Radiology Diagnostic Flow Integration Guide with RIS Agent and SATUSEHAT
Summary
This article explains the complete workflow of Diagnostic Radiology Integration (X-Ray, CT, MRI, USG) in the Ksatria eHospital, including interaction between eHospital → IHS Service → RIS Agent → DICOM Router → Modality → SATUSEHAT.
Overview of Diagnostic Flow
Overview of Diagnostic Flow
The workflow is divided into three main stages:
- Order Creation – Doctor creates diagnostic order from eHospital.
- Order Processing – Radiographer processes and performs the examination.
- Order Distribution – Image result returned to eHospital
Main Radiology Workflow Diagram:
1. Order Creation
1. Order Creation
This step covers how the examination is ordered and moved to the radiology system.
Process
- Doctor creates X-ray request in SIMRS.
- eHospital (SIMRS) saves order to IHS Service.
- eHospital sends Service Request to SATUSEHAT using Accession Number.
- RIS Agent retrieves new orders every 5 minutes.
- Order forwarded to DICOM Router.
- System pauses → waiting for radiographer to access modality worklist.
2. Order Processing
2. Order Processing
Radiographer performs the imaging and sends the image to the Router.
Steps
- Radiographer opens the modality system.
- Modality retrieves worklist from the DICOM Router using:
- AE Title
- Modality Type
- Radiographer prepares the patient.
- Modality performs imaging and locally saves it.
- Image sent to DICOM Router using STORESCU with Accession Number.
- DICOM Router forwards the image to SATUSEHAT:
- Creates Image Study
- Sends 201 Response (ID SATUSEHAT & Accession Number)
3. Order Distribution
3. Order Distribution
Final image and result are delivered back to SIMRS.
Steps
- Radiographer exports final image (PNG/JPG/JPEG).
- RIS Agent detects available image.
- RIS Agent sends image to eHospital Supporting Documents.
Key Notes
Key Notes
- Accession Number must follow format: {patientId}{yymmdd}{sequence}.
- Radiology screening must be mapped in Service Config for each modality.
- Accession Number is only generated when IHS Service is enabled.
- Ensure reference type RAD_MACHINE is configured for the modality.
System Components Involved
System Components Involved
| Module | Description |
|---|---|
| eHospital | Order creation and final document receiver |
| IHS Service | Stores radiology order |
| RIS Agent | Pulls and forwards order |
| DICOM Router | Handles worklist and image routing |
| Modality Machine | Performs imaging |
| SATUSEHAT | Receives order and image study |
📍 If you experience any issues, please contact Ksatria Support Team
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