Image-Enabled Office Workflow

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Image-Enabled Office Workflow (IEO) defines integration of an imaging suite with an electronic health record system in an ambulatory office setting.


The Image-Enabled Office (IEO) Profile specifies the integration of an imaging suite (modalities, storage server, and workstations) with an electronic health record system in an ambulatory office setting. This is a fully bi-directional integration, including ordering/scheduling of an imaging exam, status reporting for that exam, report creation, and web-based imaging exam review integration.


From a PACS and imaging device perspective, IEO facilitates the adoption of imaging in the office environment, because the imaging assets can be deployed with almost no changes.

From the office EHR perspective, the profile provides integration to the imaging suite using commonly used interface technologies, including HL7v2 messages and web services.

From an in-patient imaging IT perspective (RIS / CVIS / broker), the DICOM-related imaging workflow management assets can be packaged for integration with office EMRs in two different architectural approaches.

IEO is of particular interest to those providers and vendors who want to bring their existing in-patient experience into the office domain. It also provides a roadmap as to how those providers and vendors in the office space can leverage capabilities from the in-patient domain to deliver effective imaging workflows to the end-user.


The imaging suite of an ambulatory office is expected to operate in the same manner as a hospital imaging suite.

Systems Affected

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  • PACS systems may store, manage, and/or display Evidence Documents.
  • Display systems may query, retrieve and display Evidence Documents.
  • Reporting workstations may retrieve, process and include details from Evidence Documents in reports

Actors & Transactions:



Profile Status: Trial Implementation


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IHE Radiology Technical Framework:

  • Vol. 1 - Section 5 (SWF Profile)
  • Vol. 2 - Sections 4.8 to 4.10, 4.14 to 4.19, and 4.23
  • Vol. 3 - Appendix E

Underlying Standards:

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See Also

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Related Profiles

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