Images sent to PDI server
Usually via VPN
Images can be sent directly from a digital modality or from a DICOM server
Analog images require a high quality digitizer
Appropriate comparison studies also sent
Demographic and clinical information sent to PDI
PDI system directs case to interpreting pediatric radiologist
PDI radiologist interprets and signs final report
Report sent to host facility
Fax, Web Portal or HL-7 interface to host RIS
Electronically signed report becomes part of medical record at client facility
Billing
In most instances, PDI bills host radiology group each month. Host group bills patient/insurance in a standard fashion
Direct billing by PDI is an option
Quality assurance
PDI conducts random QA checks of reports
ACR RADPEER
Follow-up correlation of reports with operative results, when possible