Kestral eNews Q4 2013






Karisma v4 Data Analysis & Workflow

It’s not often a software company employs a large and experienced Development team equally capable of creating a data analysis program as a touch-capable RIS. It’s no wonder that solutions which truly integrate analysis and workflow are few and far between. Most radiology business owners would know the frustration of bolted-on solutions all too well.

With the evolution of Karisma to a next generation RIS, we have augmented the program’s reporting power with a whole new engine. With Business Reports Studio, Kestral brought sophisticated data analysis to the RIS. With Karisma v4, we have taken it to a whole new level.

Because version 4 incorporates vastly expanded auditing capability and a simplified user interface, there’s in-depth access to deeper data analysis, more graphically-rich reports to display and a simpler way to bring it all together. This tightly cohesive system delivers the power to move seamlessly between your data analysis and your everyday operations.

You can think of this unprecedented scale of integration as an ‘ecosystem’; with every part of your normal day-to-day RIS workflow in perfect harmony with your reports – as illustrated in the diagram which follows:

Karisma v4 Data Analysis and Workflow 'Ecosystem'

Click to Enlarge

Karisma v4 includes a number of built-in reports, providing a thorough examination of the relevant data with category drilldowns and even more detailed information by individual record. From revenue raised to service turnaround times, the information you need to know is at your fingertips. From each report, a range of workflow actions can be performed with the simple touch of a button – it’s all part of the harmonious integration of your entire solution.

More than just the numbers, more than just a good looking graph; Karisma v4 provides truly in-depth analysis of every aspect of your system. Every report generates quickly from within a seamless workflow and financial ‘ecosystem’ where your operations are never further away than a couple of clicks.

Karisma v4 will be officially released in the coming months. Join us on our website, Facebook, Twitter and Wordpress for more information as it becomes available.


Toowoomba Diagnostic Imaging

Recently opened, Toowoomba Diagnostic Imaging (TDI) is located 2 hours west of Brisbane on the western slopes of the Great Dividing Range. TDI provides a range of services including general x-ray, ultrasound, echocardiography and multi-slice CT.

Joining the growing number of practices in Queensland to select Kestral for their RIS solution, TDI recently installed Karisma. The new site opened in October with an impressive 25 patients through the door on day one - especially notable for a brand new site in rural Queensland.

The TDI installation involved migrating existing businesses to a new server and then adding new data for an extra work site. Thanks to the tight collaboration between Dominic Noone (Kestral Projects Team Leader), the site's IT supplier and the staff of TDI, the installation went smoothly and in near record time.

Support Manager Jan Sebire noted the excellent work from the Kestral team on installing Karisma for TDI quickly, proclaiming “I think this takes the cake as the quickest Karisma install yet. Thanks to Dom for his dedication to getting the job done.”

Kestral would like to congratulate the project team on a job well done and also thank the management and staff of Toowoomba Diagnostic Imaging. We wish you great success in providing essential services to the people in your community and beyond.



National Privacy Principles

The use and retention of personal and sensitive information is currently governed by the National Privacy Principles. From March 2014, the existing legislation will be replaced by the new Australian Privacy Principles (APP) which address specific situations more clearly. The APP is a stronger set of guidelines that carry more substantial penalties for breaches.

A copy of the new Australian Privacy Principles legislation can be downloaded from the Office of the Australian Information Commissioner (OAIC) website.

Most relevant to Kestral’s customers is the legislation relating to “Cross border disclosure of personal information”. These changes relate to the use of offshore entities. Where a business collects private information and uses services offshore, such as the typing of patient reports, strict new guidelines apply. Penalties for breaching the new regulations range from AU$340K for a single entity and up to AU$1.7M for corporate entities.

In the natural process of developing, testing and supporting our products, Kestral also deals with private information on a daily basis. Our internal privacy policy outlines the procedures which must be followed by all staff in possession of sensitive data. Care must be taken in all circumstances to ensure privacy is not compromised. The Kestral Privacy Policy can be viewed on our Privacy page.

Kestral recommends that customers discuss any current or future use of offshore services for their Karisma system with the relevant administrative staff at their facility, as well as seek legal advice from their medical indemnity insurer.    


IHIC and FHIR 2013

The 4th International HL7 Interoperability Conference (IHIC 2013), hosted by HL7 Australia, was recently held October 28th and 29th in Sydney. IHIC promotes discussion on the application of HL7 at an international level. The previous IHIC was held in Vienna last year. This year’s IHIC featured a FHIR Connectathon component along with the usual range of international speakers.

Fast Healthcare Interoperability Resources (FHIR) is a new form of HL7 messaging based on common web technologies such as RESTful API, XML and JSON – the same technologies utilised by Twitter and Facebook. The FHIR standard is focused on implementers.

FHIR works by dealing with health data in small segments called resources. There are resources for Patient, DiagnosticReport, DiagnosticOrder, Observation and many more standard data concepts. You can think of each resource as a single puzzle piece and any number of them can be linked together in a web of information to create a health story. Resources are similar to HL7 segments, except in FHIR they can be separated and sent alone or together and are considered linked by keys.

For example, to create a pathology or radiology report, a Patient & DiagnosticReport resource would need to be linked together, as well as an Organisation resource for the hospital that created the report. These resources together would form a report, much like an ORU^R01 HL7 message does.

The FHIR Connectathon was Kestral’s focus upon attending IHIC this year. A Kestral contingent took part in demonstrating the use of PLS with FHIR by uploading both Patient and DiagnosticReport resources to a number of FHIR repositories. The demonstration successfully added and updated both resources to servers in not just the same room but also others located in Europe. At the completion of the event, Kestral were one of two groups awarded a FHIR ribbon for having completed the most test cases of all participants.

Angus Millar, Kestral's PLS specialist and Technical Team Leader, was in attendance at IHIC 2013 and participated in the FHIR Connectathon.

“I feel I learned a lot from the experience. I believe it demonstrated that we are very close to having a working FHIR interface and repository for PLS in the near future”.

FHIR is free and open to all who wish to use it. You can find further information on FHIR on the HL7 website by clicking this link.




The Royal Australian and New Zealand College of Radiologists (RANZCR) 64th Annual Scientific Meeting was held from October 17th to 20th at Skycity Hotel in Auckland, New Zealand. This year’s programme featured notable international speakers, workshops and a range of social activities.

For the first time in its long history, the RANZCR conference featured a free mobile application for download, allowing visitors to access information about the RANZCR floor plan, programme, up-to-the-minute news and the businesses in attendance.

In attendance for Kestral were CEO Kevin Moynihan, Business Development Manager (BDM) David Moran and Project Manager Andrew Waddingham. Visitors to the Kestral booth were able to interact with a Karisma v4 demonstration on both a large touch screen monitor and a Microsoft® Surface Pro tablet device.

Visitors who interacted with v4 were able to get a firsthand, early look at the new Karisma interface that, whilst designed for touch screens, offers simplicity and efficiency when used with a mouse. Karisma’s data analysis and workflow integration was also on show. Initial feedback on these capabilities from those who saw it in action was overwhelmingly positive.

Kestral's BDM, David Moran, remarked that the conference was very well organised; with higher than anticipated attendance, as well as high quality speakers, food and social events. David believes the release of the mobile application as a means of communicating with delegates was very well received.

Kestral is excited to be bringing our next generation RIS to the Australian and New Zealand healthcare space in the near future. More information on Karisma v4 will be available closer to its official release.