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Diagnostics, Imaging & Blood Bank

Radiology Information System (RIS)

A radiology information system runs the imaging department's work — requests, scheduling, accession numbers, the radiologist's report and the bill. EloHIMS puts it on the hospital record for X-ray, ultrasound, CT and MRI: orders arrive from OPD, wards and emergency, each exam can carry its own accession number, and the verified report goes back to the doctor who asked for it. The images stay in your PACS, one click away.

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Imaging exam
IMG-261002-014
Study
CT Brain (plain)
Modality
CT · Room 2
Ordered
Sched.
Performed
Reporting
Verified
Images — opens the study in your PACS viewer
Verified report → ordering doctor's inbox & the bill

What a radiology information system does

A RIS is the administrative and reporting side of imaging. It holds the request and the clinical question, books the study onto a modality, gives each exam an accession number, feeds the modality worklist, carries the radiologist's report through verification, and posts the charge. It does not store images — that is the job of a PACS (see RIS and PACS: the difference).

In EloHIMS the RIS shares the patient record, billing and ledger with the rest of the hospital, so an imaging order follows the same rail as a lab test — ordered → scheduled → performed → reported → verified — and the verified report files to the patient's 360° record.

What you get

RIS software for ordering, scheduling and reporting

Imaging service catalogueDefine studies across modalities — X-ray, ultrasound, CT, MRI — with their prices.
Orders from OPD, wards & ERPriority and clinical notes travel with the request; emergency orders default to STAT and sort first.
Modality schedulingBook studies onto the correct machine, managing the day's imaging workload.
Exam workflow trackingFollow each study through ordered → scheduled → performed → reported → verified.
Accession number per examWith the PACS link on, every exam gets its own accession number, within the DICOM 16-character limit.
Modality worklist exportA CSV using DICOM attribute names, or HL7 ORM^O01 messages, for your modality or PACS to import.
Open studies in your PACSThe Study Instance UID is recorded at perform; the Images button opens the study in your PACS viewer.
Radiologist reportingCapture structured, templated reports for consistent, fast reporting.
Tele-reportingAssign an exam to a radiologist reporting remotely; only they or a manager can write or sign it.
Report verification & sign-offFindings are authorised before release, so only checked reports reach the file.
Report ready → doctor's inboxVerified reports reach the ordering doctor's inbox; the exams of one order arrive as one row.
Printable radiology reportsProfessional reports carrying the universal patient header.
Automatic billingStudies post to the patient's bill — or to the admission or ER bill for ward and emergency orders.
Turnaround-time trackingMeasure order-to-report time for imaging performance.
Full audit trailEvery order, report and reporting assignment is logged in the exam's timeline.
Ordering

Orders from OPD, wards and ER

In the consultation, imaging is requested alongside lab tests with Routine, Urgent or STAT priority and clinical notes, so the radiologist sees the clinical question with the request. Imaging ordered on the inpatient chart becomes a real order on the radiology worklist, tagged as a ward order, and is charged to the admission rather than to a separate cash bill.

From the emergency department, imaging orders default to STAT and sort first on the worklist. Their charges pool on the ER running bill and, if the patient is admitted, move to the admission without being billed twice.

OPD consultation
Routine / Urgent / STAT and the clinical question on every request.
Wards
Ordered from the inpatient chart, shown as a ward order, charged to the admission.
Emergency
STAT by default, first on the worklist, on the ER running bill.
Per exam
an accession number for every exam, not just every order — shown on the exam card.
CSV
DICOM attribute names, Family^Given names, YYYYMMDD dates, DICOM modality codes.
HL7 ORM^O01
the accession in OBR-18 and the modality in OBR-24.
Accession and worklist

Accession numbers and modality worklist export

With the PACS link switched on, every exam gets its own accession number — IMG-yymmdd-NNN, kept within DICOM's 16-character limit — when it is booked, arrives, is performed or is exported. A CT and an X-ray on the same order are two exams with two accession numbers.

The modality worklist exports in two formats: a CSV using DICOM attribute names and conventions (Family^Given names, YYYYMMDD dates, M/F/O sex, DICOM modality codes), or HL7 ORM^O01 messages. Your modality or PACS imports the file, so the technologist does not retype the patient. A live DICOM Modality Worklist (MWL) service is not part of EloHIMS; the export is how the worklist reaches the modality.

PACS link

Open studies in your PACS viewer

EloHIMS does not store images; it links to the PACS that does. Under Imaging Catalogue › PACS link, the hospital enters its viewer's web address as a pattern — with placeholders for the Study Instance UID, the accession number or the MRN — and previews it before saving. A malformed address is refused.

At perform, the technologist records the Study Instance UID, or links it later. A malformed UID, or one already linked to another exam, is refused. From then on the Images button on the exam opens that study in your viewer. The link is available per hospital and off by default; switched off, nothing changes, and recorded UIDs are kept for when it is switched back on.

