Imaging

ISCV echocardiogram reports are sent to eChart through Manitoba’s Radiology Information Systems (RIS) feed. The table below outlines when ISCV Reports became available in eChart and the facilities the reports are sent from. Only echocardiogram orders from these facilities will be sent to ISCV reporting and displayed in eChart.  

Yes Diagnostic Imaging reports are available in eHealth_hub

There are 2 Radiology Information System (RIS) sources in eChart:

1. Manitoba’s Radiology Information System (RIS), which is the provincial RIS
   • Diagnostic imaging reports from Manitoba’s RIS display in eChart from November 3, 2011 onward.
2. Prairie Mountain Health (PMH) DI reports
   • Diagnostic imaging reports from PMH DI reports display in eChart from December 4, 2016 onward.

In addition to the DI report, those who have the appropriate access role will also be able to view the set of images (Study) associated with the DI report via the PACS Web Viewer (PWV).

• If PWV is down or unavailable, you will see this error message:

• The study is not available for one of the following reasons:
• a) Not every DI report has a corresponding image. A set of images (study) may have multiple exam codes, causing the same report to display for each exam code. However, there may not be a corresponding image linked to each report. In this case, the following error message will display:

• b) The image has not yet been sent to eChart. Images associated with PMH DI reports are sent to eChart one calendar day after the corresponding DI report. This is because eChart receives images from PMH DI reports in nightly batches. In this case, the following error message will display:

• Your session has timed out or there is an access error:

Facilities connected to Manitoba’s RIS include:

Interlake-Eastern RHA:

• Arborg & District Health Centre – Nov-11
• Beausejour Health Centre – Nov-11
• Elizabeth M. Crowe Memorial Hospital (Eriksdale) – Nov-11
• Gimli Community Health Centre – Nov-11
• Hunter Memorial Hospital (Teulon) – Nov-11
• Lakeshore General Hospital (Ashern) – Nov-11
• Pinawa Hospital – Nov-11
• Pine Falls Health Complex – Nov-11
• Selkirk Regional Health Center – Nov-11
• Stonewall & District General Hospital – Nov-11

Northern RHA:

• Flin Flon General Hospital – Nov-11
• Gillam Hospital – Nov-11
• Leaf Rapids Health Centre – Nov-11
• Lynn Lake Hospital – Nov-11
• Snow Lake Health Centre – Nov-11
• The Pas Health Complex – Nov-11
• Thompson General Hospital – Nov-11

Prairie Mountain Health:

• Dauphin Regional Health Centre – Nov-11
• Grandview District Hospital – Nov-11
• Roblin District Health Centre – Nov-11
• Ste. Rose General Hospital – Nov-11
• Swan River Valley Hospital – Nov-11

Southern Health Santé-Sud:

• Altona Community Memorial Health Centre – Feb-23-17
• Bethesda Hospital – Nov-11
• Boundary Trails Health Centre* – Feb-28-17
• Carman Memorial Hospital – Feb-22-17
• Dr. C.W. Wiebe Medical Centre** – Feb-28-17
• De Salaberry District Health Centre (St. Pierre Jolys) – Nov-11
• Gladstone Health Centre – Feb-17
• Lorne Memorial Hospital (Swan Lake) – Feb-22-17
• Portage District General Hospital – Feb-17
• Morris General Hospital – Feb-28-17
• Notre Dame Medical Nursing Unit – Feb-23-17
• Rock Lake Health District Hospital (Crystal City) – Feb-28-17
• Ste. Anne Hospital – Nov-11
• Vita & District Health Centre – Nov-11

Winnipeg RHA:

• Breast Health Centre – Nov-11
• Churchill Health Centre – Nov-11
• Concordia Hospital – Nov-11
• Deer Lodge Centre – Nov-11
• Grace Hospital – Nov-11
• Health Sciences Centre – Nov-11
• Misericordia Health Centre – Nov-11
• Pan Am Clinic (MRI only) – Nov-11
• Riverview Health Centre – Nov-11
• Seven Oaks General Hospital – Nov-11
• St. Boniface General Hospital – Nov-11
• Victoria General Hospital – Nov-11

*Mammograms from this site have been available in eChart since May 2016.

Only DI exams performed at facilities connected to Manitoba’s RIS display in eChart.

**NOTE: DI reports from Dr. C. W. Wiebe Medical Centre are NOT currently available in eChart

Facilities not connected to Manitoba’s RIS are:

• Private facilities that use a different type of Radiology Information System other than Manitoba’s RIS
• Facilities associated only with cancer screening (e.g., BreastCheck, CervixCheck, ColonCheck)

Only DI exams performed at facilities connected to PMH DI reports display in eChart.

