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eChart Manitoba Diagnostic Imaging Video

Do all diagnostic imaging (DI) reports completed in the province display in eChart?

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).

I am provisioned with PACS Web Viewer access but when I click on the View STUDY link, I do not see an image. Why?

  • 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:

Is there a difference if DI reports are viewed in the Imaging or Clinical Documents view?

The DI report information is the same; however, in addition to sorting by Modality/Type, Date or Facility, the Imaging view allows the information to be sorted by “Ordered By” (i.e., ordering provider) whereas the Clinical Documents view allows the information to be sorted by “Author” (i.e., radiologist).

Note: DI reports viewed in the Clinical Documents view do not contain the corresponding View STUDY link to launch PACS Web Viewer.

What facilities are connected to Manitoba’s Radiology Information System (RIS)?

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)

What facilities are connected to the PMH DI reports?

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

What types of DI exams from Manitoba’s RIS are found in eChart?

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

  • Angiography (AN)
  • Computed Tomography (CT)
  • Fluoroscopy (FL)
  • Magnetic Resonance Imaging (MR)
  • Nuclear Medicine (NM)
  • Positron Emission Tomography (PT)
  • Radiography
    • X-ray (XR)
    • Mammography (MA)
    • Bone Mineral Densitometry (BD)
    • (NOTE: BD not included in eChart since RIS does not get reports for these)
  • Ultrasound (US)
  • Fetal Assessment (FA)

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

What types of DI exams from PMH DI reports are found in eChart?

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 (CARD)
    • For example, echocardiograms
  • Computed Tomography (CT)
  • Fluoroscopy (RF)
  • Magnetic Resonance Imaging (MR)
  • Nuclear Medicine (NM)
  • Radiography
    • X-ray (CR)
    • Mammography (MG)
    • Bone Mineral Densitometry (BD)
    • (NOTE: BD do not have any reports tied to them in PMH DI reports)
  • Ultrasound (US)
  • Fetal Assessment (FA)

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

What types of procedures or DI exams from Manitoba’s RIS are not found in eChart?

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

  • 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
  • Echocardiography / echocardiograms
    • Is under its own cardiac program and not under Manitoba’s RIS program
    • Performed by a medical specialist (such as a cardiologist) and not a radiologist or a radiology technologist
    • Outside of the current scope but may be brought into Manitoba’s RIS in the future
  • 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

What types of procedures or DI exams from PMH DI reports are not found in eChart?

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

Will only completed and dictated tests display in eChart?

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.

Why do some test results show on dates before eChart started displaying the information?

If a test result was originally completed before the information was taken into eChart and was revised after the date the information started to display, then this result will display in eChart. For example, a DI report was completed in March 2011 and corrected in December 2011. Since eChart only started to receive image reports on November 3, 2011, the original report did not appear in eChart, but since a revision was done after November 3rd, the revised report now appears in eChart.

Why do I sometimes see an “Ordered” folder containing exam names, but there is no corresponding report displaying for the exam name?

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.

Why do multiple exam names display with the same date and time, and the report is the same?

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.

Why am I now seeing Fetal Assessment Unit (FAU) Reports?

The Fetal Assessment Unit (FAU) at Health Sciences Centre Winnipeg is now using the ViewPoint tool to electronically document fetal assessment exams. The Fetal Assessment Unit (FAU) Report contains information from the fetal assessment exam, including diagnostic ultrasound information. Users can view a text representation of the report in eChart under the Imaging or Clinical view in either the Fetal Assessment or Ultrasound modality. Images associated with the report can be found in PACS and can be viewed in eChart via the View STUDY link, if you are provisioned with images view.

What is the View STUDY link found under the date and name of the DI report in the Imaging view?

The View STUDY link provides direct patient context launch to PACS Web Viewer (PWV) to view the set of images (study) associated with the DI Report.

ALL eChart users with access to the Imaging view will see the View STUDY link.

If you are not provisioned with PWV access, you will see this message when clicking on the View STUDY link:

To view the image corresponding to a DI report, the eChart user must have the eChart access role Clinical View with Images or Clinical View with Images & Override which provides access to PWV through Manitoba’s RIS.

How do I find the View STUDY link?

There are 2 ways to see the View STUDY link under the Imaging view:

  • Click on the “expand all” icon.
  • Then click on the View STUDY link to view the image.
  • Click on the “+” sign beside the Modality.
  • Then click on the “+” sign beside the date and name of the DI report.
  • Then click on the View STUDY link to view the image