Viewer address pattern
Built from the study UID, accession or MRN — previewed before it is saved.
Study UID at perform
One UID per exam; a duplicate or malformed UID is refused.
Images button
Opens the study in your viewer, straight from the exam.
Templates
structured reports per study, signed off before release.
My Reporting
the assigned radiologist's own list, with an in-app notice for each new exam.
Assigned only
only the assignee or a manager can write or sign that report.
Reporting

Reporting and tele-reporting

Radiologists report against templates and sign off their findings; only verified reports reach the patient's record. Where the hospital does not have a radiologist on site for every modality or every shift, tele-reporting (Imaging Catalogue › Tele-reporting) lets a manager or verifier assign an exam to a radiologist reporting from elsewhere — any user who holds the report right.

The assigned radiologist is told in the app and finds the exam on My Reporting. Only they, or a manager, can write or sign that report, and every assignment goes into the exam's timeline, so it is always clear who reported what.

Report ready

Report ready → the doctor's inbox and the patient

When a report is verified, the ordering doctor gets a row in the Results Inbox on My Day. Several exams on one order merge into the doctor's unseen row instead of arriving one by one. Opening it lands on the consultation that ordered the study, with the verified report in the Results panel; a signed note takes a dated addendum without altering the original.

The patient can be told the report is ready through the hospital's own SMS or WhatsApp notification rule. Where the patient portal is switched on, the patient signs in with their MR number and a one-time code sent to the mobile number on file, and sees verified reports only — alongside appointments, bills and receipts.

One row per order
A CT and an X-ray on one order reach the doctor together.
Back to the same visit
The report opens on the consultation that asked for it.
Patient portal
Verified reports only, behind a one-time code.
RIS vs PACS

RIS and PACS: the difference

A RIS manages the work and the paperwork: who asked for which study and why, when it is booked, which exam and accession number it is, who reported it, whether the report is verified, and what was charged. A PACS (picture archiving and communication system) stores and displays the images themselves, which the modalities send to it in DICOM format.

The two meet at the accession number and the Study Instance UID. EloHIMS is the RIS: it issues the accession number, exports the worklist your modalities import, records the study UID and opens the study in your PACS viewer from the exam. Image storage, viewing and archiving stay in the PACS the hospital chooses — EloHIMS links to it by address, not by vendor.

Why it matters

No scattered forms, no lost reports

In many hospitals a scan is requested on paper, scheduled in someone's head, and reported into a folder the ordering doctor never reliably sees. EloHIMS puts the whole exam on one rail: the order is created inside the consultation, ward chart or ER visit, the study is booked onto the right modality, and the radiologist's verified report lands back where the request came from — on the patient's record and on the bill.

Because it shares the same identity, billing and command-centre backbone as the lab and the wards, radiology throughput and turnaround become measurable — and every study is charged where it was ordered.

4 modalities
X-ray, ultrasound, CT and MRI catalogued, scheduled and reported in one place.
5 states
ordered → scheduled → performed → reported → verified, tracked end to end.
Verified only
signed-off reports reach the file — filed to the record and posted to the bill.
The outcome

Imaging ordered, scheduled, accessioned, reported, verified, filed and billed on one system — with the images one click away in your PACS.

Part of the diagnostic backbone

See imaging run from order to verified report.

One rail for X-ray, ultrasound, CT and MRI — accession numbers, worklist export, a link to your PACS viewer, and the report back with the doctor who ordered it.

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Radiology Information System FAQs

Answers to the questions hospitals ask us most.

What is a radiology information system (RIS)?

A radiology information system manages the imaging department's workflow: the request and its clinical question, scheduling onto a modality, accession numbers, the modality worklist, the radiologist's report and its verification, and billing. In EloHIMS the RIS is part of the hospital record — imaging ordered from OPD, wards or emergency reaches the radiology worklist with its priority, and the verified report returns to the ordering doctor's inbox and posts to the right bill.

What is the difference between RIS and PACS?

A RIS manages the work around a study — request, schedule, accession number, report, verification and billing. A PACS stores and displays the images. They meet at the accession number and the Study Instance UID. EloHIMS is the RIS: it issues an accession number per exam, exports the modality worklist, records the study UID and opens the study in the hospital's own PACS viewer. Image storage stays in the PACS.

Does EloHIMS connect to our PACS?

Yes, by link rather than by vendor. The hospital enters its viewer's web address as a pattern built from the Study Instance UID, accession number or MRN. The technologist records the study UID at perform, and the Images button on the exam opens the study in that viewer. The link is switched on per hospital and off by default. EloHIMS does not store images.

Does EloHIMS provide a DICOM modality worklist?

EloHIMS exports the modality worklist rather than running a live DICOM Modality Worklist service. The export is either a CSV using DICOM attribute names and conventions or HL7 ORM^O01 messages, with the accession in OBR-18 and the modality in OBR-24. Each exam carries its own accession number within the DICOM 16-character limit.

Can a radiologist report remotely?

Yes. With tele-reporting switched on, a manager or verifier assigns an exam to any user who holds the report right, including a radiologist at another site. The radiologist is notified in the app and finds the exam on My Reporting; only that radiologist or a manager can write or sign the report, and each assignment is recorded in the exam's timeline.

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