In order to successfully share patient data across multiple systems, a reliable method of linking patient records across disparate organizations is required. In Canada, within the province of Ontario, there are four centralized diagnostic imaging repositories (DIRs) that allow multiple hospitals and independent health facilities (IHF) to send diagnostic images and reports for the purpose of sharing patient data across the region (Nagels et al. J Digit Imaging 28: 188, 2015).
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