Browsing by Author "Bui, Marilyn M."

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    Interactive Multimedia Reporting Technical Considerations: HIMSS-SIIM Collaborative White Paper
    Berkowitz, Seth J.; Kwan, David; Cornish, Toby C.; Silver, Elliot L.; Thullner, Karen S.; Aisen, Alex; Bui, Marilyn M.; Clark, Shawn D.; Clunie, David A.; Eid, Monief; Hartman, Douglas J.; Ho, Kinson; Leontiev, Andrei; Luviano, Damien M.; O’Toole, Peter E.; Parwani, Anil V.; Pereira, Nielsen S.; Rotemberg, Veronica; Vining, David J.; Gaskin, Cree M.; Roth, Christopher J.; Folio, Les R. (Springer, 2022-08)
    Despite technological advances in the analysis of digital images for medical consultations, many health information systems lack the ability to correlate textual descriptions of image findings linked to the actual images. Images and reports often reside in separate silos in the medical record throughout the process of image viewing, report authoring, and report consumption. Forward-thinking centers and early adopters have created interactive reports with multimedia elements and embedded hyperlinks in reports that connect the narrative text with the related source images and measurements. Most of these solutions rely on proprietary single-vendor systems for viewing and reporting in the absence of any encompassing industry standards to facilitate interoperability with the electronic health record (EHR) and other systems. International standards have enabled the digitization of image acquisition, storage, viewing, and structured reporting. These provide the foundation to discuss enhanced reporting. Lessons learned in the digital transformation of radiology and pathology can serve as a basis for interactive multimedia reporting (IMR) across image-centric medical specialties. This paper describes the standard-based infrastructure and communications to fulfill recently defined clinical requirements through a consensus from an international workgroup of multidisciplinary medical specialists, informaticists, and industry participants. These efforts have led toward the development of an Integrating the Healthcare Enterprise (IHE) profile that will serve as a foundation for interoperable interactive multimedia reporting.
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    Ocular Imaging Challenges, Current State, and a Path to Interoperability: A HIMSS-SIIM Enterprise Imaging Community Whitepaper
    Goetz, Kerry E.; Boland, Michael V.; Chu, Zhongdi; Reed, Amberlynn A.; Clark, Shawn D.; Towbin, Alexander J.; Purt, Boonkit; O’Donnell, Kevin; Bui, Marilyn M.; Eid, Monief; Roth, Christopher J.; Luviano, Damien M.; Folio, Les R. (Springer, 2024-10-01)
    Office-based testing, enhanced by advances in imaging technology, is routinely used in eye care to non-invasively assess ocular structure and function. This type of imaging coupled with autonomous artificial intelligence holds immense opportunity to diagnose eye diseases quickly. Despite the wide availability and use of ocular imaging, there are several factors that hinder optimization of clinical practice and patient care. While some large institutions have developed end-to-end digital workflows that utilize electronic health records, enterprise imaging archives, and dedicated diagnostic viewers, this experience has not yet made its way to smaller and independent eye clinics. Fractured interoperability practices impact patient care in all healthcare domains, including eye care where there is a scarcity of care centers, making collaboration essential among providers, specialists, and primary care who might be treating systemic conditions with profound impact on vision. The purpose of this white paper is to describe the current state of ocular imaging by focusing on the challenges related to interoperability, reporting, and clinical workflow.