Mayo Information Technology, Mayo Clinic, Rochester, MN, USA.
Manager Clinical Program at HDIRS, Ontario, Canada.
J Digit Imaging. 2020 Feb;33(1):6-16. doi: 10.1007/s10278-019-00294-0.
This white paper explores the considerations of standards-based interoperability of medical images between organizations, patients, and providers. In this paper, we will look at three different standards-based image exchange implementations that have been deployed to facilitate exchange of images between provider organizations. The paper will describe how each implementation uses applicable technology and standards; the image types that are included; and the governance policies that define participation, access, and trust. Limitations of the solution or non-standard approaches to solve challenges will also be identified. Much can be learned from successes elsewhere, and those learnings will point to recommendations of best practices to facilitate the adoption of image exchange.
本白皮书探讨了医疗机构、患者和医疗服务提供方之间基于标准的医学影像互操作性的注意事项。在本文中,我们将研究三种不同的基于标准的影像交换实现方式,这些实现方式已经被部署用于促进医疗机构之间的影像交换。本文将描述每个实现方式如何使用适用的技术和标准;所包含的影像类型;以及定义参与、访问和信任的治理策略。还将确定解决方案的局限性或非标准方法来解决挑战。从其他地方的成功经验中可以学到很多东西,这些经验教训将为促进影像交换的采用提供最佳实践建议。