Interactive Multimedia Reporting (IMR)

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1. Proposed Workitem: Interactive Multimedia Reporting (IMR)

• Proposal Editor: David Kwan, Elliot Silver, Kinson Ho, Christopher Roth, Les Folio, Andrei Leontiev, Seth Berkowitz
• Editor: Kinson Ho
• Date: N/A (Wiki keeps history)
• Version: N/A (Wiki keeps history)
• Domain: Radiology

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2. The Problem

IMR provides imaging findings and results in a contextual, educational/informative, and graphic manner that meets the modern accessibility expectations of providers and patients. Interactive Multimedia Reporting (IMR) has been defined (by the HIMSS-SIIM Enterprise Imaging Workgroup) as “interactive medical documentation that combines clinical images, videos, sound, imaging metadata, and/or image annotations with text, tables, graphs, anatomic maps, and/or educational resources to optimize communication between medical professionals and their patients.” Interactive Multimedia Reporting improves communications and workflow; by providing clear, concise and contextual information for stakeholder users of clinical reports. Current IMR implementations that utilize proprietary technologies and techniques to create and distribute reports with rich content face challenges with wide scale sharing of such reports.

3. Key Use Case

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Summary of Tasks

1	Defining the ability for IMR consumers to launch images from image hyperlinks on a report, a viewport in the PACS workstation displays the appropriate image instance UID in the context of the parent DICOM series.
2	Define the ability for the report creator to query and retrieve a thumbnail image of source image, which is inserted as an embedded image into the final report. The image is embedded as a hyperlink to the instance UID of the source image.
3	Define the ability of an Oncologist to retrieve and review an Interactive Multimedia Report in an EMR client. The report contains hyperlinks to specific findings. When clicked, the hyperlinks launch the enterprise viewer to display the appropriate image instance UUID in the context of the parent DICOM series.

4. Standards and Systems

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5. Discussion

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