Radiology Clinical Workflow

There are 2 pathways by which patients are referred to the Radiology Unit: Internal Requests from KKBM doctors via SystmOne and External Referrals from other clinics or hospitals.

Referral Pathways

External Referral Workflow

1

Triage A: External Referral Case

Case triage - received referral letter for xray

Arrived

• Received external referral letter from adjacent facilities or private clinic
• Triage staff stratify and check for indication --> provide registration queue number to patient & guide to registration counter

2

Registration Counter

Patient data registration

Arrived

• Register patient details & demographic
• Payment where eligible
• Ensure indication of xray procedure --> auto-allocate patient to X-Ray Unit (Room 7)

3

X-Ray Unit (Room 7)

Patient referral processing

Arrived

• Ensure referral Indication
• Types of xray requested
• Enter patients basic data into X-Ray Registration Book
• Update patient data into CR Imaging Machine & x-ray type

4

Imaging & Processing

X-ray procedure & post-processing

In Progress

• Patient Called for Imaging: Patient called into processing room; follow radiology protocol
• Return to Waiting Area: Patient waits while images are being stored, processed, and documented
• Image Processing & Editing: Finalize/edit images in CR System; ensure quality and labeling
• Update Orthanc: drag and upload patient's DICOM files into Orthanc (recommended)

5

Film Delivery

Handover & return

Finished

• Provide Imaging Film: Print film for external referral patient (exception to film-free workflow)
• Hand over film to patient; advise return to referring clinic

!

External Referral Film Policy

X-Ray Policy

Info

While KKBM operates a fully digital workflow for internal cases, external referral patients still receive printed X-ray films to bring back to their originating clinic, as these facilities do not have access to the clinic's Orthanc PACS↴

Internal Request Workflow

1

Doctor's Consultation

Order creation in SystmOne

Diagnostic

• Consultation & Request Creation: assess and confirm X-ray indication
• Create ORDER in SystmOne: fill site, views, indication, LMP, and notes
• Ensure Diagnosis is coded in consultation section
• SAVE patient profile
• Update checklist & instruct patient to Room 7
• Assign PPK to escort if needed

2

X-ray Unit: Radiology Registration

Document submission & data entry

Diagnostic

• Submit X-ray Checklist: Patient submits checklist
• Radiology Registration: Register in Radiology Registration Book
• Confirm identity and order request (2-identifier process)
• Radiographer Data Entry (CR): Enter X-ray type/views, indication, LMP (if applicable) and additional remarks

3

Imaging & Processing

X-ray procedure & post-processing

• Patient Called for Imaging: Conduct imaging per protocol
• Perform imaging taking as per procedure
• Return to Waiting Area: Patient waits during processing
• Image Editing & Finalization: Finalize in Fujifilm CR System; ensure quality and labeling

4

PACS Transfer & Completion

DICOM upload & order closure

Return Diagnostic

• Transfer finalized DICOM to Orthanc PACS↴ - ensure to verify patient and x-ray details prior to submission in PACS
• Upload screenshot to SystmOne (backup)
• SAVE patient profile page in SystmOne

5

Return to Doctor

Patient completes radiology cycle

Ready to Review

• Inform patient image is ready in ORTHANC PACS
• Patient returns to referring doctor's room