Integration Profiles Scheduled Workflow Admit, order, schedule, acquire images, notify of completed steps Scheduled Workflow Presentation of Grouped Procedures Subset a single acquisition Patient Information Reconciliation Unknown patients and unscheduled orders Post- Processing Workflow Schedule, perform, & notify image processing & CAD steps Charge Posting Collection of billable procedure details Admit, order, schedule, acquire images, notify of completed steps 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 3 profiles added in year 4. Basic Security, Charge Posting, and Post Processing workflow. Access to Radiology Information Consistent access to images and reports Basic Security Audit Trail Consolidation & Node Authentication

Scheduled Workflow Events Film Folder

Benefits – Scheduled Workflow Correct Information Available at the point of Decision-making Reduced Errors and/or Delays in Treatment and Diagnosis Reduced cost of implementation Improved Utilization of Staff and Equipment – reduced duplication of data entry Common Vocabulary for Patient and Administrative Information Examples: Order, Requested Procedure, Accession Number Real-world Information Paths are supported by unambiguously defined Transactions For Example: Patient Registration Order Filling Modality Operations Specifies transactions that function to match a previously processed unidentified patient with subsequently entered or identified demographic information Defining a systematic way to handle trauma cases eliminates one of the major reasons for incorrectly identified or “lost” patient information

ADT Registration Screen shot here Register Patient ADT Registration Screen shot here

Order Placer Screen shot here Place Order Order Placer Screen shot here

Order Filler, Scheduling the procedure, Screen shot here Schedule Order Order Filler, Scheduling the procedure, Screen shot here Procedure Scheduled Pre-fetch any relevant priors

Query Worklist, Screenshot Modality Operation Query Worklist, Screenshot Query Worklist from Order Filler Modality

Completes acquisition and sends message to RIS and PACS Modality Operation Completes acquisition and sends message to RIS and PACS

Integration Profiles Patient Information Reconciliation Scheduled Workflow Presentation of Grouped Procedures Subset a single acquisition Patient Information Reconciliation Unknown patients Unscheduled orders Reconcile with correct patient information Patient Information Reconciliation Unknown patients and unscheduled orders Post- Processing Workflow Schedule, perform, & notify image processing & CAD steps Charge Posting Collection of billable procedure details Admit, order, schedule, acquire images, notify of completed steps 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 3 profiles added in year 4. Basic Security, Charge Posting, and Post Processing workflow. Access to Radiology Information Consistent access to images and reports Basic Security Audit Trail Consolidation & Node Authentication

Benefits – Patient Info Reconciliation Handle unidentified patient (e.g. trauma cases) Handle demographic information corrections and updates Propagate changes to all affected systems, update all affected data Reduces incorrectly identified or “lost” studies Improved patient care with correct information Specifies transactions that function to match a previously processed unidentified patient with subsequently entered or identified demographic information Defining a systematic way to handle trauma cases eliminates one of the major reasons for incorrectly identified or “lost” patient information

HIS RIS PIR Workflow Events Enter patient Patient later as J Doe identified - enter proper data HIS Emergency Room physician orders the desired radiology procedure examination orders for J Doe RIS

Patient Identified Later Patient later identified - enter proper data ADT Change Patient Name or Merge Patient Screen shot here

Patient Identified Later Patient later identified - enter proper data Order Placer or Filler showing new name (may be old name too) Screen shot here

Order Filler Updates PACS Image Manager Screen shots with new name Update Patient Images with new demographics