National Institute of Biomedical Imaging and Bioengineering, National Institutes of Health, Bethesda, MD 20892-5477, USA.
J Am Med Inform Assoc. 2012 Jul-Aug;19(4):503-5. doi: 10.1136/amiajnl-2011-000660. Epub 2012 Feb 4.
This report, based on a workshop jointly sponsored the National Institute of Biomedical Imaging and Biomedical Engineering and the Office of the National Coordinator for Health Information Technology, examines the role and value of images as multimedia data in electronic health records (EHRs). The workshop, attended by a wide range of stakeholders, was motivated in part by the absence of image data from discussions of meaningful use of health information technology. Collectively, the workshop presenters and participants argued that images are not ancillary data and should be central to health information systems to facilitate clinical decisions and higher quality, efficiency, and safety of care. They emphasized that the imaging community has already developed standards that form the basis of interoperability. Despite the apparent value of images, workshop participants also identified challenges and barriers to their implementation within EHRs. Weighing the opportunities and challenges, workshop participants provided their perspectives on possible paths forward toward fully multimedia EHRs.
本报告基于由国家生物医学影像和生物工程研究所和国家卫生信息技术协调员办公室联合主办的研讨会，探讨了图像作为电子健康记录（EHR）中的多媒体数据的作用和价值。该研讨会吸引了广泛的利益相关者参加，部分原因是在讨论卫生信息技术的有意义使用时缺乏图像数据。研讨会的演讲者和参与者普遍认为，图像不是辅助数据，而应该成为卫生信息系统的核心，以促进临床决策，并提高护理的质量、效率和安全性。他们强调，成像社区已经制定了形成互操作性基础的标准。尽管图像具有明显的价值，但研讨会参与者也确定了在 EHR 中实施图像所面临的挑战和障碍。在权衡机会和挑战的基础上，研讨会参与者就实现全多媒体 EHR 的可能途径提供了他们的观点。
