1

Access to Radiology InformationConsistent access to images and reports

Consistent Presentation of Images

Hardcopy and softcopy grayscale presentation state

Key ImageNotes

Flag significant images

Simple Image and Numeric Reports

Simple reports with image links and, optionally,

measurements

Basic SecurityAudit Trail Consolidation & Node Authentication

Presentation of Grouped Procedures

Subset a single acquisition

Post- Processing Workflow

Schedule, perform, & notify image processing

& CAD steps

Charge Posting

Collection of billable procedure details

Scheduled Workflow

Admit, order, schedule, acquire images, notify

of completed steps

Patient Information Reconciliation

Unknown patients and unscheduled orders

Integration ProfilesIntegration Profiles

Scheduled WorkflowAdmit,

order,

schedule,

acquire images,

notify of completed steps

2

Scheduled Workflow Events

3

Benefits – Scheduled WorkflowBenefits – Scheduled Workflow

• CorrectCorrect Information Available at the point of Decision-making Information Available at the point of Decision-making • ReducedReduced Errors and/or Delays in Treatment and Diagnosis Errors and/or Delays in Treatment and Diagnosis• ReducedReduced cost of implementation cost of implementation• Improved UtilizationImproved Utilization of Staff and Equipment – reduced of Staff and Equipment – reduced

duplication of data entryduplication of data entry• Common VocabularyCommon Vocabulary for Patient and Administrative Information for Patient and Administrative Information

– Examples: Order, Requested Procedure, Accession NumberExamples: Order, Requested Procedure, Accession Number• Real-world Information Paths are supported by unambiguously Real-world Information Paths are supported by unambiguously

defined Transactionsdefined Transactions– For Example:For Example:

• Patient RegistrationPatient Registration• Order FillingOrder Filling• Modality OperationsModality Operations

4

Register PatientRegister Patient

ADT Registration Screen shot ADT Registration Screen shot herehere

Initial captureof patientdemographicinformation

Registration

patientinformation

Orders Placed

Referringphysicianorders thedesiredradiologyprocedure

HIS

5

Place OrderPlace Order

Order Placer Screen shot hereOrder Placer Screen shot here

Orders Placed

Referringphysicianorders thedesiredradiologyprocedure

RISexamination orders

Orders Filled

Break down theentered order intospecific radiologyprocedure steps tobe performed

6

Schedule OrderSchedule Order

Order Filler, Scheduling the Order Filler, Scheduling the procedure, Screen shot hereprocedure, Screen shot here

RIS

Orders Filled

Break down theentered order intospecific radiologyprocedure steps tobe performed

Image Managerand Archive

Pre-fetch any relevant priors

Procedure Scheduled

7

Modality OperationModality Operation

Query Worklist, ScreenshotQuery Worklist, Screenshot

Modality

Position patientand acquire image

Orders Filled

Break down theentered order intospecific radiologyprocedure steps tobe performed

Query Worklist from Order Filler

8

Modality OperationModality Operation

Completes acquisition and sends Completes acquisition and sends message to RIS and PACSmessage to RIS and PACS

acquisitioncompleted

acquisitioncompleted

Orders Filled

Break down theentered order intospecific radiologyprocedure steps tobe performed

Image Managerand Archive

Diagnostic imageand demographic

info stored fornetwork access

Modality

Position patientand acquire image

imagesstored

Film

imagesprinted

9

Access to Radiology InformationConsistent access to images and reports

Consistent Presentation of Images

Hardcopy and softcopy grayscale presentation state

Key ImageNotes

Flag significant images

Simple Image and Numeric Reports

Simple reports with image links and, optionally,

measurements

Basic SecurityAudit Trail Consolidation & Node Authentication

Presentation of Grouped Procedures

Subset a single acquisition

Post- Processing Workflow

Schedule, perform, & notify image processing

& CAD steps

Charge Posting

Collection of billable procedure details

Scheduled Workflow

Admit, order, schedule, acquire images, notify

of completed steps

Patient Information Reconciliation

Unknown patients and unscheduled orders

Integration ProfilesIntegration Profiles

Patient Information Reconciliation

Unknown patients Unscheduled ordersReconcile with correct patient information

10

Benefits – Patient Info Reconciliation Benefits – Patient Info Reconciliation

• Handle Handle unidentifiedunidentified patient (e.g. trauma cases) patient (e.g. trauma cases)• Handle demographic information corrections and Handle demographic information corrections and

updatesupdates• Propagate changesPropagate changes to all affected systems, update all to all affected systems, update all

affected dataaffected data• Reduces incorrectlyReduces incorrectly identified or “lost” studies identified or “lost” studies• Improved patient care with correct informationImproved patient care with correct information

11

PIR Workflow Events

12

Patient Identified LaterPatient Identified Later

ADT Change Patient Name or ADT Change Patient Name or Merge PatientMerge Patient

Screen shot hereScreen shot hereupdate

patient info

updatepatient info

Patient lateridentified -enter properdata

Registration

Orders Placed

Orders Filled

13

Patient Identified LaterPatient Identified Later

Order Placer or Filler showing Order Placer or Filler showing new name (may be old name new name (may be old name

too)too)

Screen shot hereScreen shot hereupdatepatient info

updatepatient info

Patient lateridentified -enter properdata

Registration

Orders Placed

Orders Filled

14

Order Filler Updates PACSOrder Filler Updates PACS

Image ManagerImage Manager

Screen shots with new nameScreen shots with new name

Orders Filled

Image Managerand Archive

Update Patient Images with new demographics