Radiology & PACS: Imaging orders, modality worklist, DICOM viewer hand-off and radiology reporting

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HMS Core

Radiology & PACS in the Bridge HMS Suite: Imaging orders, modality worklist, DICOM viewer hand-off and radiology reporting

What's inside

Everything in Radiology & PACS

41 items in 8 areas, every one shipping with the app today.

PACS Server Registry
- Multi-Vendor PACS Server RegistryRegister any number of PACS archives with unique code, AE title, host, DICOM port, country code, status and notes.
- Six Supported Server TypesChoose Orthanc, dcm4chee, Conquest, Dicoogle, Google Healthcare API or AWS HealthImaging per server.
- DICOMweb & WADO Endpoint ConfigStore separate base URL, DICOMweb URL and WADO-URI URL for each archive to route queries and image retrieval.
- Four Authentication ModesConfigure None, Basic Auth, OAuth 2.0 or API Token credentials per server, with password/token fields masked in the form.
- Live Connection Test ButtonOne-click 'Test Connection' pings Orthanc /system or DICOMweb /studies over REST and posts the HTTP result to the chatter.
- Server Status TrackingEach server carries an Active/Disabled/Error status badge that auto-flips to Error on failed pings or syncs.
Study / Series / Instance Hierarchy
- Three-Level DICOM HierarchyModel studies, their series and individual image instances as a linked Study to Series to Instance tree.
- DICOM Study RecordsCapture Study Instance UID, accession number, study date, description, anatomic region and body part examined per exam.
- Patient LinkageLink each study and worklist entry to the shared patient record for a unified patient imaging history.
- Study Lifecycle State MachineTrack studies through Ordered, Acquired, Reported, Finalized and Canceled states on a status bar.
- Secondary Study StatusAdditional Scheduled/In Progress/Completed/Reported/Finalized/Canceled status captures the clinical workflow stage.
- Priority TriageFlag studies STAT, Urgent, Routine or Research for radiology triage and a dedicated STAT filter.
Radiology Reporting
- Structured Radiology ReportAuthor reports with distinct clinical history, technique, findings, impression and recommendation sections.
- Report Lifecycle StatesMove reports through Draft, Preliminary, Final, Addended and Canceled statuses on a status bar.
- Sign & Finalize ButtonOne click stamps the signer, signed timestamp and flips the report to Final state.
- Critical Finding FlagMark reports as critical findings, trackable and filterable for urgent communication follow-up.
- RSNA Structured FindingsStore machine-readable structured findings as RSNA-style JSON alongside the narrative report.
- Addendum SupportAppend addendum text to signed reports and move them to an Addended state.
Modality Worklist (MWL)
- DICOM Modality WorklistSchedule imaging procedures the modality can query, with scheduled datetime, station AE title and procedure codes.
- Auto-Generated Accession NumbersNew worklist entries receive an ACC-prefixed sequence accession number when none is supplied.
- MWL Status WorkflowTrack entries through Scheduled, Arrived, In Progress, Completed, Discontinued and Canceled statuses.
- Pre-Exam Safety ChecklistCapture allergies, isolation-required, contrast-required, GFR-check-done and pregnancy-check-done flags before imaging.
- Requesting Physician & ReasonRecord the requesting physician and clinical reason for each scheduled procedure.
- Unique Accession ConstraintDatabase constraint keeps worklist accession numbers unique.
DICOMweb & Viewer Integration
- QIDO-RS Studies EndpointExposes /pacs/dicomweb/studies returning studies as DICOM+JSON, filterable by PatientID, AccessionNumber and modality.
- Study Metadata EndpointExposes /pacs/dicomweb/studies/<uid>/metadata returning study and per-series metadata in DICOM+JSON.
- OHIF Viewer Launcher/pacs/study/<id>/viewer renders an OHIF viewer page embedding the study by UID against its server's DICOMweb URL.
- Q/R Query Audit LogRecords every patient/study/series/image query with level, criteria, result count, status, user and error message.
- Q/R Audit AnalyticsKanban, pivot and graph views with Failed/Completed filters and grouping by server and status for query auditing.
Modality Dictionary
- 20 Seeded Imaging ModalitiesShips CT, MR, US, XR, CR, DX, MG, NM, PT, RF, XA, IO, IVUS, DG, OPT, OCT, GM, BMD, ES and OT out of the box.
- Modality MetadataEach modality carries DICOM code, full name, SOP Class UID, category, typical size in MB and an IV-contrast flag.
- Modality CategorizationGroup modalities into Radiography, CT, MRI, Ultrasound, Nuclear Medicine, Mammography, Fluoroscopy or Other.
- Unique Modality CodeDatabase constraint enforces unique DICOM modality codes.
Automation & Scheduled Jobs
- Daily Study-Count Sync CronDaily job pulls live study counts from each active Orthanc/DICOMweb server, falling back to local counts on failure.
- Hourly Stale-Study FlaggerHourly job posts a chatter warning on acquired studies older than 7 days that still have no report.
- Weekly MWL PurgeWeekly job deletes worklist entries canceled more than 90 days ago to keep the worklist clean.
- Accession Number SequenceProvides an ACC-prefixed, 8-digit padded sequence for automatic worklist accession numbering.
Security & Access Control
- Three-Tier RBAC RolesShips PACS Technologist, PACS Radiologist and PACS Admin groups with implied-inheritance escalation.
- Model Access RulesAccess rules grant per-role create, read, write and delete rights across all PACS records.
- Auto-Grant Admin on InstallPost-init hook adds the superuser to all three PACS groups so the app is usable immediately after install.
- Mail Thread & ActivitiesServers, studies, reports and worklist entries carry chatter tracking and scheduled activities via mail mixins.

Works with

What Radiology & PACS works with

Radiology & PACS shares one database with the rest of the Bridge HMS Suite and BridgeERP: these are the apps it already talks to, with nothing to buy in between.