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We have built exploding charges, so that it is one procedure description
(CT Abdomen/Pelvis), but when it goes to B/AR, it explodes to two
procedure charges.  That way it is all encompasses into one, and the
description covers it.

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Kloese, Fred
Sent: Wednesday, March 29, 2006 12:36 PM
To: MEDITECH-L
Subject: FW: [MEDITECH-L] Client Server: CT Image Storage in PACS

We use orders and results interfaces. In the combination order case you
have below, we would store the image only once, but attach a transcribed
result to each order. The transcribed result updates the order status on
the PACS. 
Fred   

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Kathryn Wohnoutka
Sent: Tuesday, March 28, 2006 2:46 PM
To: Meditech-L (E-mail); CSListServ (E-mail)
Subject: [MEDITECH-L] Client Server: CT Image Storage in PACS

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We have a radiologist  who's concerned about the way CT images are
currently being stored in our PACS.  Today we get orders/requisitions
through MT and then this information is pulled to CT worklist and then
that information is transferred to PACS when the study is completed.
The problem in CT is a timing issue with our IV contrast agent and the
way studies are done simultaneously (CT chest, abdomen, and pelvis) for
instance.  Because of the contrast we cannot stop doing the chest switch
to the abdomen information in the worklist and then switch to the pelvis
information, but when all of this transfers to PACS it appears as one
study (whichever information is pulled from worklist) most likely CT
chest in this instance.  He's concerned that some studies may appear to
have not been done by looking at the PACS. 

Thank you in advance for your help,
Katie

Kathryn Wohnoutka
PCS/EDM/ITS/OR Applications IS Specialist
Citizens Memorial Healthcare
1500 N. Oakland
Bolivar, Missouri   65613
phone:  417-328-6609
fax:  417-777-7157
pager:  800-801-2988
[EMAIL PROTECTED]



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