Oh, I see. Bahmni already has PACS integration module allowing users to either use their own PACS systems or DCM4CHEE. However, PACS alone without RIS makes it difficult to manage workflow in the radiology department. When doctors place radiology requests, the radiologist is supposed to review them first, front desk officers need to assign patients to appropriate modalities or schedule exams.
The current scenario in Malawi is like this: we have digital modalities operating independently, not connected to any Hospital system. The electronic system handling the patient database is not HL7 compliant, therefore, not linked to modalities. Modalities like CT have thick-client workstations running local PACS from system vendors (same with digital mammography, it has its own local PACS system). Patients are registered twice: in the hospital system and in modalities. RIS would change all this.
I do understand, however, that RIS is not a priority in poor-resource countries.