RSNA and the Regenstrief Institute have begun work to harmonize and unify terms for radiology procedures. The intent is to improve the quality, consistency and interoperability of radiology test results in electronic medical record systems and health information exchange.
The work is funded by a contract from the National Institute of Biomedical Imaging and Bioengineering.
RSNA, which owns and maintains the RadLex medical terminology for radiology, and the Regenstrief, which owns and maintains the Logical Observation Identifiers Names and Codes, or LOINC, terminology standard for medical tests and measurements, share the contract and will collaborate on the endeavor to produce a single unified source of names and codes for radiology procedures.
[See also: Groups partner to link LOINC and SNOMED.]
Today, each radiology practice typically creates and maintains its own list of procedure names and descriptions to use in ordering, performing, reporting and billing for services. The absence of shared names makes it difficult to compare radiology data between sites.
For example, one radiology group may call a procedure a thorax CT angiogram, while another may call the same procedure a chest CTA scan. Health information exchange requires a common terminology to ensure that medical data can be recorded, transferred and ultimately used when and where the patient needs it.
Widespread adoption of standard procedure names will promote a common understanding of procedures across care sites, simplify clinical and business processes, improve communications among providers, and enhance the quality and consistency of clinical data produced by radiology. Consistent naming will also facilitate decision support, outcomes analysis and other quality improvement initiatives.
The unification effort will be led by Curtis Langlotz, MD, of the University of Pennsylvania and Daniel Rubin, MD, of Stanford University, who have chaired the RSNA RadLex committees; and by Daniel Vreeman, of the Regenstrief Institute and Indiana University School of Medicine, who directs the development of LOINC.
[See also: RSNA demo offers first-hand look at image sharing.]
“We welcome this opportunity to develop a common terminology for radiology procedure names and a single governance structure to manage future development,” Langlotz said, in a news release.
“This harmonization project is a crucial step to bringing the benefits of the RadLex standardized radiology terminology to all hospitals nationally and to enabling national initiatives relying on standardized names for radiology procedures,” Rubin added.
