Structured reporting

Last revised by Henry Knipe on 16 Jun 2024

Structured reporting, sometimes called synoptic reporting, is a method of clinical documentation that captures and displays specific data elements in a specific format.

Most radiology reports are free-text narratives, which are variably formatted and prone to omitting important data. In contrast, structured reporting templates provide consistency and clarity, prompt entry of all necessary data elements, and are amenable to scalable data capture, interoperability, and exchange 1. Most published examples of structured reporting templates are based on the technique and body part examined.

A variant known as contextual reporting provides fields relevant to the disease or examination indication 2.

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