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Designing an Information Model for Structured Referrals and Interoperable Data Exchange in Radiology.

Laura Palling1,2, Julius Juurmaa1,2, Gunnar Piho3

  • 1Department of Health Technologies, Tallinn University of Technology, Estonia.

Studies in Health Technology and Informatics
|May 23, 2026
PubMed
Summary
This summary is machine-generated.

Standardizing radiology referrals with a new information model improves communication and reduces clinical risk. This approach enhances data consistency and supports better patient care across medical specialties.

Keywords:
RadiologySNOMED CTclinical decision supportinformation modelinteroperabilityquality managementreferral workflow

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Area of Science:

  • Medical Informatics
  • Radiology
  • Health Information Management

Background:

  • Effective communication between referring clinicians and radiology is crucial for patient diagnosis and treatment.
  • Incomplete or inconsistent radiology referrals lead to significant inefficiencies and clinical risks.

Purpose of the Study:

  • To present a conceptual information model for standardizing radiology referral and procedural information.
  • To enable interoperability, localization, and risk management in radiological communication.

Main Methods:

  • Analysis of approximately 2,500 radiological procedures.
  • Semi-structured interviews with stakeholders across diagnostic and interventional radiology.
  • Mapping identified principles to SNOMED CT for structured data capture and reuse.

Main Results:

  • Development of a standardized information model based on shared principles.
  • The model facilitates structured data capture and cross-system reuse of information.
  • Provides a foundation for communication tools like procedure catalogues and referral templates.

Conclusions:

  • The novel approach abstracts radiological data into reusable principles.
  • This model can enhance consistency, interoperability, and quality management in radiology.
  • Implementation in a clinical setting will evaluate its potential for improved communication and decision support.