In 2022, the ACR National Radiology Data Registry (NRDR®) will begin the transition from using the TRIAD Site Server for data transmission to DIR Link — a software application that is a component of ACR Connect, the next generation of TRIAD.
Based on user feedback, the ACR® developed the ACR Connect platform to enable more efficient and secure data flow and management across various software systems and applications for facilities engaged in ACR NRDR, ACR Accreditation and ACR research initiatives.
ACR Connect improves the data management process from access and ingestion (the process whereby data are extracted, de-identified, transmitted and loaded into ACR databases) to retrieval of reports and potential support of advanced data analyses.
Implementation of DIR Link will start with a small group of early adopters who will provide input about the new software and best practices for implementation prior to broader rollout late this year.
Benefits of DIR Link and ACR Connect
- Enhanced automation: DIR Link automatically updates as new features are released to Dose Index Registry (DIR) participating facilities to ensure they are up to date with the latest enhancements and technology. Participants will no longer need to uninstall the current software version and reinstall updated software versions. Using the ACR Connect infrastructure, participants can use industry-standard information access and retrieval technologies, including DICOM, DICOM Web and Fast Health Interoperability Resources.
- Enhanced security: Leveraging the ACR Connect platform, the DIR Link software is compliant with FDA Title CFR 21 Part 11 regulations, which ensures conformity to industry-leading security and documentation standards for software development, testing, deployment and distribution. Since data will be processed and extracted locally and automatically, only the necessary data elements for participation in the registry are sent to NRDR. Prior to submitting data to NRDR, participants can verify the anonymization results locally.
- Improved facility data analysis: DIR Link will enable local data crosswalks, allowing DIR participants to trace DIR report performance results back to their local systems and populations for improved quality and safety practices.
- Future opportunities: DIR Link will also enable the linking of patient data across health system software applications or cancer registries and add new data elements without increasing the burden on the site (e.g., pulling the indication for the exam from the EHR automatically).
Phase Out of Secondary Capture Images
It is important to note that DIR Link cannot accept secondary capture images. As such, please ensure that all your scanners and fluoroscopy systems are sending Radiation Dose Structured Reports as soon as possible. For more information, review the DIR Phases Out Secondary Capture Images article.
In the coming months, the NRDR team will provide more information about the transition phases, what you can expect and tips for a successful transition.