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J Digit Imaging. 2016 Oct;29(5):530-8. doi: 10.1007/s10278-016-9882-0.

A Foundation for Enterprise Imaging: HIMSS-SIIM Collaborative White Paper.

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Duke Health Technology Solutions, Hock Plaza, 2424 Erwin Road, Durham, NC, 27705, USA.
Department of Radiology, Duke University Hospital, 2301 Erwin Road, Box 3808, Durham, NC, 27710, USA.
Information Technology Division, Cleveland Clinic, 572 Lake Forest Dr., Bay Village, OH, 44140-2513, USA.
Mayo Clinic IT, 200 3rd Ave SW, Pb 2-58, Rochester, MN, 55905, USA.


Care providers today routinely obtain valuable clinical multimedia with mobile devices, scope cameras, ultrasound, and many other modalities at the point of care. Image capture and storage workflows may be heterogeneous across an enterprise, and as a result, they often are not well incorporated in the electronic health record. Enterprise Imaging refers to a set of strategies, initiatives, and workflows implemented across a healthcare enterprise to consistently and optimally capture, index, manage, store, distribute, view, exchange, and analyze all clinical imaging and multimedia content to enhance the electronic health record. This paper is intended to introduce Enterprise Imaging as an important initiative to clinical and informatics leadership, and outline its key elements of governance, strategy, infrastructure, common multimedia content, acquisition workflows, enterprise image viewers, and image exchange services.


Archive; Bioinformatics; Clinical image viewing; Diagnostic imaging; Digital Imaging and Communications in Medicine (DICOM); Electronic medical record (EMR); Enterprise PACS; Enterprise imaging; Image data; Image viewer; Imaging informatics; Imaging informatics administration; Multimedia; PACS; Systems integration

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