title: Interest of including trauma photography in the picture archiving and communication system of a teaching hospital.
abstract: Digital imaging is a daily practice in traumatology. Such photographs should remain confidential. However, there is a need for objectivity concerning the circumstances and clinical follow-up for trauma patients. This paper describes how to conserve these photographs within the picture archiving and communication system (PACS) safely as regards identity and confidentiality. A computer converts the photographs into DICOM files. The DICOM image is associated to a reconciliation layer, validated by the physician in charge, and then included in the hospital PACS. This improves transmission from one medical team to another, both initially and after the accident if an expert medical opinion is required. The literature has demonstrated the value of photographs in modern medicine, but the technical and legal challenges are many. They enhance the computerized medical records. Identification, confidentiality and integration in the PACS are obstacles that we have now overcome.
authors.affiliation: Service de chirurgie orthopédique et traumatologie, hôpital St.-Roch, CHU de Nice, 5, rue Pierre-Dévoluy, 06000 Nice, France. Electronic address: nicolas.bronsard@mac.com.
authors.forename: N
authors.initials: N
authors.lastname: Bronsard
authors.affiliation: Service de chirurgie réparatrice, hôpital St.-Roch, CHU de Nice, 5, rue Pierre-Dévoluy, 06000 Nice, France.
authors.forename: B
authors.initials: B
authors.lastname: Chignon Sicard
authors.affiliation: Service d'imagerie médicale, hôpital Archet 2, CHU de Nice, 151, route de Saint-Antoine-de-Ginestière, 06200 Nice, France.
authors.forename: N
authors.initials: N
authors.lastname: Amoretti
authors.affiliation: Direction des services informatiques, hôpital Archet 1, CHU de Nice, 151, route de Saint-Antoine-de-Ginestière, 06200 Nice, France.
authors.forename: H
authors.initials: H
authors.lastname: Rottier
authors.affiliation: Service de chirurgie orthopédique et traumatologie, hôpital St.-Roch, CHU de Nice, 5, rue Pierre-Dévoluy, 06000 Nice, France.
authors.forename: P
authors.initials: P
authors.lastname: Ertz
authors.affiliation: Service de chirurgie orthopédique et traumatologie, hôpital St.-Roch, CHU de Nice, 5, rue Pierre-Dévoluy, 06000 Nice, France.
authors.forename: F
authors.initials: F
authors.lastname: de Peretti
mesh_terms: D003219:Confidentiality; D066289:Data Curation; D016208:Databases, Factual; D005602:France; D006784:Hospitals, Teaching; D006801:Humans; D007091:Image Processing, Computer-Assisted; D010781:Photography; D014947:Wounds and Injuries
keywords: Computerized patient record; Medical confidentiality; Photography and PACS; Trauma photography