Speaker 1: Hello, this is Terrell Pauley with Healthcare IT Solutions. And in today's episode or rather in today's video, rather, what I want to discuss is the actual, uh, clinical radiology workflow at a hospital. Now, in one of my prior videos, I actually talked about the clinical workflow at an imaging center, and then, but today is for a hospital and you can, um, and the, and the, the benefit of knowing like these types of different clinical workflows is that having a sense for that allows you to just become familiar if you, you know, if you're trying to get in within healthcare, it trying to get started, trying to, you're trying to get more familiar with the field, just having a understanding of, or seeing like the different types of radiology workflows will be helpful for you as you're attempting to get started in this space. So. Let's, uh, so now, so let's, let, let's go over this example here that I have in the, uh, in the diagram. So let's just say for instance, um, in this example here that, uh, Jane, uh, falls down a flight of stairs and, uh, she has to go to the hospital. So Jane is kind of, uh, she's kind of messed up. So she falls down a flight of stairs, she's injured. So she has to be taken to the hospital. Okay. So she goes to the hospital and, and you can actually kind of think about this, uh, example, maybe if, if you've ever had to, uh, if you've ever gone to the hospital, um, and think about your own case to where if you had a instance of where you had to go to the hospital and maybe you had to be seen, and maybe you had to actually have a scan done that they're on site at the hospital, whether it was MRI or CT or X-ray or, uh, or ultrasound or something like that, you can actually, uh, you can kind of relate better and you'll be able to maybe see it if you've actually see a little better, if you actually experienced it yourself. So, so in our example here, Jane goes to the hospital, right? So she's at the hospital and at the front desk, uh, Jane's demographics and, and, and her symptoms, you know, has to be entered into the, into the HISS, the hospital information system. So, um, and, and so, so, so the, uh, so the, the, the front desk can get their information, get what's going on with her, get, you know, what problems she's having and, and so, and then once that information is entered into the hospital information system, uh, which is, you know, short for HISS, then she is transferred to a, to, to a room, okay. Uh, transferred into the back once she's, they, they've called her or they're, they're ready, ready to be seen. It's ready for her to be seen. You know, you sit out, sit out in the waiting area for a certain time period. And then, you know, some hospitals you wait longer than others, but then you'll go back into the, uh, they'll call you and you'll be seen, you go back into the room and then you'll be seen. So now the physician on duty, uh, can read Jane's chart and, um, and, you know, and see, you know, read her symptoms, uh, look, look, physically look at her and, uh, and see what she's hurt and see, and see what, um, how her, uh, you know, her, her injuries look. And then the physician recommends for Jane to have a, let's say, just say a CT scan, a cat scan. Okay. So now Jane is scheduled to get a cat scan to see if maybe any of her bones have been broken or, or if they just are fractured or, you know, to get to see what's going on with Jane. So now at the next stage at a level two, the, uh, so let's say, so the CT modality to where Jane is going to be having her cat scan done. So the modality itself is, it's going to retrieve her demographics from the HISS, from the hospital information system via modality work list. So, I mean, for the modality work list, uh, and that's via HO seven. So this is where, uh, you know, when modalities, when they, you know, modalities can have a bunch of patients that are like, you know, you have. Bunch of patients that you're doing a day, many patients. So in order to not have any, uh, mess up with, uh, getting, you know, having type in patient names and information manually. Um, what the, what's the standard is that, or what should be standard in the industry is that there's a modality work list that, you know, comes from information system, uh, that houses the information. So, uh, in this instance, here's the HISS. So the modality will request the, uh, patient, uh, information from the HISS. And so it'll, it'll all come correctly. It doesn't have to be typed in manually by the technologist that's doing the exam and it'll just have the, you know, uh, patient's name, maybe, uh, you know, date of birth, maybe. So some, some medical record number, uh, age, whatever other pertinent information that, that, uh, modality is requiring. So I don't want to get too much, uh, in the details or weeds maybe. So the, um, so the, uh, the modality retrieves the, uh, the demographics. So the modality has the patient information for, you know, the patient Jane's information. And then Jane is sent to radiology, right? She's sent back to radiology and her CT scan is performed. Now, after her scan is done, the images from the modality are sent to PAX. Via DICOM and PAX is picture, archive and communication system. Um, and then DICOM, you know, is a digital imaging communications in medicine. So, uh, so in, in, uh, all of these, um, a lot of these, uh, different type of clinical information systems, uh, these, you know, PAX, HIS, uh, HL7 DICOM, I talk about all this stuff and I have other videos that are on my channel. That you could take a look at if you're not familiar with some of these terms that I'm going over. So you can take a look at that as well, if, if needed. So, so Jane's, so Jane's, uh, her images are sent to PAX via DICOM. Okay. So, uh, now that her images are stored in PAX. Now at the third level, next step on a, on a workstation, a radiologist, uh, displays Jane's images from PAX, right? The radiologist opens up the exam and interprets them. So, so the radiologist can actually see, you know, read what's going on with Jane's exam, you know, they have, uh, radiologists training professionals. Uh, they can see, look at the images that were taken and they can see, find out if Jane has indeed, if her, if her, uh, if she has any broken bones or fractures, or if she's just injured and, and, uh, and things like that. And so from that, the radiologist will interpret the images and create a report. Now, um, now that report is, uh, it's, it's printed and in this, in this instance, it's printed and it's sent back to RISC via HL7. I have RISC in there. Did I have RISC somewhere else? Maybe that should be HISS. So that should be, so it's sent back to, let's say it's sent back to HISS, uh, via HL7. So now the hospital information system has Jane's report and the report is also printed, uh, and so the physician that's there on duty now is able to share the results with Jane from the report along, you know, along, you know, with the report. And so then, so now from that point, from the report, uh, it'll have a recommendation of what needs to be done from, um, from the physician and, uh, what, you know, from, from a combination of the report from the radiologist and Jane can receive the proper care needed. For whatever level of injury that she actually sustained from that, from those, uh, fall down the stairs. So this is just an example of a, of a, of a radiology workflow at a hospital. You know, things can be different. Of course, uh, more, it can be much more complex. It depends on the hospital. They, they can have different, uh, type of workflows involved, but I just wanted to, just to kind of give you an overview, a brief overview, like, so you can kind of better, um, get a, get a better, uh, understanding of, uh, of, of, you know, different types of clinical workflows. So you can become familiar, familiar, have some sort of idea and it'll be helpful for you in your pursuit of your healthcare it career. So, um, again, if you've ever actually been to a, um, emergency room, then, then you can just think about your own experience and just look back and think about how, how the, the workflow, if you've actually been there yourself, or if you've been there with, uh, somebody with a loved one or somebody else, you can kind of think back of, uh, of the actual workflow and the steps that were involved to actually get the treatment and care. So I hope that this, uh, training tutorial right here was, was helpful on a clinical radiology workflow at a hospital. So if you like it, you know, give it a thumbs up. Uh, if you haven't subscribed to the channel, you can go ahead and subscribe and, um, you know, just leave anything in the comments, if you have any questions or if you want to see, if you have any, uh, if you have any, uh, types of videos or things that you want to see, you can also leave that in comment. If you want me to go over anything that you have questions about, leave them, you know, leave them in the comments and, you know, I'll take a look and then I'll see them. And if it's a, if it makes sense that I'll just do a, I'll just do a video about it. So I think that's it. So again, my name is Terrell Paulie with healthcare it solutions. Until next time. Take care.