Progress report

[Chuck Kahn]

Hi everyone,

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

Best regards,
Chuck



1. Reporting templates
• 110 English-language templates have been published in both text and
XML.
• 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 (www.radreport.org) 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., radreport.org/template/
0000099), analogous to the RadLex® term URL (e.g., radlex.org/RID/
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
format.
• 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 (radreport.org).
• 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,
Heilbrun)
• "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
2012.