Cross-enterprise access to cancer imaging data

跨企业访问癌症成像数据

• 批准号: 7046877
• 负责人: ELLIOT D MENSCHIK
• 金额: $ 75.47万
• 依托单位: HX TECHNOLOGIES, INC.
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-06-01 至 2007-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7046877
• 关键词: automated medical record system; breast neoplasm /cancer diagnosis; clinical research; computer assisted diagnosis; computer assisted patient care; computer program /software; computer system design /evaluation; computer system hardware; confidentiality; diagnosis quality /standard; health care facility information system; hospital patient care; human subject; lung neoplasms; neoplasm /cancer radiodiagnosis; patient /disease registry; patient safety /medical error; radiodiagnosis

DESCRIPTION (provided by applicant): We propose to launch the first commercial service enabling physicians at unaffiliated hospitals to directly retrieve their patients' digital images and reports from each other on-demand. Despite significant societal need and market demand, US hospitals remain islands of mutually inaccessible data even as patients move between them. Even the most vulnerable patients remain burdened with carrying their own data from place to place. Radiologist interpretations are impaired without the benefit of historical images for side-by-side comparisons. Other physicians are faced with incomplete information to guide clinical decisions. The problem is only magnified for cancer patients who frequently seek care among multiple providers, inadvertently scattering their records across sites. Any one of such a patient's physicians can access only the subset of imaging data available from his/her island, blunting the impact of imaging on screening, diagnosis and management. In Phase I, we demonstrated the feasibility of a novel approach to clinical connectivity - a peer-to-peer network linking commercial imaging information systems from different vendors across three hospitals in a demanding clinical environment. Efforts to exchange data between hospitals over the last two decades have failed primarily due to their reliance on a central shared data repository. In contrast, our peer-to-peer approach satisfies the privacy, security, data stewardship, trust and independence requirements that competing health systems require to exchange digital clinical data with one another. In Phase II, we will launch the first-of-its-kind local healthcare information infrastructure (LHII), enabling five hospitals among three unaffiliated health systems to directly and securely access each other's digital imaging data. We will focus on the application of this technology to cancer screening, diagnosis and management in particular, and we will develop the additional components required to launch the first such non-proprietary clinical information service built on the basis of open standards. This service will have significant commercial and societal implications for the cost-effective delivery of high quality patient care while bringing to market the first commercial platform to support the federal government's recent call for establishing LHIIs around the country.

描述（由申请人提供）： 我们建议推出第一项商业服务，使非附属医院的医生能够按需直接检索患者的数字图像和报告。尽管有巨大的社会需求和市场需求，但美国医院仍然是相互无法访问的数据孤岛，即使患者在医院之间移动。即使是最脆弱的患者也仍然背负着从一个地方到另一个地方携带自己数据的负担。放射科医生的解释受损，没有历史图像的好处，并排比较。其他医生面临着不完整的信息来指导临床决策。对于经常在多个提供者之间寻求护理的癌症患者来说，这个问题只会被放大，无意中将他们的记录分散在各个网站上。任何一个这样的病人的医生只能访问从他/她的岛屿可用的成像数据的子集，削弱了成像对筛查，诊断和管理的影响。在第一阶段，我们证明了一种新的临床连接方法的可行性-一种点对点网络，在苛刻的临床环境中连接来自三家医院的不同供应商的商业成像信息系统。在过去的二十年里，医院之间交换数据的努力失败了，主要是因为它们依赖于中央共享数据库。相比之下，我们的点对点方法满足了相互竞争的卫生系统相互交换数字临床数据所需的隐私、安全、数据管理、信任和独立性要求。在第二阶段，我们将推出首个本地医疗信息基础设施（LHII），使三个独立卫生系统中的五家医院能够直接安全地访问彼此的数字成像数据。我们将重点关注这项技术在癌症筛查、诊断和管理方面的应用，并将开发所需的其他组件，以推出第一个基于开放标准的非专有临床信息服务。这项服务将具有重大的商业和社会意义，为高质量的病人护理提供具有成本效益的服务，同时为市场带来第一个商业平台，以支持联邦政府最近在全国各地建立LHI的呼吁。