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{{lowercase title}}'''eMix''', which stands for '''Electronic Medical Information Exchange''', is a [[Cloud computing|cloud computing]]-based technology for secure sharing of [[Medicine:Medical imaging|medical imaging]] studies and reports between disparate healthcare facilities and physicians.<ref name=Phillips>Phillips, J (2010). "Will Cloud Computing Blow Over?," Imaging Technology News, Jan./Feb. 2010.</ref> eMix was developed to address a challenge in medical imaging: How to exchange medical imaging data between proprietary [[Engineering:Information technology|information technology]] (IT) systems that do not "talk to each other",<ref name=Phillips /><ref name=McBride>McBride, R (2010). "DR Systems Spins Off eMix to Provide Online Exchange for Medical Images," Xconomy, 6 April 2010. Retrieved on 9 July 2010.</ref><ref name=Reicher>Reicher, M (2010). "Safe and Sound: Providing Security for Exchanging Medical Records," RT-Image, 18 January 2010.</ref>  
The service also provides an alternative to legacy solutions typically used for sharing medical imaging data.<ref name=Phillips /><ref name=McBride /><ref name=Reicher /> Examples of such legacy methods include:
*Virtual private networks
*Burning and mailing CDs
*Printing and mailing film, and 
*Faxing reports. 
eMix was one of the first cloud-based systems for accomplishing these tasks.<ref name=Phillips /><ref name=McBride />

Cloud-based services are likely to help facilitate the trend toward universal access to medical imaging and other electronic medical information. For example, members of [[Medicine:Health information exchange|health information exchange]]s (HIEs) can use a service such as eMix to share radiology data even when those members have mutually incompatible IT systems. The service also makes it possible for a healthcare institution to include radiology data obtained from out-of-network facilities or physicians in the institution's PACS, radiology information system (RIS), healthcare information system (HIS), or electronic medical record (EMR). Finally, it is a logical system for patients to use when adding medical imaging information to their [[Medicine:Personal health record|personal health record]] (PHR).<ref name=Cadet />

A potential advantage of using a cloud-based system is affordability. Healthcare institutions, physician offices, and patients need no special infrastracture to use such a system—they only need a computer connected via [[Engineering:Broadband|broadband]] to the Internet. They don't need to acquire special hardware or software, and can pay for the service on a subscription basis, much like phone service.<ref name=Reicher /><ref>Tang K (2009). "Cloud Computing Drives Design of New Imaging Management Platform," Diagnostic Imaging, 30 November 2009. Retrieved on 9 July 2010.</ref>

==History==
The cloud-based service is a business venture of [[Medicine:DR Systems|DR Systems]], an independent provider of enterprise imaging and [[Information management|information management]] systems for hospitals, integrated healthcare networks and diagnostic imaging centers,<ref name=McBride /><ref name=Merrill>Merrill, M (2010). "Montana Providers Use Cloud Computing to Share Radiology Data," Healthcare IT News, 4 January 2010. Retrieved on 9 July 2010.</ref>
eMix debuted in beta phase in late 2009. During this period, it was successfully tested by three medical facilities in Montana on behalf of Image Movement of Montana, an organization of 30 medical institutions in Montana that formed to seek more efficient ways of sharing medical imaging data,<ref name=Cadet>Cadet, J (2010). "Cloud Computing: The Forecast for Image Management," Health Imaging & IT, 24 March 2010. Retrieved on 9 July 2010.</ref><ref name=Merrill /> The three IMOM members implemented eMix on a clinical basis in December 2009, becoming the first facilities in the nation to exchange data with the system,<ref name=Reicher /><ref name=Cadet /><ref name=Merrill /> Other IMOM facilities have since tested and implemented eMix, as well.<ref name=HIMSS>HIMSS10 NewsWire (2010). "eMix Presents Cloud Technology for Image Sharing," Healthcare IT News, 23 February 2010. Retrieved on 12 July 2010.</ref>
eMix was launched as a commercially available product in early 2010. Besides the IMOM facilities, eMix is currently being used by healthcare providers in Florida, California, Texas, Washington, Alaska, Tennessee, Arkansas, and South Dakota.<ref name=HIMSS />
European eMix service is scheduled to debut in European countries in the Fall of 2010.<ref name=biowire>biowire (2010). "eMix Signs First European Distributor Agreement, Will Exhibit at German Radiology Congress," Genetic Engineering & Biotechnology News, 3 May 2010. Retrieved on 12 July 2010.</ref>

==Management==
DR System's Chairman of the Board is [[Medicine:DR Systems|Murray Reicher]], M.D., a board-certified diagnostic radiologist and company co-founder. The company's President and Chief Executive Officer is [[Medicine:DR Systems|Richard Porritt]]. The General Manager for eMix is Florent Saint-Clair.<ref name=biowire />

==Workflow==
Workflow using eMix takes place as follows:
*The sender selects the exam and other desired documents to send from a worklist of electronically stored radiology files and uploads the "package" to eMix. 
*The sender then selects a recipient from a list of authorized users (user authorization and authentication preserve privacy and confidentiality and strengthen compliance with HIPAA provisions). 
*eMix sends a notification email to the recipient, who can then log in and click on links to the package to preview the images and reports, or download and view the DICOM image exam and related reports documents using a free DICOM viewer.<ref name=Reicher /><ref>Vaughn C (2009). "Facilities Use Cloud Computing to Share Radiology Images," HealthLeaders, 15 December 2009. Retrieved on 9 July 2010.</ref>

==See also==
{{div col|colwidth=30em}}
* [[Social:Clinical documentation improvement|Clinical documentation improvement]]
* [[DICOM]]
* European Institute for Health Records (EuroRec)
* [[Medicine:Health care|Health care]]
* [[Medicine:Health informatics|Health informatics]]
* [[Medicine:Health information management|Health information management]]
* [[Medicine:Hospital information system|Hospital information system]]
* List of open source healthcare software
* [[Medicine:Medical record|Medical record]]
* [[Medicine:Radiology|Radiology]]
{{div col end}}
<!-- please keep entries in alphabetical order -->

==References==
<references/>

==External links==
* [http://www.emix.com/ Company website]

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[[Category:Medical imaging]]
[[Category:Healthcare software]]

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