The Imorgon Ultrasound Accelerator provides creation of diagnostics reports from the data obtained via DICOM Structured Reports transmission from your ultrasound systems. This permits faster and more accurate transcription of numerical measurements and other data typically available from Calculation packages in the Ultrasound machine. With this system there should no longer be a need to dictate numbers or write in numbers that are already on the Ultrasound system.
As each ultrasound department use different Ultrasound equipment, and each generates its unique style of Ultrasound diagnostics reports, your Imorgon Structured Reporting system must be customized prior to use.
Please use the following guide to plan your Structured Reporting System customization. Your Imorgon clinical implementation representatives are always ready to assist you throughout these steps. Please do not hesitate to request for assistance. We will closely coordinate with your clinical and information technology staff every step of the way.
Step 1: Gathering Your System Information
- Collect the names, models and software versions of all your Ultrasound equipment
- Collect the types of Calc packages you will be using, for example, OB, Extra-cranial vascular studies etc.
- Collect the actual sample reports from all of above types of studies you conduct.
- Requirements for report transmission via Cut & Paste, HL7 or other data transfer mechanism (FTP, File Drop, SOAP etc.). We will work with your Informatics team for the proper transfer protocol.
Step 2: Gathering Your Clinical Report Information
- Collect examples of all your "paper" reports that you are currently generating, and we will match them with the Calc package sample data.
Step 3: Understand Your Clinical Workflow
- We will understand your complete clinical workflow and articulate in writing.
- First, we will try to "diagram" the standard workflow from a new patient introduction all the way to study completion and report generation.
- We then interview your staff with any exception conditions, such as "walk-ins" and "emergency" situations.
- We will also like to know your processing steps, for example, will all report go to Preliminary then signed off by a radiologist, or will all they go to a radiologist, written up, and finalized at once.
Step 4: Configuring the Integration with Your Reporting System
- Using some sample cases, we will ensure that the integration is working all the way through.
Step 5: Verifications
Once the systems are configured based on your inputs, we will set aside a period for verifications. We will run our system and your existing system in parallel for a short period of time to make sure that we can achieve the identical outcome, of course, with our system allowing you to complete the report significantly more efficiently and accurately.
Question: What types of Measurement Values Can Be Sent?
Just about any Biometry values that are reported from the DICOM Structured Report object that a scanner sends. Please note the following limitations.
- Some scanners report values on screen but are not including them in the DICOM Structured Report object. In this case, it is not possible for the system to propagate the data.
- The system is not designed to re-compute mathematical model estimates that are built into the "calc package" on each scanner. The DICOM structured report does not transmit the actual mathematical formula used (only the algorithm title). This means that if a measurement has been altered on the Imorgon Workstation it is not possible to re-compute the model outputs.
- If a measurement was not made by the scanner operator, such values and any related computations will not be reported.
- Certain configurations and operating modes of the scanner and calculation package output different types of values depending on the type of the study or types of data collected. Reporting inconsistency is almost always due to this type of issues on the scanner.
- Each scanner implementation or software version outputs values slightly in a different manner than the others. Therefore the input and output must be validated for every model and software version the scanner is using. There is a safeguard feature in the system so that it will not allow the output of the data to the reporting system unless the data has been verified for a specific model and software version of the scanner. This means that when a scanner receives a software version change, the user could suddenly lose the reporting from such system. Such pre-validation procedure event must be carefully coordinated with the iMorgon support.
OB Examples Include:
- Each Distance Measurement, Average, Gestational Age and Gestational Age Standard Deviations for BPD, AC, HC, FL and CRL
- Each quadrant of AFI and Sum
- Estimated Fetal Weight
- Growth Percentile
- US MA and confidence value
- US EDC
- Clinical EDC
Carotid Vascular Example Include:
- PSV, EDV, RI and DCA Measurements in Distal/ Mid CCA, Distal Mid ICA, Proximal ECA and VA