The role of standards in creating a health information infrastructure

Hammond, W. E.

doi:10.1016/0020-7101(94)90008-6

Cited by 30 publications

(11 citation statements)

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“…x-ray images, or images x-ray). When the set of rules and guidelines are implemented correctly, they will improve metadata quality and accuracy [6].…”

Section: Metadata Quality Managementmentioning

confidence: 99%

“…In order to achieve efficient management of data, a code can be associated to each term. In [6], a semantic description by means of controlled vocabulary is given. Each remark and topological characterization into the semantic description section may represent a description of the content of the multimedia data the radiologist is describing.…”

Section: The Data Model Example In Practicementioning

confidence: 99%

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<title>Content standards for medical image metadata</title>

d’Ornellas

Rocha

2003

Storage and Retrieval Methods and Applications for Multimedia 2004

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Medical images are at the heart of the healthcare diagnostic procedures. They have provided not only a noninvasive mean to view anatomical cross-sections of internal organs but also a mean for physicians to evaluate the patient's diagnosis and monitor the effects of the treatment. For a Medical Center, the emphasis may shift from the generation of image to post processing and data management since the medical staff may generate even more processed images and other data from the original image after various analyses and post processing. A medical image data repository for health care information system is becoming a critical need. This data repository would contain comprehensive patient records, including information such as clinical data and related diagnostic images, and post-processed images. Due to the large volume and complexity of the data as well as the diversified user access requirements, the implementation of the medical image archive system will be a complex and challenging task. This paper discusses content standards for medical image metadata. In addition it also focuses on the image metadata content evaluation and metadata quality management.

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“…x-ray images, or images x-ray). When the set of rules and guidelines are implemented correctly, they will improve metadata quality and accuracy [6].…”

Section: Metadata Quality Managementmentioning

confidence: 99%

Section: The Data Model Example In Practicementioning

confidence: 99%

<title>Content standards for medical image metadata</title>

d’Ornellas

Rocha

2003

Storage and Retrieval Methods and Applications for Multimedia 2004

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“…Built into the DICOM structure is a way to certify that a manufacturer had, in fact, followed the rules of DICOM in the storage, exchange, and display of digital image data-this process is known in DICOM as conformance. The potential benefits of DICOM conformance are: 1) it allows the customer to purchase a cardiac X-ray acquisition laboratory from one vendor and a workstation or other equipment from another and be assured that the equipment will work as well as if it had all been provided by a single vendor; 2) DICOM provides the capability for multi-modality interfacing with catheterization, echocardiographic, and CT images among others; and 3) DICOM is compatible with other electronic data standards in medicine such as Health Level 7 (HL7), providing a pathway for communication between the angiographic image and hospital information systems [12]. It also provided a means for integration of image No post-processing capability data with other demographic and procedural data such as clinical reports and hemodynamic waveform data.…”

Section: Logical Formatmentioning

confidence: 99%

Cine film replacement: Digital archival requirements and remaining obstacles

Holmes

Wondrow

Bell

et al. 1998

Cathet. Cardiovasc. Diagn.

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“…These standards do not specify design details about software or the “bit stream” protocol used to transmit data, but they provide rules on information content and data format to be used when information is transmitted between computers. The standards include sections on clinical laboratory test reporting, pharmacy systems, transcribed documents, imaging studies, order entry, clinical observations, and financial information [22,48,49]. Information on updated HL7 standards can be obtained on the World Wide Web at http://www.mcis.…”

Section: A Note On Standards Developmentmentioning

confidence: 99%

Clinical Information Systems for Intensive Care, Pediatric Critical Care, and Neonatology

Jose

Adler

Keyes

et al. 1997

J Intensive Care Med

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Computer information systems are expected to soon take the place of current paper charting practices, and they offer great promise to assist management of the considerable amounts of data encountered in the information‐rich environment of intensive care units (ICUs). Efforts to create an electronic medical record (EMR) have been underway for more than two decades, and major national organizations, such as the Institute of Medicine, have issued recommendations on standards. Benefits of an EMR include a legible patient record, enhanced communication, provision of timely reminders and alerts to clinicians, reduction of calculation errors, access to data bases for quality assurance and research, reduced healthcare costs, and improved patient outcomes. Despite these benefits, successful EMR implementations have been confined to a few committed institutions, and expensive failures have occurred. Practitioners of neonatology and pediatric intensive care are likely to have substantial difficulty implementing an EMR to fit their specialized needs because most experience in this area has been gained through care of adult patients, and systems being developed are oriented toward nonpediatric patients. It is therefore important to examine experience thus far with the functional components of an EMR so practitioners will be able to evaluate systems better as they become available. System components discussed include nursing charting facilities, lab reporting, physician order entry, physician progress notes, structured reports, decision support systems, and problem list management. Other concerns discussed include research and quality assurance functions, data access and confidentiality issues, and electronic mail. Maximizing the “structured data” content, as opposed to narrative content of an EMR, is an important priority, and progress on developing a uniform medical language is discussed. An approach to evaluating clinical information systems for use in the ICU is presented; it should assist practitioners of pediatric critical care and neonatology in identifying computer‐based charting solutions that are optimal for infants and children, while cooperating with medical center‐wide needs for compatibility and a common data base.

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The role of standards in creating a health information infrastructure

Cited by 30 publications

References 0 publications

<title>Content standards for medical image metadata</title>

<title>Content standards for medical image metadata</title>

Cine film replacement: Digital archival requirements and remaining obstacles

Clinical Information Systems for Intensive Care, Pediatric Critical Care, and Neonatology

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