Interactive Multimedia Reporting Technical Considerations: HIMSS-SIIM Collaborative White Paper.

Journal Article (Journal Article)

Despite technological advances in the analysis of digital images for medical consultations, many health information systems lack the ability to correlate textual descriptions of image findings linked to the actual images. Images and reports often reside in separate silos in the medical record throughout the process of image viewing, report authoring, and report consumption. Forward-thinking centers and early adopters have created interactive reports with multimedia elements and embedded hyperlinks in reports that connect the narrative text with the related source images and measurements. Most of these solutions rely on proprietary single-vendor systems for viewing and reporting in the absence of any encompassing industry standards to facilitate interoperability with the electronic health record (EHR) and other systems. International standards have enabled the digitization of image acquisition, storage, viewing, and structured reporting. These provide the foundation to discuss enhanced reporting. Lessons learned in the digital transformation of radiology and pathology can serve as a basis for interactive multimedia reporting (IMR) across image-centric medical specialties. This paper describes the standard-based infrastructure and communications to fulfill recently defined clinical requirements through a consensus from an international workgroup of multidisciplinary medical specialists, informaticists, and industry participants. These efforts have led toward the development of an Integrating the Healthcare Enterprise (IHE) profile that will serve as a foundation for interoperable interactive multimedia reporting.

Full Text

Duke Authors

Cited Authors

  • Berkowitz, SJ; Kwan, D; Cornish, TC; Silver, EL; Thullner, KS; Aisen, A; Bui, MM; Clark, SD; Clunie, DA; Eid, M; Hartman, DJ; Ho, K; Leontiev, A; Luviano, DM; O'Toole, PE; Parwani, AV; Pereira, NS; Rotemberg, V; Vining, DJ; Gaskin, CM; Roth, CJ; Folio, LR

Published Date

  • August 2022

Published In

Volume / Issue

  • 35 / 4

Start / End Page

  • 817 - 833

PubMed ID

  • 35962150

Pubmed Central ID

  • PMC9485305

Electronic International Standard Serial Number (EISSN)

  • 1618-727X

Digital Object Identifier (DOI)

  • 10.1007/s10278-022-00658-z


  • eng

Conference Location

  • United States