Reconciliation depends on manual effort
A clinician creates the order in the EMR, matches the accession number, and copy-pastes the report. Every external study. Every time. That adds up to roughly 20 minutes of manual work per patient.
Imaging studies get stuck in error queues
When patient or procedure data doesn't match, studies sit unlinked. Not visible in the workflow, not available for reading, and not billable. The team doesn't always know until something is missing.
PACS is no longer a reliable single source of truth
When reports and images end up disconnected, clinicians can't rely on PACS at the point of care. Incomplete care product registration can also mean procedures aren't billed correctly.
Select an external study
The user finds an externally available study in the Founda Health Portal and initiates import with a single action.
Confirm reconciliation details
A short form shows existing DICOM metadata alongside configurable fields. The user confirms or corrects procedure code, modality, and optional fields before submitting.
Order created automatically
Founda generates a unique local accession number and creates the radiology order in the EMR via HL7. No manual entry required.
Report delivered to the EMR
The report is pulled from the external network and carried in the same HL7 message. If no report is yet available, a standard placeholder is used to keep the order complete.
Images land in PACS, linked to order
DICOM images are sent to PACS with the matching accession number. PACS links them to the order automatically. The study is ready to read, like any locally acquired one.
Avoiding duplicate records
An optional pre-import check flags studies already present in PACS. Patient identifiers are resolved via FHIR PIX, so the right local patient ID is always used.
Consistent reconciliation changes what is possible for every team.
By collapsing a multi-step manual process into a single platform action, Auto Reconcile removes the operational friction and makes it possible to scale consistently across every department.
Radiology & PACS operations
No more studies stuck in error queues, no more accession creation and matching, no more chasing down missing reports. External studies arrive in PACS reconciled and ready to read, every time.
Enterprise IT architecture
One supported Capability on the Founda platform replaces brittle, customer-specific forms. Configuration instead of custom code: maintainable, extendable, and consistent across sites.
Clinicians & radiologists
External studies appear in PACS as local ones, complete with the right order, patient ID, and report. PACS becomes a trustworthy single source of truth at the point of care.
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