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MedCurrent, a clinical decision support (CDS) developer headquartered in Toronto, Ontario, has integrated the Royal College of Radiologists’ (RCR) imaging referral guidelines into its< OrderWise™ clinical decision support (CDS) system software. The OrderWise interface is a CDS software tool that guides referring clinicians through differential diagnoses to help them determine the most appropriate imaging examinations to order for their patients.
The newly integrated imaging referral guidelines incorporate the eighth edition of iRefer. Launched earlier this year by the London-based society. iRefer8 was developed by more than 300 practicing radiologists and features over 280 detailed, condition-specific guidelines. The The iRefer radiology referral guidelines, first published in 1989, help ordering clinicians select the best imaging test. This guidance can help prevent the ordering of inappropriate examinations, thus potentially minimizing exposure of patients to ionizing radiation.
The RCR and MedCurrent have already worked together on a small-scale, proof-of-concept project to deliver iRefer in the MedCurrent Clinical Decision Support (CDS) system. The first pilot using the integrated system, announced in October 2017,was launched at Royal North Shore Hospital in New South Wales, Australia. A MedCurrent spokesperson stated that between three and five pilot projects will be conducted in England to test OrderWise with iRefer embedded within both primary and secondary care settings. This CDS system will be interfaced with several commonly-used clinical information systems. The new pilot projects are expected to be completed within 12-18 months.