In December 2020 the NRDR sent the following message to their users outlining their intention to stop accepting Secondary Capture Dose data, moving to accept only RDSRs: NEW participants registering for the DIR registry in 2021 will only be permitted to send records using the Radiation Dose Structured Report (RDSR). Secondary capture (OCR) image data can be sent in addition to the RDSR but will not be accepted as the sole means of transmission. For now, existing sites will still be able to send secondary capture as their sole transmission method – however the registry does intend to disable this support later in 2021.
It is important you check to see if you are sending RDSRs or Secondary Captures. I’ve found several scanners that were capable of sending RDSRs but instead were sending Secondary Captures. If the NRDR stops accepting Secondary Captures it means those scanners doses will no longer be in the DIR, potentially affecting your sites ability to comply with several Joint Commission dose monitoring rules.
It’s relatively easy to check.
- Log into the DIR
- Go to Interactive Reports/Dose Information by Exam; then
- Complete the Corporate Account/Facility and Date drop down menus
In addition to the table displayed, you will also see a File Type Pie Chart in the upper right. This pie chart shows the percentage of RDSRs (blue) and Secondary Capture (red) your facility submitted over the selected date range.
As you can see, this facility is sending 9.7% of their studies as Secondary Captures. This will be a problem unless corrected. This facility happens to have two scanners, so it was helpful to see if the issue was present on one or both scanners.
To assess the scanner status go to Interactive Reports/CT Standardized Dose Index Reports. As before, complete Corporate Account/Facility and Date drop down menus. Then click on Boxplot by Scanner tab along the top menu.
The report will look something like the image to the right. In this case, note that Scanner 1’s dots, which represent individual exams, are all colored red. This indicates they are secondary captures, which Scanner 2’s dots are blue signifying RDSRs. In this case, Scanner 1 is sending 100% of their studies as Secondary Captures. When the DIR stops accepting them, if nothing is done between now and then, no dose information from this scanner will be in the DIR.
In this case, it was a (relatively) simple matter of working with the service engineers to set the scanner to send RDSRs.
Dose Registry Support Services: As always, if you are not satisfied with the dose monitoring platform you are using, or perhaps own but aren’t using, consider Dose Registry Support Services. We leverage your participation in the DIR to provide one of the most cost-effective and staff friendly solutions available. No hardware to buy or maintain, and no long term contracts.
For more information contact us.