Workflow Challenges of Enterprise Imaging: HIMSS-SIIM Collaborative White Paper

Towbin, Alexander J.; Roth, Christopher J.; Bronkalla, Mark D.; Cram, Dawn

doi:10.1007/s10278-016-9897-6

Cited by 18 publications

(14 citation statements)

References 29 publications

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“…Today, dermatological imaging largely uses consumer file formats and there appears to be little impetus to change current practice. Dissemination of DICOM into clinical sites requires substantial technical and workflow challenges to be addressed [17,21]. For these reasons, it is worthwhile to explore whether DICOM provides advantages over the current practices in dermatologic imaging to warrant the investment of effort.…”

Section: Rationale For Dicommentioning

confidence: 99%

Transforming Dermatologic Imaging for the Digital Era: Metadata and Standards

Caffery

Clunie²,

Curiel‐Lewandrowski

et al. 2018

J Digit Imaging

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Imaging is increasingly being used in dermatology for documentation, diagnosis, and management of cutaneous disease. The lack of standards for dermatologic imaging is an impediment to clinical uptake. Standardization can occur in image acquisition, terminology, interoperability, and metadata. This paper presents the International Skin Imaging Collaboration position on standardization of metadata for dermatologic imaging. Metadata is essential to ensure that dermatologic images are properly managed and interpreted. There are two standards-based approaches to recording and storing metadata in dermatologic imaging. The first uses standard consumer image file formats, and the second is the file format and metadata model developed for the Digital Imaging and Communication in Medicine (DICOM) standard. DICOM would appear to provide an advantage over using consumer image file formats for metadata as it includes all the patient, study, and technical metadata necessary to use images clinically. Whereas, consumer image file formats only include technical metadata and need to be used in conjunction with another actor-for example, an electronic medical record-to supply the patient and study metadata. The use of DICOM may have some ancillary benefits in dermatologic imaging including leveraging DICOM network and workflow services, interoperability of images and metadata, leveraging existing enterprise imaging infrastructure, greater patient safety, and better compliance to legislative requirements for image retention.

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Section: Rationale For Dicommentioning

confidence: 99%

Transforming Dermatologic Imaging for the Digital Era: Metadata and Standards

Caffery

Clunie²,

Curiel‐Lewandrowski

et al. 2018

J Digit Imaging

View full text Add to dashboard Cite

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“…HIMSS-SIIM have attempted to provide solutions to challenges identified in their white papers but these remain as guidelines. 37,38 Although a minor issue, there are some image producers who do not appreciate the accessibility of patient images or the integration into a longitudinal medical record. These image producers believe that only the diagnostic report is the significant product and that images are only important to the diagnostic interpreter.…”

Section: Workflow Changes Of Enterprise Imagingmentioning

confidence: 99%

“…37 Towbin et al identifies seven workflow issues associated with visible light images. 38 Workflow: organisations will be required to decide on whether an order based or encounter based image capture workflow system should be utilised. As some departments, such as dermatology, do not know whether they will take an image prior to patient presentation or may be required to take multiple pictures then order based image capture can prove inefficient.…”

Section: Workflow Changes Of Enterprise Imagingmentioning

confidence: 99%

“…Clunie et al and Towbin et al have highlighted a variety of technical and workflow issues with visible light images. 37,38 However, both these white papers are unable to provide solutions for each issue. Solutions provided are general and although these papers serve to guide organizations on what issues they may face, further research may be required to solve specific issues raised.…”

Section: Workflow Changes Of Enterprise Imagingmentioning

confidence: 99%

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Enterprise Imaging: The Next Frontier in Healthcare Technology–A Liturature Review

Liao

Seeram²

2018

Radiol Open J

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A review of the literature was performed to evaluate, review and discuss the imaging systems of picture archiving and communication system (PACS), vendor neutral archive (VNAs) and enterprise imaging. Method A search through the databases of PubMed, OvidMedline, Scopus and Embase was performed utilizing several keywords relevant to image storage in various combinations of "OR" and "AND". Articles were carefully assessed according to inclusion and exclusion criteria where only articles published in the last 10 years were obtained to collect recent information. Additionally, articles found from the reference sections of electronically sourced articles were also reviewed. Results The review revealed that traditional PACS suffer from several limitations of data storage, migration and maintenance. VNAs improve upon this situation by allowing images from different departments to be shared easily and extend this ability to in between organizations. Physical copies of images are no longer needed and applications such as teleradiology and mobile imaging are possible. Enterprise imaging attempts to provide a format that allows for organizations to govern the management of image sharing and storage between institutions using a set of 7 characteristics that define an efficient system. Conclusion Image storage technology has experienced several advancements in recent years. Traditional PACS imaging has allowed for image capture, viewing, storage and analysis but is unable to perform effective image sharing across institutions. VNAs have provided a system to surpass this limitation by normalizing proprietary digital imaging and communications in medicine (DICOM) formats used by PACS vendors. With the advent of new technology, enterprise imaging has been developed as a system that enables the management of multi-departmental and multi-institutional image sharing in one system.

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“…Cross-system image data integration is performed by following the IHE Cross-enterprise Document Sharing for Imaging (XDS-I) profile [14]. The image data of each heterogeneous business system are processed with technical standardization for storage.…”

Section: Cross-system Image Data Integration and Sharingmentioning

confidence: 99%

Implementation of Enterprise Imaging Strategy at a Chinese Tertiary Hospital

Liu

Yuan

et al. 2018

J Digit Imaging

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Medical images have become increasingly important in clinical practice and medical research, and the need to manage images at the hospital level has become urgent in China. To unify patient identification in examinations from different medical specialties, increase convenient access to medical images under authentication, and make medical images suitable for further artificial intelligence investigations, we implemented an enterprise imaging strategy by adopting an image integration platform as the main tool at Xuanwu Hospital. Workflow re-engineering and business system transformation was also performed to ensure the quality and content of the imaging data. More than 54 million medical images and approximately 1 million medical reports were integrated, and uniform patient identification, images, and report integration were made available to the medical staff and were accessible via a mobile application, which were achieved by implementing the enterprise imaging strategy. However, to integrate all medical images of different specialties at a hospital and ensure that the images and reports are qualified for data mining, some further policy and management measures are still needed.

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Workflow Challenges of Enterprise Imaging: HIMSS-SIIM Collaborative White Paper

Cited by 18 publications

References 29 publications

Transforming Dermatologic Imaging for the Digital Era: Metadata and Standards

Transforming Dermatologic Imaging for the Digital Era: Metadata and Standards

Enterprise Imaging: The Next Frontier in Healthcare Technology–A Liturature Review

Implementation of Enterprise Imaging Strategy at a Chinese Tertiary Hospital

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