Implementation of an HL7/DICOM broker for automated patient demographic data entry in computed radiography systems

As radiology departments move closer to enterprise-wide electronic imaging systems, the importance of timely and accurate patient and exam information cannot be overstated. In addition, automated entry of patient and exam information into image acquisition modalities (e.g., computed radiography, CR) enhances technologist productivity, which is critical in high volume practices (e.g. a major trauma center). A difficulty arises, however, since the authoritative source of patient and exam information may be a Radiology Information System (RIS) or a Hospital Information System (HIS) packages its data differently than most imaging modalities. To bridge this gap, we have implemented an interface engine to affect the translation of Health Level Seven (HL7) messages from the RIS (or HIS) into Digital Imaging Communications In Medicine (DICOM) messages for seven CR systems (Fuji Medical Systems, Burbank, CA). Recent measurements suggest that manual technologist transcription of information into the CR unit takes 45.4 plus or minus 3.0 seconds. Since the introduction of the HL7/DICOM broker, the time has dropped to 5.4 plus or minus 0.1 seconds to produce the same information.