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

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

Christopher Carr

Director of Informatics, RSNA


Image share overview
Image Share: Overview IHE Profiles

  • 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 IHE Profiles


Industry participants
Industry Participants IHE Profiles

  • Clearinghouse

  • PHRs


Image share rationale
Image Share: Rationale IHE Profiles

  • 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 IHE Profiles

  • 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- IHE ProfilesI.b

UKRC 2012


Patient controlled image sharing
Patient-controlled Image Sharing IHE Profiles

  • 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 IHE Profiles




Process steps
Process Steps IHE Profiles

  • 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 IHE Profiles




Phr image viewer
PHR Image Viewer IHE Profiles


Phr report display
PHR Report Display IHE Profiles


Image share current stats 6 13
Image Share Current Stats (6/13) IHE Profiles

  • Patients enrolled = 3896

  • Exams sent to Clearinghouse = 15,190

  • 3.5 exams /patient

  • Patient utilization of PHR (~40%)


Patient engagement
Patient Engagement IHE Profiles

  • 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 IHE Profiles

  • 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 IHE Profiles

  • 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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