At the moment, more than 1000 diagnostic devices are connected to URIS. At the beginning of the pandemic, only equipment of Moscow state facilities was connected to URIS. In February and March of this year, federal and private centers were connected to the system as well.
The URIS workflow is structured as follows: an x-ray technician performs a study, creating a personalized referral. Images are uploaded to URIS, already linked to a specific patient. A radiologist writes a study report. After that, clinicians connected to URIS get access to both the report and study images in real time, wherever it is done. This interoperability between different medical facilities has proven to be invaluable in a pandemic and to isolation restrictions, when a transfer of physical image mediums (CD, film) became impossible.

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What are the advantages of URIS?
Patients with a suspected coronavirus infection who come by appointment or are delivered by the ambulance to the outpatient CT center, has a chest CT scan by physician's referral. Within 20 minutes, a radiologist, who may be in a different building, provides a study report, and the physician receives the information necessary for making a decision about the diagnosis and treatment tactics.
If hospitalization is required, a patient does not need to undergo the re-examination, because the doctors receive a study report and images through URIS. Information technology significantly reduces the radiation exposure of patients, eliminates waiting time for a study in inpatient settings, and provides physicians with study reports in any format. Thus, URIS reduces the workload on hospitals, including emergency rooms.
It is extremely important to have access to previous studies in order to assess the dynamics when transferring a patient to another medical facility, and after patient discharge. A radiologist has access to studies performed in hospitals, and due to completeness of the available information may objectively assess detected changes.
Interaction between specialists and continuity of data are the essential factors for making the right clinical decisions in a timely manner.
Moscow Reference Center operation
One of the results of the CDT's efforts to prevent COVID-19 spread was the launch of the Moscow Reference Center, which allows doctors to diagnose COVID-19 pneumonia applying telemedicine technologies. The experts of the Reference Center were assigned the task of taking over a part of the primary remote reporting in cases of staff shortage or illness of radiologists.