Abstract
Clinical specialties have widely varied needs for diagnostic image interpretation, and clinical image and video image consumption. Enterprise viewers are being deployed as part of electronic health record implementations to present the broad spectrum of clinical imaging and multimedia content created in routine medical practice today. This white paper will describe the enterprise viewer use cases, drivers of recent growth, technical considerations, functionality differences between enterprise and specialty viewers, and likely future states. This white paper is aimed at CMIOs and CIOs interested in optimizing the image-enablement of their electronic health record or those who may be struggling with the many clinical image viewers their enterprises may employ today.
Highlights
Clinical specialties have widely varied needs for diagnostic image interpretation, and clinical image and video image consumption
A collaborative workgroup made up of members from the Healthcare Information and Management Systems Society (HIMSS) and the Society for Imaging Informatics in Medicine (SIIM) was formed to identify best practices and offers potential solutions for the challenges associated with enterprise imaging
For the purpose of this white paper, we propose the definition of an enterprise viewer as, Ba thin-client or zero-client application used on any off-the-shelf device to distribute, display, and manipulate multi-specialty image, video, audio, and scanned documents stored in separate centralized archives through, or standalone from, the electronic health record (EHR).^ Note that most legacy picture archiving and communication systems (PACS) have an associated thin-client or zero footprint application, but this may not provide diagnostic interpretation capabilities, the ability to look to a non-PACS archive, adequate speed, or the toolset depth of the full version
Summary
Many providers will anecdotally cite that sometimes an EHR textual description of images, whether documentation images in dermatology or diagnostic ones in radiology, is less valuable than seeing the images themselves. This HIMSS-SIIM white paper defines an enterprise viewer and provides highlevel technical, regulatory, and functionality considerations when evaluating these applications. Enterprise viewers serving multiple specialties and use cases have gained favor for many reasons These reasons include institutional pressures favoring scalable infrastructure, the business need presented by electronic health record image storage and viewing, data flow standard advances, viewer toolset improvements, and others. Further enterprise viewer expansion is expected to cover the broad needs of provider, non-provider staff, and patient image access and viewing in coming years
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