Abstract
With the advent of digital cameras, there has been an explosion in the number of medical specialties using images to diagnose or document disease and guide interventions. In many specialties, these images are not added to the patient’s electronic medical record and are not distributed so that other providers caring for the patient can view them. As hospitals begin to develop enterprise imaging strategies, they have found that there are multiple challenges preventing the implementation of systems to manage image capture, image upload, and image management. This HIMSS-SIIM white paper will describe the key workflow challenges related to enterprise imaging and offer suggestions for potential solutions to these challenges.
Highlights
Health care providers use images to help diagnose disease, document abnormalities or interventions, and guide treatment for their patients [1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17]
Enterprise imaging is becoming a mainstream expectation of patients, hospitals, and health care providers
As the industry begins to address this need, many workflow and solution challenges remain. This HIMSS-SIIM white paper discusses seven key challenges related to enterprise imaging that need to be addressed before the practice can be considered mature
Summary
Health care providers use images to help diagnose disease, document abnormalities or interventions, and guide treatment for their patients [1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17]. The system that creates the DICOM modality worklist sends key patient demographic information to the imaging modality This demographic information usually comes from the order and includes the patient’s name, medical record number, date of birth, sex, and the procedure name. Potential solutions include workflow reminders, adding patient identifying information to every image or create a new modality worklist. These scenarios are described in more detail below with their associated advantages and disadvantages. Because the information is applied after the images are obtained, the same workflow considerations related to patient identification that are described above must be accounted for In this scenario, the correctly identified images could be uploaded from within the patient context within the electronic medical record. Humerus, forearm, hand, and fingers are all part of the upper extremity
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