Informatics in radiology: web-based preliminary reporting system for radiology residents with PACS integration. 2012

Timothy O'Connell, and Debra Chang
Department of Radiology, University of British Columbia, 3350-950 W 10th Ave, Vancouver, BC, Canada V5Z 4E3. tim.oconnell@gmail.com

While on call, radiology residents review imaging studies and issue preliminary reports to referring clinicians. In the absence of an integrated reporting system at the training sites of the authors' institution, residents were typing and faxing preliminary reports. To partially automate the on-call resident workflow, a Web-based system for resident reporting was developed by using the free open-source xAMP Web application framework and an open-source DICOM (Digital Imaging and Communications in Medicine) software toolkit, with the goals of reducing errors and lowering barriers to education. This reporting system integrates with the picture archiving and communication system to display a worklist of studies. Patient data are automatically entered in the preliminary report to prevent identification errors and simplify the report creation process. When the final report for a resident's on-call study is available, the reporting system queries the report broker for the final report, and then displays the preliminary report side by side with the final report, thus simplifying the review process and encouraging review of all of the resident's reports. The xAMP Web application framework should be considered for development of radiology department informatics projects owing to its zero cost, minimal hardware requirements, ease of programming, and large support community.

UI MeSH Term Description Entries
D007396 Internship and Residency Programs of EDUCATION, MEDICAL, GRADUATE training to meet the requirements established by accrediting authorities. House Staff,Internship, Dental,Residency, Dental,Residency, Medical,Dental Internship,Dental Internships,Dental Residencies,Dental Residency,Internship,Internship, Medical,Internships, Dental,Medical Residencies,Medical Residency,Residencies, Dental,Residencies, Medical,Residency,Residency and Internship,Internships, Medical,Medical Internship,Medical Internships,Residencies,Staff, House
D008490 Medical Informatics The field of information science concerned with the analysis and dissemination of medical data through the application of computers to various aspects of health care and medicine. Clinical Informatics,Medical Computer Science,Medical Information Science,Computer Science, Medical,Health Informatics,Health Information Technology,Informatics, Clinical,Informatics, Medical,Information Science, Medical,Health Information Technologies,Informatics, Health,Information Technology, Health,Medical Computer Sciences,Medical Information Sciences,Science, Medical Computer,Technology, Health Information
D011873 Radiology Information Systems Information systems, usually computer-assisted, designed to store, manipulate, and retrieve information for planning, organizing, directing, and controlling administrative activities associated with the provision and utilization of radiology services and facilities. PACS (Radiology),Picture Archiving And Communication System,Picture Archiving and Communication Systems,Picture Archiving, Radiologic,X-Ray Information Systems,Archiving, Radiologic Picture,Information System, Radiologic,Information System, Radiology,Information Systems, Radiologic,Information Systems, Radiology,Radiologic Information System,Radiologic Information Systems,Radiologic Picture Archiving,Radiology Information System,System, Radiologic Information,System, Radiology Information,Systems, Radiologic Information,Systems, Radiology Information,Xray Information Systems,Information System, X-Ray,Information System, Xray,Information Systems, X-Ray,Information Systems, Xray,PACSs (Radiology),System, X-Ray Information,System, Xray Information,Systems, X-Ray Information,Systems, Xray Information,X Ray Information Systems,X-Ray Information System,Xray Information System
D001955 British Columbia A province of Canada on the Pacific coast. Its capital is Victoria. The name given in 1858 derives from the Columbia River which was named by the American captain Robert Gray for his ship Columbia which in turn was named for Columbus. (From Webster's New Geographical Dictionary, 1988, p178 & Room, Brewer's Dictionary of Names, 1992, p81-2)
D014584 User-Computer Interface The portion of an interactive computer program that issues messages to and receives commands from a user. Interface, User Computer,Virtual Systems,User Computer Interface,Interface, User-Computer,Interfaces, User Computer,Interfaces, User-Computer,System, Virtual,Systems, Virtual,User Computer Interfaces,User-Computer Interfaces,Virtual System
D016347 Medical Records Systems, Computerized Computer-based systems for input, storage, display, retrieval, and printing of information contained in a patient's medical record. Automated Medical Records Systems,Computerized Medical Records Systems,Automated Medical Record System,Automated Medical Record Systems,Automated Medical Records System,Computerized Medical Record System,Computerized Medical Record Systems,Computerized Medical Records System,Computerized Patient Medical Records,Medical Record System, Automated,Medical Record System, Computerized,Medical Record Systems, Automated,Medical Record Systems, Computerized,Medical Records System, Automated,Medical Records System, Computerized,Medical Records Systems, Automated
D018511 Systems Integration The procedures involved in combining separately developed modules, components, or subsystems so that they work together as a complete system. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed) Integration, Systems,Integrations, Systems,Systems Integrations
D020407 Internet A loose confederation of computer communication networks around the world. The networks that make up the Internet are connected through several backbone networks. The Internet grew out of the US Government ARPAnet project and was designed to facilitate information exchange. World Wide Web,Cyber Space,Cyberspace,Web, World Wide,Wide Web, World

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