Weltin G, Swett H
Department of Diagnostic Radiology, Yale University School of Medicine, New Haven, CT 06520-8042, USA.
AJR Am J Roentgenol. 1996 May;166(5):1031-3. doi: 10.2214/ajr.166.5.8615236.
Many radiology information systems (RISs) installed during the 1980s have a user interface that is crude by today's standards. We explored improving this user interface by using the local processing power of the personal computer. In this article we describe a computer program that significantly enhances the ease of report retrieval by automating much of the interaction with our RIS, which is IDXrad.
The program, named DERVISH, runs under DOS on International Business Machines-compatible personal computers having an 80286 or faster processor, an enhanced graphics adapter or video gate array display, two serial ports, a mouse, and a bar code wand. It is written in the C++ programming language. Input may be keyboard, mouse, or bar code wand, and reports may be displayed singly or multiply and printed to a local printer or an RIS printer or copied to a disk file. DERVISH not only performs many of the routine tasks of an RIS session such a logging on and off but also provides a menu-driven environment for report display, including optional restriction of the report list to related prior reports. Keyboard use is minimized in favor of a mouse and a bar code wand. DERVISH emulates a standard RIS terminal for functions other than report retrieval.
Originally intended to help retrieve the prior radiology reports of a patient at hand, DERVISH has found use in our quality management effort as well, simplifying comparison of reports from related radiologic techniques. An early version suffered poor acceptance because of its nonstandard interface and frequent malfunctions. The current version is presently in use in our emergency radiology department.
DERVISH serves not only as a useful utility in itself but also as a demonstration of the ability of the local processing power of a desktop computer to improve the user interface of an aging RIS and to extend its functional life.
20世纪80年代安装的许多放射学信息系统(RIS)的用户界面按如今的标准来看很简陋。我们探索利用个人计算机的本地处理能力来改进此用户界面。在本文中,我们描述了一个计算机程序,该程序通过自动执行与我们的RIS(IDXrad)的大部分交互,显著提高了报告检索的便捷性。
该程序名为DERVISH,在具有80286或更快处理器、增强图形适配器或视频门阵列显示器、两个串行端口、鼠标和条形码扫描器的国际商业机器公司兼容个人计算机上的DOS系统下运行。它用C++编程语言编写。输入可以通过键盘、鼠标或条形码扫描器进行,报告可以单独或多个显示,并打印到本地打印机、RIS打印机或复制到磁盘文件。DERVISH不仅执行RIS会话的许多常规任务,如登录和注销,还提供一个菜单驱动的环境用于报告显示,包括可选择将报告列表限制为相关的先前报告。为了便于使用鼠标和条形码扫描器,尽量减少键盘的使用。DERVISH在报告检索以外的功能方面模拟标准的RIS终端。
DERVISH最初旨在帮助检索手头患者的先前放射学报告,如今它在我们的质量管理工作中也有用处,简化了相关放射学技术报告的比较。早期版本因非标准界面和频繁故障而难以被接受。当前版本目前在我们的急诊放射科使用。
DERVISH不仅本身是一个有用的实用程序,还证明了台式计算机的本地处理能力能够改善老化RIS的用户界面并延长其功能寿命。