After-hours radiology system

• US 7,813,942 B2
• Filed: 10/04/2005
• Issued: 10/12/2010
• Est. Priority Date: 10/04/2005
• Status: Expired due to Fees

• Current Assignee: Rose Radiology LLC (Envision Healthcare Corporation)
• Original Assignee: Rose Radiology LLC (Envision Healthcare Corporation)
• Inventors: Rose, Greg
• Primary Examiner(s): O'Connor; Gerald J.
• Assistant Examiner(s): Patel; Neha
• Application Number:
  US11/243,372
• Publication Number:
  US 20070078679A1
• Time in Patent Office: 1,834 Days
• Field of Search: 705/2, 705/3
• US Class Current: 705/3
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 30/20 for handling medical images, e.g. DICOM, HL7 or PACS
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

A web-based system is disclosed for managing radiology services for one or more medical facilities. The system, comprising both hardware and software components, provides mechanisms by which radiographic images and demographic information about a patient are transmitted to a central location and efficiently combined, allowing a designated radiologist to efficiently interpret the radiographic images and produce a preliminary report. The central location includes web-based, secure access by which multiple entities may interpret and update the preliminary report. Although the system is designed with after-hours radiology services in mind, the system may be employed in radiology departments during regular weekday operation.

Claims

1. A radiology system, comprising:

an image server coupled to a network, the image server comprising an image database, wherein the image server receives a radiographic image of a patient from across the network and stores the radiographic image in the image database;

a central server comprising;

a database, wherein the central server receives patient paperwork and stores the patient paperwork in the database;

matching software, wherein the matching software couples the patient paperwork in the database with the radiographic image in the image database based on the medical record number of the patient; and

timing software, wherein the timing software associates one of a plurality of status icons with each patient, the associated status icon being based on receipt of the radiographic image, receipt of patient paperwork, generation of a preliminary report, and/or review of the preliminary report, and the associated icon for each patient changes as the patient status changes, wherein the timing software further determines;

a first time associated with receipt of the patient paperwork of the patient, the first time being associated with a first status icon;

a second time associated with receipt of the radiographic image of the patient, the second time being associated with a second status icon; and

a third time associated with the generation of the preliminary report of the patient, the third time being associated with a third status icon; and

a web-based user interface comprising a preliminary report template, the preliminary report template comprising a plurality of fields, the plurality of fields comprising a diagnosis field, a findings field, and a scoring system, wherein the template is saved as the preliminary report once the diagnosis field and the findings field are completed, and the scoring system enables a user to denote, either textually, graphically, or both, agreement or disagreement with the original generation of the preliminary report;

wherein the user of the radiology system views the radiographic image and the patient paperwork and enters information in the plurality of fields of the preliminary report template to produce the preliminary report for the patient.

2. The radiology system of claim 1, further comprising:

a fax server coupled to a telephone line, wherein the fax server receives the patient paperwork transmitted across the telephone line and sends the patient paperwork to the database.

3. The radiology system of claim 2, wherein the patient paperwork is transmitted across the telephone line using a predefined code sequence, the predefined code sequence comprising:

a fax server access number;

a medical facility code to identify the medical facility from which the patient paperwork came, wherein the patient paperwork is thereafter associated with the medical facility; and

all or part of a patient medical record number, wherein the patient medical record number is a unique number associated with the patient whose patient paperwork is being faxed.

4. The radiology system of claim 3, the fax server further comprising:

translation software, wherein the translation software coverts the patient paperwork into a predefined format before the patient paperwork is stored in the database.

5. The radiology system of claim 1, further comprising:

a gateway server comprising decompression software, wherein the radiographic image is transmitted across the network in compressed form, received into the gateway server, and decompressed by the decompression software before being stored in the image database.

6. The radiology system of claim 1, further comprising:

a dictation server comprising voice recognition software, wherein the user of the radiology system generates dictation scripts using the voice recognition software and the dictation scripts populate the plurality of fields of the preliminary report template.

