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Development of a Radiology Report Monitoring System for Case Tracking

Chun-Shan Yam1, Neil Rofsky1, Jonathan Kruskal1 and Arkadiusz Sitek1

1 All authors: Department of Radiology, Beth Israel Deaconess Medical Center and Harvard Medical School, WCC, 1 Deaconess Rd., Rm. 306, Boston, MA 02215.



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Fig. 1. Flow process of automated case-tracking system. When new report is dictated into hospital information system (HIS), copy of this report is sent to Health Level Seven (HL7) receiver module of our system. Data parser module determines if report should be extracted on basis of keyword field content and patient's identification number. Extracted reports are stored in individual radiologist's personal folder in Excel or Access (Microsoft) format. Data access is restricted to authenticated users in intranet.

 


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Fig. 2. Screen capture of typical Health Level Seven (HL7) message for dictated radiology report. Each report message contains three separate sections: HL7 header message, report content, and HL7 footer message. Because this is standard format for every report message, one can easily extract desired patient and study information from header. Again, report content is extracted by scrubbing header and footer messages.

 


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Fig. 3. Screen capture of folder content in one radiologist's personal folder. All collected reports are stored under individual radiologist's personal folder for easy viewing. For each tracking case, individual radiology report is labeled with patient's name, date of study, imaging technique, and accession number. For illustration purposes, patients' and radiologists' names are anonymous.

 


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Fig. 4. Screen capture of design view of main table of Access (Microsoft) database. All text parameters stored in this table are extracted from radiology reports. Actual content of radiology report is stored in memo field called "Radiology_Report."

 

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