The Center for Diagnostic Imaging (CDI), which operates 59 imaging centers in nine states, is custom-developing an electronic health record with Merge Healthcare, and hoping to be ready by October 2011 to start a 90-day meaningful use reporting period. Following is a Q&A with CIO Steve Fischer:

Question: The Center is custom-developing an EHR using baseline technology from its radiology information systems vendor, Merge Healthcare. Please explain this--is the organization building an EHR in-house on top of the RIS, or heavily customizing a third-party EHR that will integrate with the RIS, or doing something else?

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