Resource Centre - Radiology Module

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Video Tutorial


The Radiology module provides a list of the patient’s radiology studies and allows you to view diagnostic reports and images. Radiology images and reports are integrated from the Southwestern Ontario Diagnostic Imaging Network (SWODIN) and eHealth Ontario’s DI Common Service. Supported browsers: Internet Explorer 10+, Safari 6.0+, Google Chrome 20+ and Firefox 14+

New Result Indicators 

If New Results are available, this module will be flagged   (Refer to New Results Module & Indicators for more details about new result settings).  

a tip icon  Reports from DI-CS and St. Joseph's Healthcare Hamilton will not currently generate a new results flag in the Radiology module.

 

Diagnostic Imaging (DI) Common Service

ClinicalConnect users at participating organizations that have completed the necessary agreements with eHealth Ontario will have access to diagnostic imaging reports and images from eHealth Ontario’s DI Common Service. This includes studies conducted at hospitals outside south west Ontario and by certain community-based diagnostic imaging centres from across the province. 

 The DI Common Services reports already available from hospitals outside of South West Ontario in the Radiology module will now include the corresponding diagnostic images and will display the camera icon   beside the report line item as shown in the image below. 

A complete list of facilities that contribute data to the DI Common Service is available in the following document: https://www.ehealthontario.on.ca/images/uploads/support/DICS_DataContributors_EN.pdf  .

 Provincial repositories such as DI Common Services retrieve information based on the patient’s Health Card Number (HCN) match. In cases where a HCN is not available or invalid, data from the provincial repositories will not be accessible.

 

DI Common Service Reports and Images

Radiology reports and images display in a sortable list and will include reports and images from the provincial repository as shown below.  

 

Types of Radiology Viewers

Radiology image viewers include: 

  • GE Centricity Universal Zero Footprint (ZFP) Viewer - for SWODIN images contributed by all hospitals except Hamilton Health Sciences
  • eUnity –for radiology images from Hamilton Health Sciences
  • Agfa XERO viewer - for images from DI Common Service. 

Please refer to the reference guides below for more detailed information:

SWODIN Images 

The GE Centricity Universal Zero Footprint (ZFP) Viewer is used to view all SWODIN images and is approved for diagnostic use. 

To learn how to use the GE Centricity Universal Zero Footprint (ZFP) Viewer , refer to the reference guide available from the following link:

Non-HHS Radiology Image Viewer: GE Centricity ZFP Quick Reference Guide https://info.clinicalconnect.ca/CC/storage/documents/Quick guide ZFP viewer V6.0 S1.1.pdf

Hamilton Health Sciences Images

Radiology images from Hamilton Health Sciences are displayed on the eUnity Zero Footprint viewer, which is approved for diagnostic use. 

Reference guides to learn how to use this viewer are available in the following links:

HHS Radiology Image Viewer: eUnity Quick Guide

https://info.clinicalconnect.ca/CC/storage/documents/eUnity%203%200%20Quick%20Guide%20-%207-Oct%202013.pdf

HHS Radiology Image Viewer: eUnity Training Guide

https://info.clinicalconnect.ca/CC/storage/documents/eUnity-CC_training%20slides_Oct%2016_AM_FINAL.pdf

eHealth Ontario’s  DI Common Service viewer : Agfa XERO Reference Guide

Radiology images from eHealth Ontario’s Diagnostic Imaging Common Service (DI-CS) repository use the Agfa XERO viewer. By default, all users are configured to use the viewer as a reference viewer and is not approved for diagnostic use.  Full fidelity viewing is available only with the validated platforms and devices indicated in the Validated platforms and devices for full fidelity viewing section found in the Viewer Guide: https://info.clinicalconnect.ca/CC/healthcare/resource-centre-agfa-xero-user-guide

NOTE: The viewer is not intended for the display of digital mammography images for diagnosis.

If you attempt to view images in full fidelity mode using an unvalidated platform, an Unvalidated platform warning is displayed  . You must either accept or decline the warning before continuing.

To access the AFGA help function and the technical specification resources, click on the Help, located at the top the screen as shown below. 

 

 

DI Common Service and Consent Directive

A patient has the right to withdraw consent to access and use of their full or partial records from DI Common Service through the current eHealth Ontario process. ClinicalConnect will honour consent restrictions and display the following message in the patient’s ClinicalConnect record: 

There is a consent directive in place for the selected patient

Clinicians may contact eHealth Ontario Service Desk Support at 1-866-250-1554 or email at servicedesk@ehealthontario.on.ca.

Image of the radiology module tab

The following table provides a summary of some of the key features of the Radiology module.

A B

Smart Filter

The Smart Filter is used to narrow down the list of radiology results to display only those related to the text you entered in the filter. 

Example: 

ct hhs is entered in the Smart Filter box. The Smart Filter searches the Radiology List grid for any row that contains text that begins with both ct AND hhs. All other orders are filtered out and do not display in the view. 

