title: StructConsult: structured real-time wet read consultation infrastructure to support patient care.
abstract: Our research addresses how to improve physician to physician communication of patient information, and how to prevent lapses of patient care as they are referred to other clinicians within the healthcare system. The wet read consultation is defined as a rapid response to a clinical question posed by a referring physician to a clinical specialist. This research involves the development of an imaging-based wet read consultation system called StructConsult (SC), which facilitates communication between non-imaging specialist (i.e., primary care physician (PCP), emergency room (ER) physician, or referring physician), and an imaging specialist-radiologist. To facilitate data mining and effective recall, SC utilizes a data model based on the Digital Image Communications in Medicine (DICOM) standard for grayscale presentation state and structured reporting. SC requires information from four sources: (a) patient-specific demographics, clinical hypothesis, and reason for exam, (b) sentinel image capture from a DICOM image study, (c) direct capture of radiologist's image operations and annotations, and (d) radiologist's response to the chief compliant, and the reason for examination. SC allows users to add additional functionality to a Picture Archiving System to improve patient care.
authors.affiliation: Medical Informatics, University of California, Department of Radiological Sciences, Los Angeles 90024, United States.
authors.forename: Craig
authors.initials: C
authors.lastname: Morioka
authors.forename: John David N
authors.initials: JD
authors.lastname: Dionisio
authors.forename: Alex
authors.initials: A
authors.lastname: Bui
authors.forename: Suzie
authors.initials: S
authors.lastname: El-Saden
authors.forename: Hooshang
authors.initials: H
authors.lastname: Kangarloo
mesh_terms: D003142:Communication; D006801:Humans; D033183:Interdisciplinary Communication; D005791:Patient Care; D011872:Radiology Department, Hospital; D011873:Radiology Information Systems; D012017:Referral and Consultation; D012984:Software