Is adoption of standards enough: examples of ACR-NEMA interface implementations

Abstract
The development of an interface between two different vendors' systems is not a trivial task. It can be made easier if standards are utilized, but this does not necessarily lead to plug and play connectivity. At Georgetown, we have been involved in the development of many interfaces between radiology information systems (RIS)/hospital information systems (HIS) and picture archiving and communications systems (PACS) over the past seven years. We are currently developing an interface between a computed radiography (CR) system and a PACS. Throughout our development efforts, we have found that using standards can reduce the time spent in the design, development, and implementation of the interface software, but they are not without problems. We describe interface development, in general, utilizing standards, specifics of our interface development between radiology and hospital information systems and PACS, and the advantages and limitations we have encountered while developing the CR to PACS interface using adopted standards. We also make some recommendations as to how the clarification of standards might be achieved.

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