Standardisierung des radiologischen Befundberichtes - Norm DIN 6827-5

Autor: Hackländer T
Rok vydání: 2004
Předmět:
Zdroj: RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren. 176:1481-1484
ISSN: 1438-9010
1438-9029
Popis: Purpose: According to the current German "Rules and Regulation for the Application of X-rays" (RoV), a radiological report has to be issued whenever a person undergoes an examination involving x-rays. Since the RoV isnot specific as to its contents, the German Radiology Standards Committee (NAR) has developed a standard for the reports. The scope of this reporting standard was expanded beyond x-ray procedures to all imaging modalities. Materials and Methods: The radiologic report describes the type of examination performed on the patient. Following the "DICOM Structured Report" information model, the report is structured in form of a document tree. The report must be archived in printed form or digitally. Results: The report is thematically divided into six sections. Within each section, the data are condensed to the smallest still meaningful information unit. For each entry, it is stated whether it is obligatory or optional. Conclusion: The reports according to the standards of the NAR comply with the RoV. Standards prescribing a structure can be used as guide for uniform reporting, as appropriate for printed reports. By consistently following the DICOM standards, future international standards for medical contents can be integrated into radiologic reports.
Databáze: OpenAIRE