบัติการกลาง(Central-Laboratory-System)

Core Features

AI-assisted lab order processing
Specimen tracking with barcodes
External laboratory integration
Quality control and critical value alerts
Result reporting and trend analysis

System Integrations

Input from: ระบบห้องตรวจแพทย์ผู้ป่วยนอก (lab orders), IPD-CPOE AI Assist (inpatient orders), External laboratories
Output to: ระบบงานเวชระเบียนและเวชสถิติ (lab results), Clinical decision support systems, External reporting
Shared resources: LIS (Laboratory Information System), specimen tracking, HL7 interfaces

Technical Dependencies

Laboratory equipment interfaces (LIS)
HL7/FHIR integration for external labs
Barcode tracking systems
Critical value alerting systems

ระบบเวชศาสตร์ฟื้นฟู

Core Features

Rehabilitation medicine documentation
Physiotherapy and occupational therapy integration
Specialized body mapping for rehabilitation
Progress tracking and outcome measurement
Equipment and device prescription management

System Integrations

Input from: ระบบห้องตรวจแพทย์ผู้ป่วยนอก (referrals), IPD-CPOE AI Assist (rehab orders)
Output to: ระบบงานเวชระเบียนและเวชสถิติ (rehabilitation records), Equipment prescription systems
Shared resources: Rehabilitation databases, specialized imaging systems, outcome measurement tools

Technical Dependencies

Specialized rehabilitation equipment interfaces
Outcome measurement databases
Integration with prosthetic/orthotic systems
Progress tracking and analytics

ระบบแพทย์แผนไทย

Core Features

Traditional Thai medicine documentation
Herbal prescription management
Safety checking for herb-drug interactions
Traditional diagnostic methods integration
Regulatory compliance for traditional medicine

System Integrations

Input from: ระบบงานเวชระเบียนและเวชสถิติ (patient data), ระบบนัดหมายผู้ป่วยและระบบบริหารจัดการคิว (appointments)
Output to: ระบบงานห้องจ่ายยาผู้ป่วยนอก (herbal prescriptions), ระบบการเงินผู้ป่วยนอก (billing)
Shared resources: Herbal medicine databases, interaction checking systems, traditional medicine protocols

Technical Dependencies

Herbal medicine interaction databases
Traditional medicine practice guidelines
Integration with conventional medical systems
Regulatory compliance systems

รังสีวิทยา

Core Features

AI-assisted radiology order processing
PACS integration for image management
Radiation safety and contraindication checking
Patient preparation instructions
Report generation and distribution

System Integrations

Input from: ระบบห้องตรวจแพทย์ผู้ป่วยนอก (imaging orders), IPD-CPOE AI Assist (inpatient orders)
Output to: ระบบงานเวชระเบียนและเวชสถิติ (radiology reports), PACS systems, Clinical systems
Shared resources: PACS (Picture Archiving and Communication System), DICOM networks, RIS (Radiology Information System)

Technical Dependencies

PACS and DICOM infrastructure
Radiology equipment integration (RIS)
AI assistance for order appropriateness
Radiation dose monitoring systems

โภชนาการ

Core Features

AI-assisted nutrition order processing
Therapeutic diet management
Kitchen production planning
Nutritional consultation workflows
Special dietary requirement management

System Integrations

Input from: IPD-CPOE AI Assist (diet orders), ระบบงานพยาบาลผู้ป่วยใน (feeding assistance needs)
Output to: Kitchen management systems, ระบบงานพยาบาลผู้ป่วยใน (nutrition tasks)
Shared resources: Nutrition databases, kitchen management systems, dietary restriction databases

Technical Dependencies

Integration with kitchen management systems
Nutrition databases and calculation engines
AI assistance for diet appropriateness
Integration with nursing workflow systems

SYSTEM ARCHITECTURE AND INTEGRATION SUMMARY

Overall System Architecture Flow

The MediTech HIS follows a hub-and-spoke architecture with the following key integration patterns:

1. Central Patient Database

ระบบงานเวชระเบียนและเวชสถิติ serves as the master patient index
All systems reference this central patient database
Maintains demographic data, medical record numbers, and basic patient information

2. CPOE AI Assist Integration Hub

IPD-CPOE AI Assist and ระบบห้องตรวจแพทย์ผู้ป่วยนอก serve as primary order entry points
AI engine processes natural language and converts to structured orders
Orders distributed to relevant ancillary systems (Lab, Pharmacy, Imaging)

3. Financial Integration Layer

ระบบการเงินผู้ป่วยนอก and ระบบการเงินผู้ป่วยใน aggregate charges from all clinical systems
DRG-System provides diagnosis-related grouping for billing
บัญชีลูกหนี้-ระบบเรียกเก็บ-ส่งเบิก handles claims processing and submission

4. Clinical Workflow Integration

งานพยาบาลผู้ป่วยนอก and ระบบงานพยาบาลผู้ป่วยใน coordinate patient care
ระบบการบริการจัดการยาผู้ป่วยใน-e-mar ensures medication safety
Real-time communication between clinical systems

Critical Integration Points

1. AI-Powered Order Processing

Natural language processing in CPOE systems
Automatic order conversion and distribution
Clinical decision support and safety checking

2. Real-Time Data Synchronization

Patient demographics and medical records
Medication administration and pharmacy coordination
Laboratory and imaging result distribution

3. Financial Data Flow

Service charges from all clinical systems
Insurance verification and billing
Claims processing and submission

4. Safety and Quality Integration

บริหารความเสี่ยง-งาน-IC receives data from all clinical systems
Drug interaction and allergy checking across pharmacy systems
Audit trails and compliance monitoring

Data Flow Dependencies

Primary Data Flows:

Patient Registration → Clinical Services → Billing → Claims
CPOE Orders → Ancillary Services → Results → Clinical Records
Nursing Care → Medication Administration → Clinical Documentation
Emergency Care → Admission → Inpatient Care → Discharge

Secondary Data Flows:

Quality Assurance and Risk Management
Inventory Management and Supply Chain
Appointment Scheduling and Patient Communication
Referral Management and Care Coordination

External System Integrations

Government and Regulatory:

NHSO (National Health Security Office) - Insurance verification and claims
Social Security Office - Employee insurance verification
Civil Registration - Patient identity verification
HDC/e-Referral - Inter-hospital patient transfers

Communication Systems:

Line Messaging API - Patient communication and bot services
SMS Gateway - Appointment reminders and notifications
Mobile Applications - Patient self-service and staff workflow

Clinical Equipment:

Laboratory Information Systems (LIS)
Picture Archiving and Communication Systems (PACS)
IoT Medical Devices - Vital signs monitors, medication dispensing
Barcode/RFID Systems - Patient and medication safety

Technology Stack Integration

Backend Integration:

Nest.js framework with TypeScript
PostgreSQL database with Prisma ORM
REST API architecture with JWT authentication
WebSocket connections for real-time updates

Frontend Integration:

Next.js 14 with TypeScript
Ant Design + Tailwind CSS for UI consistency
Zustand + React Query for state management
PWA capabilities for mobile access

Multi-Channel Support:

Web Portal - Staff interfaces
Kiosk Stations - Patient self-service
Mobile PWA - Patient and staff access
Electron App - Offline capabilities

This comprehensive integration architecture ensures seamless data flow, clinical safety, operational efficiency, and regulatory compliance across the entire hospital information system.