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Machine integration

Radiology & Imaging Integration: Connect Modalities to Your HMS and RIS

Send orders to the modality worklist and bring reports and image references back into the patient record, device by device.

In short

Imaging integration links X-ray, CT, MRI and other modalities with the radiology workflow in DevOrbital HMS so that orders reach the machine and reports return to the patient record. DICOM is the commonly used standard, and each device is assessed and enabled independently during onboarding. Manual and typed reporting remains available if a device cannot be interfaced.

Device types

What can be connected

  • X-ray (digital radiography) systems
  • CT scanners
  • MRI scanners
  • Ultrasound systems
  • Mammography units
  • C-arm and fluoroscopy units
  • Bone densitometry systems
  • PACS and image-viewing servers

Data flow

What the integration does

Orders reach the modality

A radiology order raised from OPD, IPD or Emergency can be published as a worklist entry, so the radiographer picks the patient from a list instead of retyping demographics.

Patient identity stays consistent

UHID, name, age and sex travel with the order, which reduces mismatched studies caused by manual entry at the console.

Reports return to the record

Where a PACS or reporting workstation is in use, finalised reports can be imported against the original order and appear in the patient's chart.

Status is visible

Staff can see whether a study is ordered, scheduled, performed or reported, and billing can follow the order status.

Image access is linked, not duplicated

The record can reference studies held in the facility's PACS or viewer, so clinicians reach images from the patient file.

Interfaces

Commonly used protocols

Which interface applies depends on the device. We assess each one during onboarding — nothing here is a promise that a specific model works.

DICOM

Commonly used standard for medical images and for exchanging modality worklists with imaging devices.

HL7

Commonly used messaging standard for orders and results between clinical systems and a RIS or PACS.

TCP/IP network connection

Most modern modalities connect over the hospital network; the exact settings are agreed per device.

How we scope it

From first conversation to go-live

  1. 1

    Device discovery

    We list the modalities you want connected and note each device's type, software version and which interfaces it exposes.

  2. 2

    Interface specification

    Together with your engineer or the equipment supplier, we confirm what the device can send and receive, such as worklist, report import or both.

  3. 3

    Test before go-live

    We test orders and results in a non-live setting first, using sample patients, and agree sign-off criteria.

  4. 4

    Go-live per device

    Each modality is switched on independently, so one slow device does not hold up the others.

  5. 5

    Support and change handling

    Device upgrades or replacements are treated as a new, separately scoped piece of work.

Benefits

Why connect devices at all

Less retyping at the console

Pulling patient details from a worklist reduces manual entry and the errors that come with it.

Faster path from scan to report

Reports reach the chart as soon as they are finalised, so clinicians do not wait for a physical copy.

One workflow across modalities

Radiology uses the same order-to-report workflow as other diagnostics, so adding a modality does not mean a new process.

No lock-in to a machine

Typed reports and templates still work if a modality is offline or not yet connected.

In practice

An illustrative example

Illustrative scenario · not a customer story

Picking the patient from the worklist

Radiology technician

A ward doctor orders a CT scan from the patient's IPD record. At the console, the technician opens the worklist and sees the patient with the correct UHID and demographics, rather than typing them in. After the scan, the radiologist reports on a reporting workstation, and the final report is attached to the order in the HMS. The ward doctor opens the patient's chart and finds it there, with the study referenced from the facility's image viewer. This is an illustrative composite, not a real hospital.

How does imaging integration work with a RIS?

A radiology information system (RIS) manages orders, scheduling, reporting and billing for imaging, while a PACS stores and serves the images. The modality sits between them, producing the images. Integration is the set of connections that lets an order flow out to the modality and a report flow back.

In DevOrbital HMS, the radiology information system runs on the same order-to-report workflow as pathology, cardiology and endoscopy. That is what makes the link useful: the order starts in OPD, IPD or Emergency, reaches the modality as a worklist entry, and the report returns to the same patient record. The hospital management system page shows how the modules share that record.

Will my existing X-ray, CT or MRI machine work?

Often, but it depends on the device. Many digital modalities support DICOM, but supporting DICOM does not automatically mean every function, such as modality worklist, is enabled on a given unit. Older analogue or standalone systems may have no usable output interface at all.

That is why every device is assessed individually and enabled independently. If a device cannot be connected, you are not stuck: manual entry, typed reports and templates still work, so imaging can run in the HMS without a machine link. For the protocol side of the story, read our overview of LIS analyzer interfacing with ASTM and HL7, which covers the same messaging ideas used across diagnostics, and see lab analyzer integration for the laboratory equivalent.

FAQ

Frequently asked questions

It depends on the device's output interface. Many modern modalities support DICOM, but this is assessed per device during onboarding. If a machine cannot be connected, manual entry and typed reports remain available.

No. Reporting can be done with typed reports and templates. If you already use a PACS or image viewer, linking to it is scoped as part of the integration.

Image storage is the job of a PACS. DevOrbital HMS focuses on orders, reports and the patient record, and can reference studies held in your facility's viewer. How that is done is scoped per engagement.

No. Each device is scoped and enabled independently, so you can connect one modality first and add others later.

Radiologists can continue using their reporting workstation where applicable, with the final report imported, or can type reports with templates in the HMS. Which suits you is agreed during scoping.

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Tell us about your equipment

Share the devices you want connected and we will tell you what it takes — each one is scoped and enabled independently.