Facilities connected to PMH DI reports:

1. Tri-Lake Health Centre
2. Boissevain Health Centre
3. Brandon Regional Health Centre
4. Carberry Health Centre
5. Deloraine Health Centre
6. Glenboro Health Centre
7. Hamiota Health Centre
8. Melita Health Centre
9. Minnedosa Health Centre
10. Neepawa Health Centre
11. Riverdale Health Centre
12. Russell Health Centre
13. Shoal Lake/Strathclair Health Centre
14. Souris Health Centre
15. Tiger Hills Health Centre
16. Virden Health Centre

Diagnostic Imaging refers to any type of procedure performed by a radiologist or a radiology technologist and done with the following modalities:

• Angiography (AN)
• Cardiology (CAR)
  • For example, echocardiograms
• Computed Tomography (CT)
• Fluoroscopy (FL)
• Magnetic Resonance (MR)
• Nuclear Medicine (NM)
• Positron Emission Tomography (PT)
• X-ray (XR)
• Mammography (MA)
• Ultrasound (US)
• Fetal Assessment (FA) (HSC) only

Therefore, only DI exams that fall into one of the above modalities will be found in the provincial RIS.

Diagnostic Imaging refers to any type of procedure performed by a radiologist or a radiology technologist and done with the following modalities:

• Angiography (AN)
• Cardiology (CAR)
  • For example, Holter
• Computed Tomography (CT)
• Fluoroscopy (RF)
• Magnetic Resonance (MR)
• Nuclear Medicine (NM)
• X-ray (CR)
• Mammography (MG)
• Bone Density (BD) (NOTE: BD do not have any reports tied to them in PMH DI reports)
• Ultrasound (US)
• Fetal Assessment (FA)

NOTE: echocardiograms are found under Ultrasound modality

Therefore, only DI exams that fall into one of the above modalities will be found in PMH DI reports.

Procedures or DI exams not found in Manitoba’s RIS and therefore not in eChart are:

• Bone Mineral Densitometry/Bone Density (BD) exams
  • These exams fall under a program not connected to MB RIS
• Screening DI exams
  • Outside of the current scope with no current mechanism to bring into Manitoba’s RIS
• Endoscopy (e.g. standard colonoscopy / sigmoidoscopy, enteroscopy, bronchoscopy)
  • Not a DI procedure because it does not fall into one of the DI modalities (see above for the modalities)
  • Performed by a medical specialist (such as a gastroenterologist or respiratory specialist) and not a radiologist or a radiology technologist
  • Note: the CT Virtual Colonoscopy (CT) and Percutaneous Cecostomy / Colonoscopy (FL) are included in Manitoba’s RIS because:
    • They fall under the DI Imaging procedure modalities (CT and FL respectively)
    • Are performed by a radiologist or a radiology technologist
• Electrocardiogram (EKG / ECG)
  • Not a DI procedure because it does not fall into one of the DI modalities (see above for the modalities)
  • Outside of the current scope for RIS with no current mechanism to bring into Manitoba’s RIS

Procedures or DI exams not found in PMH DI reports and therefore not in eChart are:

• Endoscopy (e.g. standard colonoscopy / sigmoidoscopy, enteroscopy, bronchoscopy)
  • Outside of the current scope for PMH DI reports
• Electrocardiogram (EKG / ECG)
• Not a DI procedure because it does not fall into one of the DI modalities (see above for the modalities)
• Outside of the current scope but PMH DI reports will be looking to have these in the near future

Only reports which have been dictated, validated, and electronically signed by a Radiologist will display in eChart. Reports will display as “Final” or if an addendum has been done to provide additional clinical information the report will display as “Corrected.”

Note: It is possible that there are multiple addendums within the report, so be sure to note the dates and times of any amendments.

The only time an exam name displays in an “Ordered” folder is a) when a report has been posted to the incorrect patient or b) there is an error in the report that cannot be corrected by the source therefore the report needs to be removed in eChart.

When an error of this type has been identified, the “Ordered” folder appears containing the exam name. However, the report is removed and the status of the report is displayed as:

• “REPORT REMOVED: The report was sent with the wrong patient demographics”, if it is from Manitoba’s RIS.
• “REPORT REMOVED – Correct report has been distributed”, if it is from PMH DI reports.

If you have access to PACS, you will still be able to view the erroneous report within the PACS application.

Depending upon the location and the type of imaging exam being performed, multiple exam codes may be required by RIS to complete one request. This causes the same report to be displayed for each exam code.