2023-07-31

Agenda

Open Imaging Data Model
- https://www.openimagingdata.org/
- Ideally findings would be recorded into CDE (Common Data Elements) and then stored as FHIR Observations into EHR
  - Fully understood by EMR and incorporated into reports downstream
- Involved: Epic, Nuance, SmartReporting
- David: Huge pushback on CDE from clinicians, has failed in the past
AWS HealthImaging
- Why it was needed
  - ISVs had difficulty with cloud migration
    - too expensive
    - viewer was slow
    - not reliable
    - cost complexity / predictability
- What is it?
  - Low Cost - https://aws.amazon.com/healthimaging/pricing/
    - Three pricing components
      - $/gb/month in archive -> $.006/GB/month (like S3 Glacier Instant Access $.004/gb/month)
      - $/gb/month in frequent access - $.105 / GB / Month
      - API Charges - $0.005 per 1,000 requests
- Why is it the way it is?
- How did it get built