Conversion of Radiology Reporting Templates to the MRRT Standard
- 250 Downloads
In 2013, the Integrating the Healthcare Enterprise (IHE) Radiology workgroup developed the Management of Radiology Report Templates (MRRT) profile, which defines both the format of radiology reporting templates using an extension of Hypertext Markup Language version 5 (HTML5), and the transportation mechanism to query, retrieve, and store these templates. Of 200 English-language report templates published by the Radiological Society of North America (RSNA), initially encoded as text and in an XML schema language, 168 have been converted successfully into MRRT using a combination of automated processes and manual editing; conversion of the remaining 32 templates is in progress. The automated conversion process applied Extensible Stylesheet Language Transformation (XSLT) scripts, an XML parsing engine, and a Java servlet. The templates were validated for proper HTML5 and MRRT syntax using web-based services. The MRRT templates allow radiologists to share best-practice templates across organizations and have been uploaded to the template library to supersede the prior XML-format templates. By using MRRT transactions and MRRT-format templates, radiologists will be able to directly import and apply templates from the RSNA Report Template Library in their own MRRT-compatible vendor systems. The availability of MRRT-format reporting templates will stimulate adoption of the MRRT standard and is expected to advance the sharing and use of templates to improve the quality of radiology reports.
KeywordsRadiology reporting Reporting Structured reporting Integrating the Healthcare Enterprise (IHE) Infrastructure Standards MRRT
The authors thank Gerald Cameron, MS, for the development of the conversion and validation algorithms.
- 1.Bosmans JM, Weyler JJ, De Schepper AM, Parizel PM: The radiology report as seen by radiologists and referring clinicians: results of the COVER and ROVER surveys. Radiology 259:184–195, 2011Google Scholar
- 2.Schwartz LH, Panicek DM, Berk AR, Li Y, Hricak H: Improving communication of diagnostic radiology findings through structured reporting. Radiology 260:174–181, 2011Google Scholar
- 5.Larson DB, Towbin AJ, Pryor RM, Donnelly LF: Improving consistency in radiology reporting through the use of department-wide standardized structured reporting. Radiology 267:240–250, 2013Google Scholar
- 6.Kahn Jr, CE, et al: Toward best practices in radiology reporting. Radiology 252:852–856, 2009Google Scholar
- 7.Bozkurt S, Kahn Jr, CE: An open-standards grammar for outline-style radiology report templates. J Digit Imaging 25:359–364, 2012Google Scholar
- 8.Hempel JM, Pinto dos Santos D, Kloeckner R, Dueber C, Mildenberger P: [Reporting initiatives. An update on treatment in radiology]. Radiologe 54:696–699, 2014Google Scholar
- 9.Management of Radiology Report Templates (MRRT). Available at http://www.ihe.net/uploadedFiles/Documents/Radiology/IHE_RAD_Suppl_MRRT.pdf. Accessed 20 October 2014, 2014
- 10.Langlotz CP: RadLex: a new method for indexing online educational materials. RadioGraphics 26:1595–1597, 2006Google Scholar
- 12.SNOMED CT. Available at http://www.ihtsdo.org/snomed-ct/. Accessed July 24, 2013, 2013
- 18.Powell DK, Silberzweig JE: State of structured reporting in radiology, a survey. Acad Radiol 22:226–233, 2015Google Scholar