Abstract
Although advances in electronic image sharing have made continuity of patient care easier, currently, the majority of outside studies are received on CD. At our institution, there were 9 full-time employees (FTE) at three locations using three workflows to manually upload, schedule, and process studies to PACS. As the demand to view and store outside studies has grown, so has the processing turnaround time. To reduce turnaround time and the need for human intervention, we developed an automated workflow to import outside studies from a CD to our PACS and reconcile them with an internal accession number and exam code.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Kuzmak PM, Dayhoff RE, Gavrilov S, Cebelinski G, Shovestul ML, Casertano A. Streamlining importation of outside prior DICOM studies into an imaging system. J Digit Imaging. 2012 Feb;25(1):70-7. doi: https://doi.org/10.1007/s10278-011-9406-x. PubMed PMID: 21809172; PubMed Central PMCID: PMC3264724.
Sodickson A, Opraseuth J, Ledbetter S. Outside imaging in emergency department transfer patients: CD import reduces rates of subsequent imaging utilization. Radiology. 2011 Aug;260(2):408-13. doi: https://doi.org/10.1148/radiol.11101956. Epub 2011 Apr 19.
Hagiwara H, Nemoto A, Inoue T. Burden on university hospitals of handling portable data for imaging (PDI) media. Appl Clin Inform. 2014 Jan 15;5(1):46-57. doi: https://doi.org/10.4338/ACI-2013-07-RA-0052. eCollection 2014. PubMed PMID: 24734123; PubMed Central PMCID: PMC3974247.
Erickson BJ. Experience with importation of electronic images into the medical record from physical media. J Digit Imaging. 2011 Aug;24(4):694-9. doi: https://doi.org/10.1007/s10278-011-9364-3. PubMed PMID: 21286776; PubMed Central PMCID: PMC3138924.
Lu MT, Tellis WM, Fidelman N, Qayyum A, Avrin DE: Reducing the rate of repeat imaging: import of outside images to PACS. AJR Am J Roentgenol. 198(3):628–634, 2012 Mar. https://doi.org/10.2214/AJR.11.6890
Integrating the Healthcare Enterprise (IHE), 2019 Retrieved from https://www.ihe.net/ihe_domains/radiology/. Accessed Sept 2019
Integrating the Healthcare Enterprise. Portable Data for Imaging (PDI), 2018, May. Retrieved from https://wiki.ihe.net/index.php/Portable_Data_for_Imaging. Accessed Sept 2019
Integrating the Healthcare Enterprise. Import Reconciliation Workflow (IRWF), 2018, May. Retrieved from https://wiki.ihe.net/index.php/Import_Reconciliation_Workflow. Accessed Sept 2019
Integrating the Healthcare Enterprise Scheduled Workflow (SWF), 2018, May. Retrieved from https://wiki.ihe.net/index.php/Scheduled_Workflow. Accessed Sept 2019
Flanders AE. Medical image and data sharing: are we there yet? Radiographics 2009 Sep-Oct;29(5):1247-51. doi: https://doi.org/10.1148/rg.295095151. Review.
HealthIT.gov, 2019, February. Retrieved from https://www.healthit.gov/topic/about-onc. Accessed Sept 2019
Sequoia Project. 2019 Retrieved from https://sequoiaproject.org/rsna/. Accessed Sept 2019
How We Can #DitchTheDisk & Share Images Electronically, 2019 July. Retrieved from https://carequality.org/how-we-can-ditchthedisk-share-images-electronically/. Accessed Sept 2019
Integrating the Healthcare Enterprise. Proposed Workitem: Import and Display of External Priors (IDEP), 2018 September Retrieved from https://wiki.ihe.net/index.php/Import_and_Display_of_External_Priors-_Proposal. Accessed Sept 2019
Acknowledgments
The authors would like to thank Carolyn Cicilia from the Applications Integration Team, Dr. Neil Malhotra from the Department of Neurosurgery, Ann Costello, the Director of Clinical Radiology, Kristen Martin from the Clinical Imaging Management Team, and the Image Processing Departments. The authors would also like to acknowledge the Penn Medicine Radiology PACS Team, the PennChart Radiant Team, and Clinical Imaging IS Leadership with special thanks for their help and efforts.
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Elahi, A., Reid, D., Redfern, R.O. et al. Automating Import and Reconciliation of Outside Examinations Submitted to an Academic Radiology Department. J Digit Imaging 33, 355–360 (2020). https://doi.org/10.1007/s10278-019-00291-3
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10278-019-00291-3