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  • Informatics Tools Flow Chart

  • 5.9-Informatics Tools Flow Chart


    RSNA’s informatics tools are the perfect workplace solutions for practitioners in clinical, research or educational settings. These solutions are designed to help you stay at the forefront of technology while achieving meaningful use goals for your practice. 

    1. A patient reports symptoms to a primary care physician. After examining the patient, the physician uses electronic order-entry tools to request a procedure appropriate to the symptoms. The order is instantly transmitted to your radiology practice and approved for scheduling.

    2. A technologist in your practice protocols the exam and, after the patient arrives for her appointment, selects the exam from the worklist and acquires the imaging study. Noting that the referring physician has indicated a possibly relevant prior study, the technologist queries your health information exchange network and retrieves a two-year-old exam from a site hundreds of miles away. The seamless flow of information—within the practice and across care settings—is made possible by standards-based interoperability specifications defined by IHE.

    3. The study appears on the reading worklist at your diagnostic workstation. 
      You view the images, confirming that they are properly identified and presented. You detect an apparent abnormality. Comparing the new images with the relevant priors, you are able to assess how the condition has progressed.

    4. In dictating your diagnosis, you are guided by an RSNA reporting template–specific to the study performed–making it convenient to enter the relevant information, allowing the creation of a clearer and more consistent report and acting as a checklist to ensure you do not miss significant details. The template comes from a library developed by the RSNA Reporting Subcommittee and made freely available to the radiology community and imaging industry.

    5. Because the report includes RSNA RadLex terms to describe anatomic features, pathologies, imaging procedures and findings, ambiguity is eliminated and your report includes consistent terminology that ensures that the diagnosis can be analyzed electronically to monitor diseases and assess outcomes.

    6. Your report and imaging study are stored locally, while the report (with embedded links to both sets of images) is transmitted to the referring physician, who discusses your findings with the patient and determines a course of care. The patient has created a personal health record account and is able to add the report and imaging studies to her medical history.

    7. You note that the patient meets the protocols for a current multisite imaging clinical trial. Having obtained patient consent, you are able to anonymize the study, add information specific to the trial and send it off to 
      the principal investigator’s site using the RSNA MIRC Clinical Trials Processor 
      (CTP) software.

    8. Since you also find the case to be an interesting one, you quickly anonymize and send the study from your PACS workstation to your MIRC teaching file authoring tool. The tool allows you to add as much information and formatting as you find appropriate, including RadLex tags that will make it easy to search and organize your files. MIRC can format teaching files for self-directed learning or for group settings like quizzes and conferences. Teaching files created with the MIRC software can also be published, stored and viewed directly on your myRSNA Web page and shared with other myRSNA users.