1 Access to Radiology Information Consistent access to images and reports Consistent Presentation of...
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1 Access to Radiology Information Consistent access to images and reports Consistent Presentation of Images Hardcopy and softcopy grayscale presentation state Key Image Notes Flag significant images Simple Image and Numeric Reports Simple reports with image links and, optionally, measurements Basic Security Audit 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 Profiles Scheduled Workflow Admit, order, schedule, acquire images, notify of completed steps
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Transcript of 1 Access to Radiology Information Consistent access to images and reports Consistent Presentation of...
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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
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Scheduled Workflow Events
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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
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Register PatientRegister Patient
ADT Registration Screen shot ADT Registration Screen shot herehere
Initial captureof patientdemographicinformation
Registration
patientinformation
Orders Placed
Referringphysicianorders thedesiredradiologyprocedure
HIS
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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
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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
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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
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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
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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
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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
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PIR Workflow Events
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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
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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
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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
