Healthcare professionals can view shared images from partnering healthcare providers in Maryland directly within the patient's health record.

Image Exchange

Image Exchange is our image-sharing service, enabling users to access patient images in full diagnostic quality via the Web Portal or the InContext app within their EMR.

For an organization to join as an Image Exchange participant, contributing images to the HIE, they must also share radiology reports. We collaborate closely with our imaging partner, eHealth Technologies (eHT), to ensure accessibility for end users.

These images are available to all users with access to their patient’s health records.

Use Cases

  • “As a specialist, I can access and review all known images for a new patient, comparing them across all connected facilities.”
  • “In my role as an ER Doc, when a patient arrives with trauma to the back or head, I can view images from external facilities. This helps me understand baseline anatomy and evaluate the impact of the trauma, aiding in making the right treatment decisions.”
  • “For PACS Administrators, Radiology Technicians, Medical Records Specialists, or Film Librarians, the ability to query patients and download images from all connected external facilities is crucial. This allows for preparation before outpatient appointments.”

Viewing Images

CRISP Clinical users have three ways to view images:

  1. At the Report Level: Users can access images and their corresponding Radiology or Cardiology reports within InContext or Clinical Information Service. These are available in the Radiology tab within the Health Records section.
  2. Imaging Worklist: To access the Imaging Worklist, go to the Radiology tab within the Health Records section of the InContext or clinical service. Here, you can compare images from all organizations that contribute images to CRISP. The worklist contains up to 20 years’ worth of prior images from participating sites.
  3. Transfer to PACS: Download external images from the Imaging Worklist to your local PACS. Note: not all users will have access to this functionality. Access is determined by facility PACS administrator.

*PACS stands for Picture Archiving Communication System. Images are stored in the PACS.

Image Exchange Webinar 4.11.24


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