Progress report

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Chuck Kahn

Aug 17, 2011, 11:49:50 AM8/17/11
to Reporting Committee
Hi everyone,

Below is an update on the Reporting Initiative's progress.

Best regards,

1. Reporting templates
• 110 English-language templates have been published in both text and
• Translated XML templates – in Chinese (6) and Turkish (3) – are
available. Additional translations are in progress.
• Mapping of reporting elements to RadLex® is approaching
completeness (> 85% of templates).
• Limited mapping of reporting elements to SNOMED Clinical Terms® and
LOINC® concepts has been achieved.

2. Template library
• A fully functional user-facing web site ( is
available, and is referenced by the RSNA Reporting wiki and the RSNA
Reporting page. Users can search templates by name, language,
subspecialty (Neuro, CT, etc.), and/or RadLex® terms.
• Each template has a “citation page” (e.g.,
0000099), analogous to the RadLex® term URL (e.g.,
RID1), which provides a brief statement about copyright and liability
provisions, and references the full License document.
• Reporting templates can be viewed or downloaded in text or XML
• The new “Explore” function presents templates in a simplified,
interactive “schematic” view, driven by the XML representation.

3. Template management software
• Allows management, editing, analysis, and processing of the
reporting templates. Developed and hosted on the template library
server (
• RadMap – semi-automated tool to map reporting elements to RadLex®,
SNOMED®, and LOINC® terms.
• Analysis – tallies numbers of RadLex® matches (exact, partial,
unmatched) and post-coordinated RadLex® terms.
• Metadata editor – allows editing of reporting template metadata:
template names, contributors, language, specialty codes, RadLex®
codes, and sponsoring organizations.
• Translate – Facilitates translations of reporting templates into
more than 30 languages. Uses the Google® Translate API to suggest
translations of names of reporting elements. Applied successfully to
Chinese and Turkish.
• Quick Pick – Allows “quick” editing of templates to map to newly
added RadLex® terms.
• Sync – Audits the templates to assure that reporting elements are
mapped uniformly to RadLex®, and helps editors repair problems.

4. Standards development
• DICOM Supplement 155 (Structured Radiology Reporting) being
developed to define a generic schema for radiology reporting templates
and the transformation of template-based reports into HL7 Clinical
Document Architecture (CDA) messages. C. Kahn and H. Solomon serve as
co-chairs of DICOM Working Group 8 (Structured Reporting).
• IHE Radiology is continuing development of the Management of
Radiology Reporting Templates (MRRT) integration profile. C. Langlotz
and K. O’Donnell serve as co-editors.

5. RSNA 2011 refresher courses
• The RSNA Reporting Initiative: Developing a Library of Best-
Practices Radiology Report Templates (ICII31 – Langlotz, Kahn,
• "RadLex Inside": Information Retrieval, Radiology Reporting, and
Beyond (ICII43B – Kahn)
• Decoding the Alphabet Soup (IHE®, MIRC®, RadLex®, Reporting):
Worldwind Tour of RSNA Informatics Projects (ICIW22 – Mendelson,
Flanders, Rubin, Langlotz, Kahn)
• Standard Terminology for Radiology Reporting (RC430C – Kahn)

6. RSNA 2011 exhibits
• RSNA structured reporting initiative: navigating the online
radiology reporting template library (Heilbrun, et al.)
• Developing international standards to support structured reporting
in radiology (Kahn, Solomon, O’Donnell, Langlotz)
• Integrating medical ontologies into radiology reporting templates
(Hong, et al.)
• Using a visualization technique to represent information in
radiology reporting templates (Hong, et al.)

7. Other recent and upcoming presentations:
• Structured reporting: improving the quality of radiology reports.
European Congress of Radiology (ECR), Vienna, Austria, March 2011.
• RELAX-NG encoding of radiology report templates. Society for
Imaging Informatics in Medicine (SIIM), Washington, DC, June 2011
(Bozkurt, et al.)
• Evaluation of RadLex coverage of radiology reporting templates.
Society for Imaging Informatics in Medicine (SIIM), Washington, DC,
June 2011 (Hong, et al. – SIIM Young Investigator Travel Award)
• Improving the quality of radiology reports. Mayo Clinic, Rochester,
Minnesota, June 2011.
• Improving the quality of radiology reports. Management in
Radiology (MIR), European Society of Radiology, Nice, France,
September 2011.
• Structured reporting: the benefits of uniformity of reporting world-
wide. European Congress of Radiology (ECR), Vienna, Austria, March

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