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How Image Exchange Breaks Down: the Image Library Perspective

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Abstract

While in the last decade there has been significant technical infrastructure development to support standards-based image exchange through organizations like Integrating the Healthcare Enterprise, Carequality, DICOM, and HL7 FHIR, the human operationalization of such infrastructure using centralized, intuitive, standards-based applications remains the cornerstone of effective and reliable electronic image exchange. Image libraries managing the highly transactional and often uncertain inflows and outflows of images have a unique perspective on the challenges of image exchange. This manuscript will summarize frequent collaboration and communication, release of information, staffing, technology, information localization, and analytics difficulties for image exchange from the perspective of the image library staff managing the transactions.

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Acknowledgements

The authors would like to acknowledge and thank the image library and imaging

informatics professional staffs who support imaging continuity of care across all healthcare facilities.

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Authors and Affiliations

  1. Department of Radiology, Duke University Health System, Durham, NC, USA

    Christopher J. Roth & Hope H. Harten

  2. Wake Radiology, Raleigh, NC, USA

    Matt Dewey

  3. Don K, Dennison Solutions Inc, Waterloo, ON, Canada

    Don K. Dennison

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  1. Christopher J. Roth
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  2. Hope H. Harten
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  4. Don K. Dennison
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Correspondence to Christopher J. Roth.

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Roth, C.J., Harten, H.H., Dewey, M. et al. How Image Exchange Breaks Down: the Image Library Perspective. J Digit Imaging 35, 785–795 (2022). https://doi.org/10.1007/s10278-022-00684-x

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