7. The radiology system of claim 1, the image server further comprising:

an image viewer, wherein the image viewer;

reads a header on the radiographic image;

extracts a medical record number of the patient from the header'"'"'

generates a health level seven message including the medical record number of the patient; and

transmits the health level seven message to the central server.

8. The radiology system of claim 1, wherein the matching software associates one of the status icons with the patient based on whether the radiographic image, patient paperwork, or both, are found.

9. The radiology system of claim 1, wherein the timing software further determines:

a fourth time associated with a first review of the preliminary report of the patient, the fourth time being associated with a fourth status icon; and

a fifth time associated with a second review of the preliminary report of the patient, the fifth time being associated with a fifth status icon.

10. The radiology system of claim 1, further comprising:

a default patient list comprising a plurality of patients, the plurality of patients being organized according to predetermined criteria, wherein each patient in the default patient list has an associated status icon; and

an interactive information display viewable from a web page, the interactive information display comprising a search engine interface, the search engine interface enabling the user to generate a user-specific patient list;

wherein the default patient list and interactive information display are presented as the user logs into the radiology system.

11. The radiology system of claim 10, wherein the user-specific patient list is based on one or more values entered in one or more filters in the search engine interface, wherein one of the one or more filters is selected from a group consisting of time filter, modality filter, date filter, and patient filter.

12. The radiology system of claim 10, the default patient list further comprising:

a hyperlink to the preliminary report of each patient whose preliminary report has been generated.

13. The radiology system of claim 1, wherein the status icon of the patient is selected from a group consisting of:

patient paperwork received, but no radiographic image received, less than twenty minutes;

patient paperwork received, but no radiographic image received, more than twenty minutes;

radiographic image received, but no patient paperwork received, less than twenty minutes;

radiographic image received, but no patient paperwork received, more than twenty minutes;

patient paperwork received, radiographic image received, but no preliminary report generated, less than twenty minutes;

patient paperwork received, radiographic image received, but no preliminary report generated, more than twenty minutes;

preliminary report generated, but not reviewed;

preliminary report generated, reviewed by clinician only;

preliminary report generated, reviewed by department radiologist only; and

preliminary report generated, reviewed by clinician and department radiologist.

14. The radiology system of claim 1, the preliminary report template further comprising:

the diagnosis field, wherein the user enters a diagnosis of the patient after reviewing the radiographic image and the patient paperwork; and

the finding field, wherein the user enters findings of the patient after reviewing the radiographic image and the patient paperwork;

wherein the diagnosis field and the findings field are completed in the preliminary report template and saved, producing the preliminary report of the patient.

15. The radiology system of claim 14, the preliminary report of the patient further comprising:

a clinician scoring field and a department radiologist scoring field, wherein the clinician scoring field and department radiologist scoring field are completed using a predefined scoring system;

an clinician comment field associated with the clinician scoring field; and

a department radiologist comment field associated with the department radiologist scoring field.

16. A method, comprising:

retrieving a radiographic image for a patient, the radiographic image including a medical record number of the patient, wherein the radiographic image is stored on an image server of a computer processor-based system;

retrieving patient paperwork for the patient, the patient paperwork being transmitted along with the medial record number of the patient, wherein the patient paperwork is stored on a central server of the computer processor-based system;

providing a web-based interface accessible to a user, the web-based interface comprising a patient name, medical record number, and status of the patient, the status of the patient being indicated by one or more of the following status icons;

a first status icon indicating when the patient paperwork has been retrieved;

a second status icon indicating when the radiographic image has been retrieved; and

a third status icon indicating when the preliminary report has been generated;

wherein the status and associated status icon of the patient is changed when the radiographic image is retrieved, the patient paperwork is retrieved, or the preliminary report is generated;

