TSG iView provides a number of enhanced functionalities, which are designed to implement a streamlined clinical workflow.

The Scheduled Workflow (SWF)

Access to Radiology Information (ARI)

Consistent Presentation of Images (CPI)

Key Image Notes (KIN)

Presentation of Grouped Procedures(PGP)

Patient Information Reconcilation (PIR) extends Scheduled Workflow

Booking and Scheduling

Connecting TSG iView Radiology Information System (RIS) to Non IHE HIS

Connecting TSG iView to Non DICOM Modality

The Scheduled Workflow (SWF)

Scheduled Workflow establishes a seamless flow of information that supports efficient patient care workflow in a typical imaging encounter. It specifies transactions that maintain the consistency of patient information from registration through ordering, scheduling, imaging acquisition, storage and viewing. This consistency is also the foundation for subsequent workflow steps, such as reporting.

• Establishes the continuity and integrity of basic departmental imaging data by profiling specific usage of HL7 messaging across multiple systems including: HIS and TSG iView Radiology Information (RIS) system.
  
  
• Bridges the gap between HL7-based systems (like HIS) and DICOM-based systems (like acquisition modalities, TSG iView Radiology Visualisation (RVS) System and TSG iView Radiology Archive Server (RAS) within the radiology department by specifying the semantic mappings between messages.
  
  
• Maintains the consistency of patient demographic and ordering information across multiple systems by making that information available to image acquisition modalities via the DICOM Modality Worklist (MWL) Service in TSG iView Radiology Information (RIS) System.
  
  
• Ensures that acquired images are not inadvertently lost by specifying that the DICOM Storage Commitment Service is used to transfer the custodianship of images from the modality to the TSG iView Radiology Archive Server (RAS).
  
  
• Ensures that the status of acquisition workflow steps are known throughout the department by specifying the use of the DICOM Modality Performed Procedure Step (MPPS) Service to convey that status from the modality to the TSG iView Radiology Information (RIS) system and the TSG iView Radiology Archive (RAS) Server.

TSG iView can perform the following PIR function cases

• Unidentified/emergency patient
  
  
• Demographic information updates
  
  
• Patient name changes (marriage, etc.)
  
  
• Correction of mistakes
  
  
• ID space mergers

Such changes are reliably propagated to all affected systems, which update all affected data. The result is a complete patient record.

TSG iView Radiology Visualisation (RVS) System maintains the consistency of presentation for grayscale images and their presentation state information (including user annotations, shutters, flip/rotate, display area, and zoom).

It also defines a standard contrast curve, the Grayscale Standard Display Function, against which different types of display and hardcopy output devices can be calibrated.

Thus it supports hardcopy, softcopy and mixed environments.

• Enables a user to flag as significant one or more images in a study by referencing them in a note linked with the study.
  
  
• This note includes a title stating the purpose of the flagged images and a user comment field.
  
  
• These notes will be properly stored, archived and displayed as the images move among systems that support the profile.

With TSG iView Radiology Visualisation (RVS) System, it is possible to attach «electronic post-it notes» to images to increase informal but critical communication between:

• The Technologist and the Radiologist about specific examination events
  
  
• The Radiologist and the Technologist about image quality issues
  
  
• The Radiologist and other department clinicians (surgeon, orthopedist,..)
  
  
• The Radiologist and colleagues about selection of images for conferences
  
  
• The Radiologist to the Referring Physician.

• Facilitates viewing and reporting on images for individual requested procedures (e.g. chest, abdomen, pelvis) that an operator has grouped into a single scan.
  
  
• Patients sometimes have several orders placed (e.g. a head CT, a chest CT and an abdomen CT for a trauma patient). At the modality it is better for the patient, and more efficient to perform a single scan covering all three procedures.

• Supports a single Imaging service request that includes more than one radiology procedure (such as X Ray and X Ray Abdomen) . At the time of booking these procedures should remain grouped to indicate association.
  
  
• A single requested procedure may require several “ Scheduled Procedure Steps” to support radiology workflow.
  
  
• Supports both imaging and Non Imaging scheduled procedures steps.
  
  
• Supports comprehensive range of worklists to support radiology Imaging workflow.

The ability to transmit and store modality-generated images to TSG iView using DICOM is a necessity to achieve even the most basic level of integration, since all IHE-capable PACS systems will expect to receive images via DICOM. It is recognized that legacy non-DICOM modalities still exist within healthcare environments. To address the situation where one or more of your modalities does not support DICOM Storage, TSG iView supports DICOM storage capability to convert Legacy modality data to DICOM and transmit and store to TSG iView Radiology Archive Server (RAS).