Rsna image share patient controlled image sharing based on ihe profiles
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RSNA Image Share: Patient-controlled Image Sharing Based on IHE Profiles. Christopher Carr Director of Informatics, RSNA. Image Share: Overview. Pilot project funded by the NIH – National Institute for Biomedical Imaging and Bioengineering (NIBIB) – $4.7m (Oct. 2009) $10.8m (Oct. 2012)

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RSNA Image Share: Patient-controlled Image Sharing Based on IHE Profiles

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Rsna image share patient controlled image sharing based on ihe profiles

RSNA Image Share: Patient-controlled Image Sharing Based on IHE Profiles

Christopher Carr

Director of Informatics, RSNA


Image share overview

Image Share: Overview

  • Pilot project funded by the NIH – National Institute for Biomedical Imaging and Bioengineering (NIBIB) –

    • $4.7m (Oct. 2009)

    • $10.8m (Oct. 2012)

  • RSNA is prime contractor, working with researchers/developers from six institutions

  • Currently deployed at seven sites; 28 sites in deployment pipeline

  • Translational research: test viability of patient-controlled sharing of images over Internet


Participants

Participants


Industry participants

Industry Participants

  • Clearinghouse

  • PHRs


Image share rationale

Image Share: Rationale

  • Medical imaging is a high-value, high-cost, rapidly expanding medical service

  • Current method of sharing via CDs is beset with inefficiencies and frustration

  • Studies show significant rates of redundant imaging procedures due to inaccessible priors

  • Patient empowerment is a key goal of current federal initiatives


Image share background

Image Share: Background

  • RSNA has history of sponsoring projects that promote standards in imaging and health IT

    • DICOM demonstrations starting 1992

    • Integrating the Healthcare Enterprise founded 1997

    • Engagement in HL7 and DICOM committees

    • Projects in terminology (RadLex) and structured reporting

  • Image Share is based on a foundation of IHE profiles – Cross-enterprise Document Sharing for Imaging (XDS-I.b)


Ihe xds i b

IHE XDS-I.b

UKRC 2012


Patient controlled image sharing

Patient-controlled Image Sharing

  • Information is shared directly with patient, who controls all subsequent access

  • Relies on Personal Health Record (PHR) accounts

  • No unencrypted patient information accessible in network

  • Security “key” is provided to patient, who uses it to retrieve information into PHR


Image share network

Image Share Network


Image sharing systems overview

Image Sharing Systems Overview


Image share edge server

Image Share Edge Server


Process steps

Process Steps

  • Edge Server maintains list of completed studies

  • Site personnel enroll patients and query Edge Server for their studies

  • Patient generates a password to accompany security key

  • Study (or studies) sent to Clearinghouse

  • Patient creates/logs in to PHR account

  • Patient retrieves studies

  • Patient uses PHR to share studies with subsequent care providers


Image share log in

Image Share Log In


Patient search results

Patient Search Results


Patient security key printout

Patient Security “Key” Printout


Phr image viewer

PHR Image Viewer


Phr report display

PHR Report Display


Image share current stats 6 13

Image Share Current Stats (6/13)

  • Patients enrolled = 3896

  • Exams sent to Clearinghouse = 15,190

  • 3.5 exams /patient

  • Patient utilization of PHR (~40%)


Patient engagement

Patient Engagement

  • Help Desk established to provide patient support

  • Sites provided with support and training for patient recruitment personnel

UKRC 2012


More information available

More Information Available

  • Edge Server Code and Related Design Documents:

    • https://github.com/rsna

  • General Information:

    • http://www.rsna.org/Image_Share.aspx

  • Demonstrations at RSNA meetings


Image share future plans

Image Share Future Plans

  • Expand network: 21 sites currently in queue

  • Enable site-to-site transfer: new release of Edge Server (v. 3.0) enables image retrieve

  • Add capabilities to support research trials


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