1. 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

2. 2 Scheduled Workflow Events

3. 3 Benefits – Scheduled Workflow Correct Information Available at the point of Decision-makingCorrect Information Available at the point of Decision-making Reduced Errors and/or Delays in Treatment and DiagnosisReduced Errors and/or Delays in Treatment and Diagnosis Reduced cost of implementationReduced cost of implementation Improved Utilization of Staff and Equipment – reduced duplication of data entryImproved Utilization of Staff and Equipment – reduced duplication of data entry Common Vocabulary for Patient and Administrative InformationCommon Vocabulary for Patient and Administrative Information –Examples: Order, Requested Procedure, Accession Number Real-world Information Paths are supported by unambiguously defined TransactionsReal-world Information Paths are supported by unambiguously defined Transactions –For Example: Patient RegistrationPatient Registration Order FillingOrder Filling Modality OperationsModality Operations

4. 4 Register Patient ADT Registration Screen shot here

5. 5 Place Order Order Placer Screen shot here

6. 6 Schedule Order Order Filler, Scheduling the procedure, Screen shot here Pre-fetch any relevant priors Procedure Scheduled

7. 7 Modality Operation Query Worklist, Screenshot Modality Query Worklist from Order Filler

8. 8 Modality Operation Completes acquisition and sends message to RIS and PACS

9. 9 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 Patient Information Reconciliation Unknown patients Unscheduled orders Reconcile with correct patient information

10. 10 Benefits – Patient Info Reconciliation Handle unidentified patient (e.g. trauma cases)Handle unidentified patient (e.g. trauma cases) Handle demographic information corrections and updatesHandle demographic information corrections and updates Propagate changes to all affected systems, update all affected dataPropagate changes to all affected systems, update all affected data Reduces incorrectly identified or “lost” studiesReduces incorrectly identified or “lost” studies Improved patient care with correct informationImproved patient care with correct information

11. 11 PIR Workflow Events

12. 12 Patient Identified Later ADT Change Patient Name or Merge Patient Screen shot here Screen shot here Patient later identified - enter proper data

13. 13 Patient Identified Later Order Placer or Filler showing new name (may be old name too) Screen shot here Screen shot here Patient later identified - enter proper data

14. 14 Order Filler Updates PACS Image Manager Screen shots with new name Update Patient Images with new demographics