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J Digit Imaging. 2016 Oct;29(5):567-73. doi: 10.1007/s10278-016-9887-8.

The Current State and Path Forward For Enterprise Image Viewing: 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.
Don K Dennison Solutions Inc., 205 Fern Crescent, Waterloo, Ontario, Canada, N2V 2P9.
Department of Radiology, Cincinnati Children's, 3333 Burnet Avenue, MLC 5031, Cincinnati, OH, 45229, USA.


Clinical specialties have widely varied needs for diagnostic image interpretation, and clinical image and video image consumption. Enterprise viewers are being deployed as part of electronic health record implementations to present the broad spectrum of clinical imaging and multimedia content created in routine medical practice today. This white paper will describe the enterprise viewer use cases, drivers of recent growth, technical considerations, functionality differences between enterprise and specialty viewers, and likely future states. This white paper is aimed at CMIOs and CIOs interested in optimizing the image-enablement of their electronic health record or those who may be struggling with the many clinical image viewers their enterprises may employ today.


Cardiac imaging; Cardiology PACS; Clinical image viewing; Diagnostic imaging; Digital imaging and communications in medicine (DICOM); Electronic medical record (EMR); Enterprise PACS; Enterprise imaging; Image display; Image distribution; Image viewer; Imaging informatics; Integrating healthcare enterprise (IHE); Multimedia; PACS

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