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.
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Use Soundex look-up method in patient data retrieval when patient name spelling is uncertain.
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Support temporary discharges (short leaves) of inpatients with automatic readmission, retaining patient data.
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Provide ability to perform ADT functions independent of hospital's ADT system in the event the hospital's ADT system is unavailable.
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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.
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Maintain history file of all performed radiology exams.
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Support user-defined mnemonic codes and/or visual pick lists (e.g. using a mouse) to select exams.
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Allow modification to orders without having to re-key order information.
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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.
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Support rules-based automatic scheduling optimization that considers patient's day/time preferences, practice preferences and modality variables to find appointments slots.
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Support automated patient wait lists for suggesting earlier exam times, if slots become available.
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Automatically alert user of incompatible test conflicts when entering requests for a patient.
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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).
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Support prioritized worklist displays for radiologists (e.g. for pending dictation, electronic signature and follow up).
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Support entry of technical notes by the radiologist in exam case records.
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Provide ability for radiologists or transcriptionists (with appropriate security access) to retrieve procedures from a shared worklist.
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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.
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Provide integrated word processing capabilities for transcription result reporting.
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Provide ability to automatically fax preliminary and final reports to referring physician and courtesy copies to other physicians.
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Provide on-line storage and access for three years of exam report history.
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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.
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Support film/file check out tracking within radiology area and outside locations.
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Display warning to user if borrower has overdue films or exceeded restrictions at time of film request.
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Maintain special interest case file using American College of Radiology (ACR) class coding.
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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.
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Support American College of Radiology's Breast imaging and Reporting and Data Base system (BIRADS) lexicon.
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Provide templates (that can be customized) for physician result letters, patient result letters and follow-up patient letters.
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Provide ability to track suspicious mammograms and pathology results from resulting biopsies.
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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.
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Print critical re-order report of items below minimum quantities.
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Print inventory bin labels.
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Print purchase order history report.
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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.
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Print workload projection report of exam commitments to aid in staff and room scheduling.
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Print room utilization report of total number of exams by room (within user-defined time period), also listing average and longest exam times.
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Print exam turnaround time report showing average and longest exam times by procedure.
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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.
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Display exams denied by insurance and require contacting the patient to make other payment arrangements.
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Provide ability to perform billing for affiliated providers (e.g. clinic, small hospital, free-standing emergency room).
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Support automatic credits based on user-defined result codes (e.g. "CNC" for cancelled exam).
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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.
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Track preventative maintenance dates and times in equipment maintenance records.
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Track user-defined quality control values in equipment records.
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Print equipment maintenance history report of service activity by type of problem.
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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
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Support healthcare HL7 interfacing standards for communication with external systems.
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Support electronic interface to HIS order communications system to receive exam orders and transmit charge transactions.
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Support electronic interface to and integration with transcription system.
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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.
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Support automatic log off of work stations connected to patient information systems after a site-defined time period of inactivity (e.g. 5 minutes).
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Support data access controls that allows assignment of security at the data element level within files.
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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.
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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.
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Support ability to use web browser (e.g. Internet Explorer) to access system functions over Internet or internal intranet.
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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.)
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Provide multi-level password security down to options within menus.
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Provide commitment to support HL7 (Health Level 7) healthcare industry system integration standards.
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