Integrating the Healthcare Enterprise: A Primer

Channin, David S.; Parisot, Charles; Wanchoo,; Leontiev, Alexander A.; El, Siegel

doi:10.1148/radiographics.21.5.g01se401351

Cited by 30 publications

(5 citation statements)

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“…Second, there should be support and use of international health care information technology (IT) standards for interoperability whenever possible. 3 This was accomplished by mandating the support for integration profiles as described by Integrating the Healthcare Enterprise, 4,5 such as Cross-Enterprise Document Sharing for Imaging (XDS-i). 6 In addition, the support for Digital Imaging and Communications in Medicine (DICOM) Supplements 122 and 145 7 was mandatory, although we knew that many vendors did not support this in the preparation and tender phase.…”

Section: Principles Of Piementioning

confidence: 99%

Pathology Image Exchange: The Dutch Digital Pathology Platform for Exchange of Whole-Slide Images for Efficient Teleconsultation, Telerevision, and Virtual Expert Panels

Diest

Huisman²,

Ekris

et al. 2019

JCO Clinical Cancer Informatics

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Among the many uses of digital pathology, remote consultation, remote revision, and virtual slide panels may be the most important ones. This requires basic slide scanner infrastructure in participating laboratories to produce whole-slide images. More importantly, a software platform is needed for exchange of these images and functionality to support the processes around discussing and reporting on these images without breaching patient privacy. This poses high demands on the setup of such a platform, given the inherent complexity of the handling of digital pathology images. In this article, we describe the setup and validation of the Pathology Image Exchange project, which aimed to create a vendor-independent platform for exchange of whole-slide images between Dutch pathology laboratories to facilitate efficient teleconsultation, telerevision, and virtual slide panels. Pathology Image Exchange was released in April 2018 after technical validation, and a first successful validation in real life has been performed for hematopathology cases.

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Section: Principles Of Piementioning

confidence: 99%

Pathology Image Exchange: The Dutch Digital Pathology Platform for Exchange of Whole-Slide Images for Efficient Teleconsultation, Telerevision, and Virtual Expert Panels

Diest

Huisman²,

Ekris

et al. 2019

JCO Clinical Cancer Informatics

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“…encompassing the entire scope of healthcare informatics [31,32]. Although IHE was initially a radiology-based endeavor, its scope has since expanded to anatomic pathology, cardiology, dentistry, endoscopy, eye care, IT infrastructure, laboratory, patient care coordination, patient care devices, pharmacy, quality, research and public health, and radiation oncology [33].…”

Section: Standards and Interoperabilitymentioning

confidence: 99%

Imaging Informatics: 25 Years of Progress

Agrawal¹,

Erickson²,

Kahn³

2016

Yearb Med Inform

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SummaryThe science and applications of informatics in medical imaging have advanced dramatically in the past 25 years. This article provides a selective overview of key developments in medical imaging informatics. Advances in standards and technologies for compression and transmission of digital images have enabled Picture Archiving and Communications Systems (PACS) and teleradiology. Research in speech recognition, structured reporting, ontologies, and natural language processing has improved the ability to generate and analyze the reports of imaging procedures. Informatics has provided tools to address workflow and ergonomic issues engendered by the growing volume of medical image information. Research in computer-aided detection and diagnosis of abnormalities in medical images has opened new avenues to improve patient care. The growing number of medical-imaging examinations and their large volumes of information create a natural platform for “big data“ analytics, particularly when joined with high-dimensional genomic data. Radiogenomics investigates relationships between a disease’s genetic and gene-expression characteristics and its imaging phenotype; this emerging field promises to help us better understand disease biology, prognosis, and treatment options. The next 25 years offer remarkable opportunities for informatics and medical imaging together to lead to further advances in both disciplines and to improve health.

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“…HL7 covers the exchange of textual or alphanumerical data, while DICOM (DC) is manly dedicated to multimedia objects (MMO). IHE (Integrating the Healthcare Enterprise) [15][16][17][18][19][20] bundles parts from both and has introduced additional elements in order to facilitate the overall integration process.…”

Section: Data Integrationmentioning

confidence: 99%

Enterprise imaging and multi-departmental PACS

Bergh

2006

Eur Radiol

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The aim of this review is to present the status of digital image acquisition and archiving outside of radiology and to describe the technical concepts and possibilities of how a "radiology" Picture Archiving and Communication System (PACS) can become a multi-departmental (MD-)PACS. First the principles of system integration technology are explained and illustrated by the description of a typical radiology system integration. Then four types of modality integration approaches are defined: the direct modality integration (Type-I), the integration via DICOM acquisition software (Type-II) the integration via specialised systems either with (Type-III) or without PACS connection (Type-IV). The last section is dedicated to the presentation of the PACS requirements of selected interdisciplinary modality types [Endoscopy, Ultrasound and Electrocardiography (ECG)] and clinical disciplines (Pathology, Dermatology, Ophthalmology and Cardiology), which are then compared with the technical possibilities of a MD-PACS.

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Integrating the Healthcare Enterprise: A Primer

Cited by 30 publications

References 1 publication

Pathology Image Exchange: The Dutch Digital Pathology Platform for Exchange of Whole-Slide Images for Efficient Teleconsultation, Telerevision, and Virtual Expert Panels

Pathology Image Exchange: The Dutch Digital Pathology Platform for Exchange of Whole-Slide Images for Efficient Teleconsultation, Telerevision, and Virtual Expert Panels

Imaging Informatics: 25 Years of Progress

Enterprise imaging and multi-departmental PACS

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