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Clinicians frustrated by the time-consuming task of opening discs, while Internet-based exchange of music, photos, and videos were becoming more widespread. The RSNA, which had extensive experience working on interoperability issues in medical imaging, began to look for opportunities to address the issue. In 2007, in the wake of the financial crisis, the National Institute of Biomedical Imaging and Bioengineering (NIBIB) issued an RFP to address Internet-based exchange of medical images. The RFP defined requirements for the network, including that it needed to be patient controlled and standards based. The RSNA was awarded funding for what came to be known as RSNA ImageShare. Over the next 8\u00a0years, the RSNA worked in partnership with several vendors and academic institutions to create a network for sharing image-enabled personal health records (PHR). The foundation of interoperability standards used in ImageShare was provided by Integrating the Healthcare Enterprise (IHE), a standards-development organization with which RSNA has had a long association. In 2018 and 2019, the RSNA looked at what had been accomplished and asked if we could take that next step at a national level and promote a solution by which any standards-compliant party could exchange imaging exams through an HIE mechanism.<\/jats:p>","DOI":"10.1007\/s10278-021-00537-z","type":"journal-article","created":{"date-parts":[[2022,8,22]],"date-time":"2022-08-22T23:03:21Z","timestamp":1661209401000},"page":"739-742","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The RSNA ImageShare \u2014 Enabling Secure, Transparent, and Easy Image Exchange"],"prefix":"10.1007","volume":"35","author":[{"given":"David S.","family":"Mendelson","sequence":"first","affiliation":[]},{"given":"Chris","family":"Carr","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7461-8968","authenticated-orcid":false,"given":"Blanca \u201cDidi\u201d","family":"Davis","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2022,8,22]]},"reference":[{"key":"537_CR1","doi-asserted-by":"publisher","unstructured":"Mendelson DS, Bak PR, Menschik E, Siegel E. Informatics in radiology: image exchange: IHE and the evolution of image sharing. Radiographics. 2008 Nov-Dec;28(7):1817\u201333. https:\/\/doi.org\/10.1148\/rg.287085174. Epub 2008 Sep 4. PMID: 18772272","DOI":"10.1148\/rg.287085174"},{"issue":"12","key":"537_CR2","doi-asserted-by":"publisher","first-page":"1260","DOI":"10.1016\/j.jacr.2014.09.013-L","volume":"11","author":"DS Mendelson","year":"2014","unstructured":"Mendelson DS, Erickson BJ, Choy G: Image Sharing: Evolving Solutions in the Age of Interoperability. Journal of the American College of Radiology 11(12):1260\u20131269, 2014. https:\/\/doi.org\/10.1016\/j.jacr.2014.09.013-L","journal-title":"Journal of the American College of Radiology"},{"key":"537_CR3","doi-asserted-by":"crossref","unstructured":"Shrestha RB: Enterprise imaging: Enabling true image exchange. 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J Digit Imaging. 2015 Feb;28(1):53-61.\u00a0https:\/\/doi.org\/10.1007\/s10278-014-9714-z.\u00a0PMID:25037586;PMCID:PMC4305053-B","DOI":"10.1007\/s10278-014-9714-z"},{"issue":"11","key":"537_CR6","doi-asserted-by":"publisher","first-page":"958","DOI":"10.1016\/j.jacr.2005.08.006","volume":"2","author":"RL Morin","year":"2005","unstructured":"Morin RL: Outside Images on CD: A Management Nightmare. Journal of the American College of Radiology 2(11):958, 2005. https:\/\/doi.org\/10.1016\/j.jacr.2005.08.006","journal-title":"Journal of the American College of Radiology"},{"key":"537_CR7","unstructured":"The Health Information Technology for Economic and Clinical Health (HITECH) Act HITECH Act Enforcement Interim Final Rule. Last accessed June 16, 2017"},{"key":"537_CR8","unstructured":"Integrating the Healthcare Enterprise, Integration Profile XDS, Cross-Enterprise Document Sharing - IHE Wiki. Last accessed 7\/12\/2001"},{"key":"537_CR9","unstructured":"Integrating the Healthcare Enterprise, Integration Profile XDS-I, Cross-enterprise Document Sharing for Imaging - IHE Wiki. Last accessed 7\/12\/2001"},{"key":"537_CR10","doi-asserted-by":"publisher","unstructured":"Greco G, Patel AS, Lewis SC, Shi W, Rasul R, Torosyan M, Erickson BJ, Hiremath A, Moskowitz AJ, Tellis WM, Siegel EL, Arenson RL, Mendelson DS. Patient-directed Internet-based Medical Image Exchange: Experience from an Initial Multicenter Implementation. Acad Radiol. 2016 Feb;23(2):237\u201344. https:\/\/doi.org\/10.1016\/j.acra.2015.10.012. Epub 2015 Nov 25. 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