Purpose: To present the structured-reporting based RIS created in our Department. Materials and methods: This system started with a reporting tutor for the chest section, developed on Visual Basic 6.0. A second challenge was to adapt the application to other sections: neurology and musculoskeletal CT, abdominal CT, breast, digestive, vascular and ultrasonography. A third challenge was to give the RIS security properties (for system access and validated reports). The fourth challenge was to connect the RIS to the HIS to import patient data. Results: Since 2000 a scenario of hand-writing or Dictaphone-typing reporting and paper-based report archiving has moved to an authoring system of elaboration and archiving of structured reports with: assisted patient data entry, structured report creation, and reporting protection and searching. A Windows NT intranet reports database is accessible from different structured reporting tutors adapted to each section. Conclusion: This exhibit presents in detail the steps that have lead to the actual system which is working daily in our hospital. A demo of different reporting tutor interfaces (in Spanish) is also provided.
Learning Objectives:
To show the whole process of elaboration of a RIS based on structured reporting tutors adapted to each section of the Department of Radiology in our hospital. With this structured reporting tutor, mouse clicking on active elements allows elaborating 90% of the usual reports. Residents can be leaded through the structured reporting process by means of a systematic approach and meditated terminology. Questions about this event email: sendra@uma.es