Here are some sample functional requirements from the Radiology RFP template:
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Patient Database
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| Support ADT interface with HIS (Hospital Information System) to receive patient demographic and order data. |
| Use Soundex look-up method in patient data retrieval when patient name spelling is uncertain. |
| Support temporary discharges (short leaves) of inpatients with automatic readmission, retaining patient data. |
| Provide ability to perform ADT functions independent of hospital's ADT system in the event the hospital's ADT system is unavailable. |
| Provide ability to retrieve purged patient files from archival storage. |
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Order Processing
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| Automatically assign unique radiology accession number for each exam at time of order entry. |
| Maintain history file of all performed radiology exams. |
| Support user-defined mnemonic codes and/or visual pick lists (e.g. using a mouse) to select exams. |
| Allow modification to orders without having to re-key order information. |
| System should prohibit exam cancellation after statistical data has been captured or report transcribed. |
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Scheduling
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| Provide graphic display of schedule to view time slots by room, date, modality, department or facility. |
| Support rules-based automatic scheduling optimization that considers patient's day/time preferences, practice preferences and modality variables to find appointments slots. |
| Support automated patient wait lists for suggesting earlier exam times, if slots become available. |
| Automatically alert user of incompatible test conflicts when entering requests for a patient. |
| Print transport cards with flash card data, equipment required for transport, patient location, condition, and space for comments. |
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Workflow Management
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| Support display of worklists updated in real-time to monitor workflow (e.g. for active appointments and exams). |
| Support prioritized worklist displays for radiologists (e.g. for pending dictation, electronic signature and follow up). |
| Support entry of technical notes by the radiologist in exam case records. |
| Provide ability for radiologists or transcriptionists (with appropriate security access) to retrieve procedures from a shared worklist. |
| Support use of bar code technology to track patients and events for workflow reporting (e.g. patient ID, procedure ID, exam room location, etc.) |
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Patient Reports
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| Automatically retrieve patient demographic, location, medical, and physician data into patient exam report. |
| Provide integrated word processing capabilities for transcription result reporting. |
| Provide ability to automatically fax preliminary and final reports to referring physician and courtesy copies to other physicians. |
| Provide on-line storage and access for three years of exam report history. |
| Provide ability to archive report data to CD or optical disk media. |
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Film Management
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| Support bar code reader technology for image file transport and location tracking. |
| Support film/file check out tracking within radiology area and outside locations. |
| Display warning to user if borrower has overdue films or exceeded restrictions at time of film request. |
| Maintain special interest case file using American College of Radiology (ACR) class coding. |
| Provide ability to reserve image films if they are already checked out. |
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Mammography
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| Support and comply with MQSA mammography standards. |
| Support American College of Radiology's Breast imaging and Reporting and Data Base system (BIRADS) lexicon. |
| Provide templates (that can be customized) for physician result letters, patient result letters and follow-up patient letters. |
| Provide ability to track suspicious mammograms and pathology results from resulting biopsies. |
| Generate mammography statistical reports by radiologist, referring physician, and location for user-defined time intervals. |
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Inventory
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| Track and report inventory of film and supply items. |
| Print critical re-order report of items below minimum quantities. |
| Print inventory bin labels. |
| Print purchase order history report. |
| Print vendor performance analysis of orders, back orders, unfilled orders, and turnaround time. |
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Management Reporting
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| Print daily activity log of all exams by radiology accession number. |
| Print workload projection report of exam commitments to aid in staff and room scheduling. |
| Print room utilization report of total number of exams by room (within user-defined time period), also listing average and longest exam times. |
| Print exam turnaround time report showing average and longest exam times by procedure. |
| Print workload statistics by patient type, procedure, resource and technologist. |
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Billing
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| Automatically add appointments to pre-registration worklist based on the insurance carrier or procedure requirements. |
| Display exams denied by insurance and require contacting the patient to make other payment arrangements. |
| Provide ability to perform billing for affiliated providers (e.g. clinic, small hospital, free-standing emergency room). |
| Support automatic credits based on user-defined result codes (e.g. "CNC" for cancelled exam). |
| Provide electronic billing interface to radiologist's billing computer system. |
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Quality Assurance
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| Support tracking of equipment maintenance including dates of service, service activity, part replacements, costs, etc. |
| Track preventative maintenance dates and times in equipment maintenance records. |
| Track user-defined quality control values in equipment records. |
| Print equipment maintenance history report of service activity by type of problem. |
| Record techniques and film use per patient and procedure. |
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Interfaces
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| Support direct interfacing to modalities via DICOM interface |
| Support healthcare HL7 interfacing standards for communication with external systems. |
| Support electronic interface to HIS order communications system to receive exam orders and transmit charge transactions. |
| Support electronic interface to and integration with transcription system. |
| Support electronic interface to and integration with PACS system. |
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HIPAA
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| Support an enterprise-wide single sign-on user authentication process that allows individual users to logon to different systems with one global user ID and password. |
| Support automatic log off of work stations connected to patient information systems after a site-defined time period of inactivity (e.g. 5 minutes). |
| Support data access controls that allows assignment of security at the data element level within files. |
| Support an eight position alphanumeric Provider ID field in all software modules that use Provider ID, with the eighth position used as a check digit. |
| Provide ability to create data files for teaching purposes that meet HIPAA guidelines for compliance (e.g. tracking without specific patient information). |
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Technical & Support
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| Support graphical user interface GUI (e.g. Windows, buttons, toolbars, mouse, etc.) and menu-driven user control and initiation of system functions. |
| Support ability to use web browser (e.g. Internet Explorer) to access system functions over Internet or internal intranet. |
| Support the use of "drag-and-drop" with mouse as option to visually initiate system functions (e.g. drag a file icon to printer icon to start printing a report, etc.) |
| Provide multi-level password security down to options within menus. |
| Provide commitment to support HL7 (Health Level 7) healthcare industry system integration standards. |
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