Moving toward multimedia electronic health records: how do we get there?

Area of Science:

• Biomedical Imaging
• Health Informatics
• Electronic Health Records

Background:

• The integration of multimedia data, specifically images, into electronic health records (EHRs) has been limited.
• Discussions on the meaningful use of health information technology often overlook the significance of image data.
• A workshop highlighted the need to re-evaluate the role of images in healthcare systems.

Purpose of the Study:

• To examine the role and value of images as multimedia data within electronic health records (EHRs).
• To address the underrepresentation of image data in health information technology discussions.
• To identify opportunities and challenges for incorporating images into EHRs.

Main Methods:

• Jointly sponsored workshop by the National Institute of Biomedical Imaging and Bioengineering and the Office of the National Coordinator for Health Information Technology.
• Convened diverse stakeholders including presenters and participants.
• Facilitated discussions on the value, challenges, and future of image data in EHRs.

Main Results:

• Workshop participants argued that images are essential, not ancillary, data for EHRs.
• Images should be central to health information systems to improve clinical decision-making, quality, efficiency, and safety.
• Existing imaging standards can form the basis for interoperability.

Conclusions:

• Despite identified challenges, images hold significant value for EHRs.
• Achieving fully multimedia EHRs requires addressing implementation barriers.
• Workshop participants offered perspectives on pathways toward integrating images effectively into EHRs.