Radiology Synoptic Reporting
Synoptic reporting is the use of structured checklists to provide consistency to electronic medical documentation. Using the synoptic method, clinicians are able to produce more reliable clinical documentation—in less time and at a lower cost.
Radiology synoptic reporting often adapts the synoptic templates created by the Radiological Society of North America (RSNA). Synoptic radiology reporting can also utilize templates that are customized for particular screening programs or workflows, ensuring specialized teams can capture the information they need.
As with all forms of clinical documentation, it can be difficult to ensure that care teams have access to all of the information they need when they need it. Radiology reporting software should help radiologists carry forward information over time and across clinics.
Over Time & Across Clinics
With one of our clinical partners, Softworks Group developed a responsive radiology template for reporting on lung cancer screening.
In this screening program, high risk patients receive CT scans once every six months, so their risk level can be assessed over time. Often, these CT scans will be completed at different clinics and the results will be interpreted by different radiologists. So it’s important that their radiology reporting software ensures results are accessible throughout a patients’ care teams.
Because radiologists are concerned with tracking changes to lung nodules over time, it’s particularly important that radiologists can conveniently access the results from past CT scans, so they can effectively measure changes in nodule characteristics. The following image is an example of how Synoptec™ makes this possible:
In the image above, the “Prior characteristics?” field enables radiologists to immediately access the results of prior CT scans—even when those scans were performed at different clinics. Convenient software makes it possible for any authorized radiologist to see this information on their current reporting template—without having to open multiple computer programs or refer to paper charts.
With immediate, electronic access to prior results, radiologists can more effectively measure change over time and assess patients’ risk levels. Should a patient’s condition require further treatment, their care team will benefit from the enhanced communication provided by interoperable reports.
Utilizing reporting templates that interact with patient records, radiologists are able to improve the accuracy of their reporting, strengthen clinical decision making and provide their patients with continuity of care.
Feature Video – Synoptec™ CT Template
University of Calgary radiologists, led by Dr. Alain Tremblay, used Synoptec™ to design a synoptic template that:
- Displays only relevant questions by using smart branching logic
- Automatically brings forward results from prior CT scans
- Can be accessed by radiologists at multiple clinics
- Coordinates with their patient portal appointment booking to automatically assign reporting templates when patients book appointments
- Generates a text summary to communicate with radiology systems that require text input
- Responsively calculates the malignancy risk of nodules based on changes over time
The following video demonstrates some of the ways that Synoptec™ can be used to improve radiology reporting:
Radiology Reporting Software
Radiology templates are powerful tools for tracking patient outcomes, establishing best practices and transferring knowledge to fellow clinicians.