3.8 KiB
3.8 KiB
| name | description |
|---|---|
| hms-radiology | Use when building, modifying, or testing radiology reporting, modality configurations (USG, X-Ray, CT, MRI, ECHO), structured clinical templates, findings, impressions, DICOM/PACS attachments, and radiologist sign-off workflows. |
HMS Radiology & Diagnostic Imaging Management Skill
This skill guides the agent through managing radiology reporting templates, imaging modalities, structured clinical findings, impressions, and report printing in E-Atria HMS.
1. Radiology Architecture & Modalities
The HMS categorizes diagnostic imaging under radiology_modality and structured templates in opd_clinical_templates / doc_print_templates:
| Modality Code | Modality Name | Common Procedures | Template Pattern |
|---|---|---|---|
USG |
Ultrasonography | Whole Abdomen, KUB, Pelvis, Obstetrics / Antenatal, Thyroid, Scrotum | Organ-by-organ evaluation (Liver, Gall Bladder, Spleen, Pancreas, Kidneys, Bladder, Uterus) |
XR |
Digital X-Ray | Chest PA, Spine (Cervical, Lumbar, Dorsal), Extremities, Skull | Bony cage, lung parenchyma, mediastinum, cardiothoracic ratio, soft tissues |
CT |
Computed Tomography | NCCT/CECT Head, CECT Abdomen & Pelvis, HRCT Chest, CT Angiography | Protocol, slice thickness, attenuation, parenchymal findings, 3D reconstructions |
MRI |
Magnetic Resonance | MRI Brain, MRI Spine (C/D/L), Musculoskeletal Joints (Knee, Shoulder) | Sequences (T1, T2, FLAIR, DWI), signal intensity, disc bulges, cord signals |
ECHO |
2D Echocardiography | 2D Echo with Doppler | Chamber dimensions, ejection fraction (EF%), valve morphology, wall motion analysis |
2. Standard 5-Section Reporting Structure
Every radiology report generated in the HMS must follow a standard structured clinical format:
- Clinical History & Indication:
- Reason for scan (e.g. "Acute right lower quadrant pain, rule out appendicitis", "Dry cough with fever x 2 weeks").
- Technique / Protocol:
- Modality details (e.g. "Real-time high-resolution gray scale and color Doppler examination performed using 3.5 MHz convex and 7.5 MHz linear probes").
- Observations & Findings:
- Systematic description of all evaluated structures.
- Normal organs must have standard negative findings (e.g. "Liver is normal in size and acoustic texture. No focal mass lesion or intrahepatic biliary radicle dilatation").
- Pathological lesions must state exact anatomical location, size (in mm/cm), margins, echogenicity/attenuation, and vascularity.
- Impression / Conclusion:
- Concise diagnostic synthesis (e.g. "Ultrasonographic features suggestive of Acute Calculous Cholecystitis with mild pericholecystic fluid").
- Recommendations / Follow-up:
- Further clinical advice (e.g. "Clinical and surgical correlation suggested. MRCP recommended if common bile duct stone is suspected").
3. Database Tables & Template Storage
radiology_modality: Modality master (id,modality_code,modality_name,is_active).radiology_ultrasound_template: Built-in organ narrative templates for rapid reporting.opd_clinical_templates: Customizable rich-text templates with placeholders ({{PATIENT_NAME}},{{AGE}},{{GENDER}},{{DATE}},{{REFERRING_DOCTOR}}).doc_print_templates: Printable formats with letterhead/plain paper configurations.
4. Radiologist Digital Authorization & Sign-off
- Draft reports are saved with
status = 'draft'and editable by resident doctors / technicians. - Only registered Radiologists (
doctor_masterwith specialization in Radiology / Radio-diagnosis) can approve and publish (status = 'final'). - The final PDF includes the Radiologist's name, qualifications (MD Radio-diagnosis / DMRD), Medical Council Registration Number, and digital signature watermark.