For those of you out there with PACS systems, what number do you use as your PACS number from ITS...accession number or order number? We've used accession number since we've had a PACS system. We have AMICAS PACS and have been LIVE for about 3 years now. The accession number in Meditech has a decimal with 3 digit decimal precision. Usually, all of the studies' accession numbers are .001 only. The only time we really ever see an accession number with .002 is when an order is amended. Our radiologist's want to get rid of the decimal and 3 digits after the decimal. This is a hard coded number in Meditech in which the format cannot be changed. We could strip off the decimal in the interface to PACS. However, I have concerns about problems with how the system would handle amended orders since the procedures would have the same accession number except the .001 and .002. My thought was to change workflow and not amend orders any more. Rather, they would cancel and enter new orders. Have you all run into this issue? What are you all doing?
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