generating a preliminary report based on the radiographic image and the patient paperwork, the preliminary report comprising a first timestamp field indicating a first time of completion of the preliminary report;

reviewing the preliminary report by a reviewing entity, the preliminary report further comprising a second timestamp field indicating a second time of review of the preliminary report; and

providing a template of the preliminary report to the web-based interface, the template including a diagnosis field, a findings field, and a scoring system, wherein the template is saved as the preliminary report of the patient once the diagnosis field and the findings field are completed, and the scoring system enables the reviewing entity to denote either textually, graphically, or both agreement or disagreement with the original generation of the preliminary report;

wherein the preliminary report is generated when the status of the patient indicates that both the radiographic image and the patient paperwork have been received by the second processor-based system.

17. The method of claim 16, further comprising:

decompressing the radiographic image prior to storage on the image server of the processor-based system.

18. The method of claim 17, further comprising:

converting the patient paperwork to a preferred format before storing the patient paperwork on the central server of the second processor-based system.

19. The method of claim 16, further comprising:

matching the patient paperwork of the patient with the radiographic image of the patient, the medical record number of the radiographic image being identical to the medical record number transmitted with the patient paperwork.

20. The method of claim 16, further comprising:

displaying a patient list in the web-based interface, the patient list comprising a subset of all patients whose radiographic images have been stored on the image server of the processor-based system or whose patient paperwork have been stored on the central server of the second processor-based system.

21. The method of claim 20, providing a web-based interface accessible to a user further comprising:

supplying a plurality of filters to the user of the web-based interface, the plurality of filters enabling the user to generate the patient list by entering search criteria into the web-based interface.

22. The method of claim 20, further comprising:

associating a first time with receipt of the radiographic image of the patient, the first time being associated with a first status icon;

associating a second time with receipt of the patient paperwork of the patient, the second time being associated with a second status icon; and

associating a third time with generation of the preliminary report of the patient, the third time being associated with a third status icon;

wherein the first time, second time, and third time are presented on the web-based user interface.

23. An article comprising a tangible computer-readable medium for storing instructions for enabling a processor-based system to:

retrieve a radiographic image for a patient, the radiographic image including a medical record number of the patient, wherein the radiographic image is stored on an image server of a computer processor-based system;

retrieve patient paperwork for the patient, the patient paperwork being transmitted along with the medial record number of the patient, wherein the patient paperwork is stored on a central server of the computer processor-based system;

provide a web-based interface accessible to a user, the web-based interface comprising a patient name, medical record number, and status of the patient, the status of the patient being indicated by one or more of the following status icons;

a first status icon indicating when the patient paperwork has been retrieved;

a second status icon indicating when the radiographic image has been retrieved; and

a third status icon indicating when the preliminary report has been generated;

wherein the status and associated status icon of the patient is changed when either the radiographic image or the patient paperwork are received; and

generate a preliminary report based on the radiographic image and the patient paperwork, the preliminary report comprising a first timestamp field indicating a first time of completion of the preliminary report;

review the preliminary report by a reviewing entity, the preliminary report further comprising a second timestamp field indicating a second time of review of the preliminary report; and

provide a template of the preliminary report to the web-based interface, the template including a diagnosis field, a findings field, and a scoring system, wherein the template is saved as the preliminary report of the patient once the diagnosis field and the findings field are completed, and the scoring system enables the reviewing entity to denote either textually, graphically, or both agreement or disagreement with the original generation of the preliminary report;

wherein the preliminary report is generated when the status of the patient indicates that both the radiographic image and the patient paperwork have been received by the second processor-based system.

24. The article of claim 23, further storing instructions for enabling a processor-based system to:

display a patient list in the web-based interface, the patient list comprising a subset of all patients whose radiographic images or patient paperwork have been stored in the system; and

update the scoring system of the preliminary report, wherein the scoring system enables the reviewing entity to denote either textually, graphically, or both agreement or disagreement with the original generation of the preliminary report.