Only one result was found for a CT Abdomen rest from HHS.

image of the radiology module header

a tip icon  See the Smart Filter section to learn more about filtering results and lists with the Smart Filter tool.

Encounter Type

image of the encounter type options

The Encounter Type filter is available in select modules and by default, is set to All Regional Encounters in order to view data from provincial repositories.

Options include: 

  • Encounter - Displays information only for the selected encounter or visit.
  • Patient - Displays all information from all Patient encounters from that source hospital system only.
  • All Regional Encounters - Displays data from provincial repositories or all visits across all hospitals available in the portal.

Days Back

image of the days back filter options

a note iconThe Days Back filter refers to the amount of information presented in the view based on the number of days back from the date of patient discharge. For an admitted in-patient, the Days Back filter refers to the number of days back from the current date (today).

The Days Back filter in this module is set to 180 days as the default but can be changed to a maximum of ALL. However, the ALL Days Back setting may impact system performance if returning large volumes of data.

a tip icon Make sure that your Days back is set appropriately to include the available data in that date range. Example: If you’re looking for a result that was completed two weeks ago, and the Days Back is set to 7 days, then you will not be able to see that result.

Image Icon

image icon

Reports with images will have an Images icon image icon displayed in the first column. Clicking the camera icon launches the image in a new browser window.

 

Viewing Radiology Details

Radiology results are displayed in a sortable list. Click the row of the result you want to view to see the report details. 

image of viewing the radilogy module details

Depending on your preference settings, the Radiology Details will either show up to the right of the results list or below the results list. 

 

Printing Radiology Results and Details

 Printing from some ClinicalConnect modules creates a PDF document which indicates that you have generated a medical document which should be treated as confidential. The page is watermarked with the ClinicalConnect logo and identifies your name, the date, and time the document was generated.

To print Radiology results or details:

1. Click the Print button print button found in the Radiology header or details window of the screen you want to print.

2. Use your browser’s document viewer to complete the printing process.

image of the print preview of the document that needs to be printed

Printing options vary depending on browser and location. Check with your technology team if you’re having issues printing information from ClinicalConnect. Adobe Reader 10.1.4 or higher is recommended to view records presented as PDFs in ClinicalConnect. 

 

Viewing Radiology Images

 a note icon Images may not be available for all reports presented in the module list and do not display the camera icon. SWODIN images need to be launched outside of Citrix in some corporate environments that do not support a compatible browser.

a radiology image

To view radiology images:

1. Click the camera icon  located in the first column of the report.

a note icon Images may not be available for all reports presented in the module and in such cases will not display the camera icon

2. A new browser window or tab will display the imaging in one of the following viewers: 

 

Grouped Multiple Images 

In some cases, source hospital systems that contribute radiology images may have grouped multiple images from multiple exams (including multiple exam types) under one exam if those exams were completed on the same day. Each exam will be listed in the Radiology module with a camera icon but may not contain the associated exam image. 

Example: Nuclear Medicine Studies

Click the thumbnail of the desired image series. (SC prefix mnemonic indicates screen capture)

 

It is recommended to look for other reports from the same day and launch the camera icon to review the grouped images: 

Enter the date of the exam in the Radiology Smart Filter text box using the DD/MM/YYYY format. All results from that day are displayed in the Radiology results list.

Example:

  1. Click each camera icon to view image results until you find the images you were looking for.

 

Radiology Preferences

The Radiology module has it’s own set of preferences that can be accessed and configured by clicking the Preferences button preferences button in the module header or through your Global Preferences.

image od the preferences tab

After updating your preference settings, click the Apply button apply button to save your changes.

The following table provides a summary of all available preference settings:

Preference Description

Default Detail Location

Allows you to set the default location of the Details window: 

  • Bottom – Details are displayed below the results list.
  • Top – Details are displayed to the right of the results list. 

Encounter

The Encounter Type filter is available in select modules and by default, is set to All Regional Encounters in order to view data from provincial repositories.

Options include: 

  • Encounter - Displays information only for the selected encounter or visit.
  • Patient - Displays all information from all Patient encounters from that source hospital system only.
  • All Regional

Days Back

image of the days back options

The Days Back filter refers to the amount of information presented in the view based on the number of days back from the date of patient discharge. For an admitted in-patient, the Days Back filter refers to the number of days back from the current date (today).

a tip icon The Days Back filter in this module is set to 180 days as the default but can be changed to a maximum of ALL. However, the ALL Days Back setting may impact system performance if returning large volumes of data.

a tip icon Make sure that your Days back is set appropriately to include the available data in that date range. Example: If you’re looking for a result that was completed two weeks ago, and the Days Back is set to 7 days, then you will not be able to see that result.

Sort By

image of the sort by options

Allows you to set which column you want your results to be sorted by.

Sort Direction

Sorts the Sort By column results in Ascending or Descending order.