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Journal of Digital Imaging

, Volume 28, Issue 5, pp 528–536 | Cite as

Conversion of Radiology Reporting Templates to the MRRT Standard

  • Charles E. KahnJr.
  • Brad Genereaux
  • Curtis P. Langlotz
Article

Abstract

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.

Keywords

Radiology reporting Reporting Structured reporting Integrating the Healthcare Enterprise (IHE) Infrastructure Standards MRRT 

Notes

Acknowledgments

The authors thank Gerald Cameron, MS, for the development of the conversion and validation algorithms.

References

  1. 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. 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
  3. 3.
    Lin E, Powell D, Kagetsu N: Efficacy of a checklist-style structured radiology reporting template in reducing resident misses on cervical spine computed tomography examinations. J Digit Imaging 27:588–593, 2014CrossRefPubMedGoogle Scholar
  4. 4.
    Hawkins CM, Hall S, Zhang B, Towbin A: Creation and implementation of department-wide structured reports: an analysis of the impact on error rate in radiology reports. J Digit Imaging 27:581–587, 2014CrossRefPubMedGoogle Scholar
  5. 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. 6.
    Kahn Jr, CE, et al: Toward best practices in radiology reporting. Radiology 252:852–856, 2009Google Scholar
  7. 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. 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. 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. 10.
    Langlotz CP: RadLex: a new method for indexing online educational materials. RadioGraphics 26:1595–1597, 2006Google Scholar
  11. 11.
    Rubin DL: Creating and curating a terminology for radiology: ontology modeling and analysis. J Digit Imaging 21:355–362, 2008PubMedCentralCrossRefPubMedGoogle Scholar
  12. 12.
    SNOMED CT. Available at http://www.ihtsdo.org/snomed-ct/. Accessed July 24, 2013, 2013
  13. 13.
    Huff SM, et al: Development of the Logical Observation Identifier Names and Codes (LOINC) vocabulary. J Am Med Inform Assoc 5:276–292, 1998PubMedCentralCrossRefPubMedGoogle Scholar
  14. 14.
    McDonald CJ, et al: LOINC, a universal standard for identifying laboratory observations: a 5-year update. Clin Chem 49:624–633, 2003CrossRefPubMedGoogle Scholar
  15. 15.
    Genereaux BW, Dennison DK: REST enabling the report template library. J Digit Imaging 27:331–336, 2014PubMedCentralCrossRefPubMedGoogle Scholar
  16. 16.
    Fielding RT, Taylor RN: Principled design of the modern Web architecture. ACM Trans Internet Technol 2:115–150, 2002CrossRefGoogle Scholar
  17. 17.
    Sistrom CL: Conceptual approach for the design of radiology reporting interfaces: the talking template. J Digit Imaging 18:176–187, 2005PubMedCentralCrossRefPubMedGoogle Scholar
  18. 18.
    Powell DK, Silberzweig JE: State of structured reporting in radiology, a survey. Acad Radiol 22:226–233, 2015Google Scholar
  19. 19.
    Li KC, et al: Digitization of medicine: how radiology can take advantage of the digital revolution. Acad Radiol 20:1479–1494, 2013CrossRefPubMedGoogle Scholar

Copyright information

© Society for Imaging Informatics in Medicine 2015

Authors and Affiliations

  • Charles E. KahnJr.
    • 1
  • Brad Genereaux
    • 2
  • Curtis P. Langlotz
    • 3
  1. 1.Department of RadiologyUniversity of PennsylvaniaPhiladelphiaUSA
  2. 2.Agfa HealthcareHamiltonCanada
  3. 3.Department of RadiologyStanford UniversityStanfordUSA

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