Radiology & Diagnostic Imaging (RIS / PACS)

1. Overview & Business Value#

This comprehensive operational guide details the architecture, business workflows, configuration parameters, and execution steps for Radiology & Diagnostic Imaging (RIS / PACS) within SmartERP.

Workflow guide for scheduling imaging requests, performing X-ray, Ultrasound, CT, and MRI exams, and authoring radiological reports.

{screenshot:radiology-and-diagnostic-imaging-overview-dashboard}

2. Prerequisites & Security Access Groups#

• Required Modules: smarterp_healthcare, smarterp_clinical_core, smarterp_pharmacy
• Security Groups:
  • Healthcare Receptionist (Technical ID: smarterp_healthcare.group_medical_receptionist)
  • Physician / Attending Doctor (Technical ID: smarterp_healthcare.group_medical_doctor)
  • Pharmacy Dispenser (Technical ID: smarterp_healthcare.group_medical_pharmacist)
• Master Data Dependencies: Patient master registry (Medical Record Number - MRN), EFDA drug formulary, Ethiopian Ministry of Health (MoH) HMIS disease codes, and EHIS insurance tariffs.

3. Step-by-Step Configuration & Execution#

Step 1: Navigating to the Module Interface#

1. Log into your SmartERP instance at https://smarterp.et/odoo.
2. Open the main App Switcher (grid icon in the top-left corner).
3. Select the Healthcare app icon.
4. From the top navigation bar, open Healthcare → Clinical Dashboard → OPD Triage / Inpatient ADT / EMR / Pharmacy Dispensing.

{screenshot:radiology-and-diagnostic-imaging-app-switcher-navigation}

Step 2: Creating and Parameterizing Records#

1. Click the New button in the top-left control panel.
2. Complete the mandatory fields in the record form:
   • Medical Record Number (MRN) (Mandatory): Unique national health identifier or generated hospital record code
   • Patient Demographics (Mandatory): Full legal name, gender, date of birth, and Kebele residential location
   • Encounter Type (Mandatory): Outpatient (OPD), Inpatient (IPD), Emergency, or Triage consultation
   • Attending Physician (Mandatory): Licensed healthcare practitioner responsible for clinical encounter
3. Configure optional operational parameters and localized tags as required:
   • Insurance Provider & Policy (Optional): EHIS CBHI/SHI policy or corporate credit contract
   • Triage Vital Signs (Optional): Blood pressure, pulse rate, respiratory rate, temperature, and SpO2
   • ICD-11 / HMIS Diagnosis Code (Optional): Standardized diagnosis category for statutory health reporting
4. Click the Save icon in the control bar to commit the record.

{screenshot:radiology-and-diagnostic-imaging-record-creation-form}

Step 3: Validating and Processing Transactions#

• State Transitions: Execute operational state progression (Reception / Triage → Consultation → Lab / Radiology → Prescription → Billing / Discharge).
• Ledger & System Impact: Patient billing registers medical service revenue, debits patient or insurance accounts receivable, and debits pharmaceutical inventory upon prescription dispensing.
• Audit Verification: Automated recording of author ID, timestamp, and immutable revision history.

{screenshot:radiology-and-diagnostic-imaging-transaction-processing-state}

Radiology Information System (RIS) Overview#

SmartERP RIS manages diagnostic imaging orders across modalities, scheduling scan rooms, tracking patient preparation, and connecting to Picture Archiving and Communication Systems (PACS) via DICOM standards.

Scheduling and Performing Imaging Examinations#

1. Navigate to Healthcare > Radiology > Pending Orders.
2. Select the imaging request ordered by the physician.
3. Verify safety screening:
   • MRI Safety Screening: Verify absence of cardiac pacemakers, ferromagnetic metallic implants, or cerebral aneurysm clips.
   • CT Contrast Clearance: Check serum creatinine and estimated GFR ($eGFR$) for contrast medium safety.
   • Pregnancy Screening: Mandatory radiation risk assessment for female patients of reproductive age.
4. Assign the examination to an imaging suite (e.g., X-Ray Room 02, Ultrasound Suite 01, 128-Slice CT Scanner).
5. The radiographer completes the scan and uploads the DICOM Study Instance UID into the worklist.

Radiologist Reporting & Structured Templates#

1. In Healthcare > Radiology > Radiologist Workspace, select the completed exam.
2. Click Launch DICOM Viewer to view high-resolution image slices side-by-side with clinical history.
3. Author the structured report utilizing standardized reporting templates:
   • Clinical Indication: Reason for study.
   • Technique & Protocol: Modality, views obtained, contrast volume administered.
   • Findings: Systematic anatomical description (e.g., lung parenchyma, pleura, mediastinum, cardiothoracic ratio).
   • Impression: Crisp diagnostic conclusion matching ACR/BI-RADS or standard radiological classifications.
4. Digitally sign the report.
5. The verified report locks against alteration and attaches permanently to the patient's electronic medical file.

4. Advanced Configuration Points#

• Automated Actions & Scheduled Tasks (Crons):
  • Healthcare: Generate daily MoH HMIS aggregate tally (smarterp_healthcare.ir_cron_hmis_sync): Runs daily at 23:00 to prepare DHIS2 health data summaries
  • Pharmacy: Flag expiring EFDA medicine batches (smarterp_healthcare.ir_cron_fefo_expiry): Runs daily at 06:00 to alert dispensers of lots expiring within 60 days
• Custom Print Templates & Reports:
  • Official Patient Encounter Summary & Medical Certificate
  • Electronic Prescription Order Form (Model 19 Compliant)
  • Ethiopian Health Insurance Service (EHIS) Claim Dossier
  • Daily MoH Outpatient / Inpatient Morbidity Tally Sheet
• Multi-Company Rules: Record-level security isolation under Company 1 (Ashewa Technology Solutions S.C.), preventing cross-company ledger leakage across parent and subsidiary legal entities.

5. Comprehensive Troubleshooting Matrix#