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Health Level Seven and The Health Story Project Announce Publication of Diagnostic Imaging Report Guide at Annual RSNA Meeting : HL7 Clinical Document Architecture (CDA) Implementation Guide Enhances Radiology Reporting
Date:12/2/2008

Koenig, MD, co-chair of DICOM WG 20 / HL7 Imaging Integration WG (Siemens Healthcare). "The HL7 CDA Diagnostic Imaging Report (DIR) Implementation Guide and DICOM DIR Transformation Guide provide the basis for improving the exchange of imaging results."

In many cases the results of radiology studies are required before the next step in a patient's treatment or diagnosis can be made. The new standard allows for the inclusion of the detail and the narrative that the referring physician wants and needs while retaining the computer interoperability required for automatic processing and clinical support.

"The Diagnostic Imaging Report is extremely important for the field of radiology where diagnostic imaging combined with structured narrative from dictation is imperative to rapid decision making," said Michael Finke, CEO of M*Modal. "By providing radiologists with reporting standards, more records can be shared across the healthcare continuum in an accurate and efficient manner," he added.

Today, approximately 600 million clinical documents are dictated in the United States each year, comprising around 60% of all clinical data. While these documents contain the majority of physician-attested information and are used as the primary source of information for reimbursement and proof of service, this clinical information is grossly underutilized due to limitations in ability of current computer-based record systems to access the information locked away in these documents.

"We are pleased to support this work that can advance the future of healthcare clinical documentation by bridging the gap between narrative documents produced through dictation and the structured, computable records within an electronic health record," added HL7 Chair, W. Ed Hammond, PhD. "When information is accurate and shared in a readily available form, physicians will be able to use data to offer best practices and
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