Abstract：
BACKGROUND: Standardized medical photography of the face is a vital part of patient documentation, clinical evaluation, and scholarly dissemination. Because digital photography is a mainstay in clinical care, there is a critical need for an easy-to-use mobile device application that could assist users in taking a standardized clinical photograph. ImageAssist was developed to answer this need. The mobile application is integrated into the electronic medical record (EMR); it implements and automates American Society of Plastic Surgery/Plastic Surgery Research Foundation photographic guidelines with background deletion.
UNASSIGNED: A team consisting of a craniofacial plastic surgeon and the Health Information Technology product group developed and implemented the pilot application of ImageAssist. The application launches directly from patients\' chart in the mobile version of the EMR, EPIC Haiku (Verona, Wisconsin). Standard views of the face (90-degree, oblique left and right, front and basal view) were built into digital templates and are user selected. Red digital frames overlay the patients\' face on the screen and turn green once standardized alignment is achieved, prompting the user to capture. The background is then digitally subtracted to a standard blue, and the photograph is not stored on the user\'s phone.
UNASSIGNED: ImageAssist initial beta user group was limited to 13 providers across dermatology, ENT, and plastic surgery. A mix of physicians, advanced practice providers, and nurses was included to pilot the application in the outpatient clinic setting using Image Assist on their smart phone. After using the app, an internal survey was used to gain feedback on the user experience. In the first 2 years of use, 31 users have taken more than 3400 photographs in more than 800 clinical encounters. Since initial release, automated background deletion also has been functional for any anatomic area.
CONCLUSIONS: ImageAssist is a novel smartphone application that standardizes clinical photography and integrated into the EMR, which could save both time and expense for clinicians seeking to take consistent clinical images. Future steps include continued refinement of current image capture functionality and development of a stand-alone mobile device application.
UNASSIGNED: A team consisting of a craniofacial plastic surgeon and the Health Information Technology product group developed and implemented the pilot application of ImageAssist. The application launches directly from patients\' chart in the mobile version of the EMR, EPIC Haiku (Verona, Wisconsin). Standard views of the face (90-degree, oblique left and right, front and basal view) were built into digital templates and are user selected. Red digital frames overlay the patients\' face on the screen and turn green once standardized alignment is achieved, prompting the user to capture. The background is then digitally subtracted to a standard blue, and the photograph is not stored on the user\'s phone.
UNASSIGNED: ImageAssist initial beta user group was limited to 13 providers across dermatology, ENT, and plastic surgery. A mix of physicians, advanced practice providers, and nurses was included to pilot the application in the outpatient clinic setting using Image Assist on their smart phone. After using the app, an internal survey was used to gain feedback on the user experience. In the first 2 years of use, 31 users have taken more than 3400 photographs in more than 800 clinical encounters. Since initial release, automated background deletion also has been functional for any anatomic area.
CONCLUSIONS: ImageAssist is a novel smartphone application that standardizes clinical photography and integrated into the EMR, which could save both time and expense for clinicians seeking to take consistent clinical images. Future steps include continued refinement of current image capture functionality and development of a stand-alone mobile device application.
摘要：
背景：面部的标准化医学摄影是患者文档的重要组成部分，临床评估，和学术传播。因为数码摄影是临床护理的支柱，迫切需要一种易于使用的移动设备应用程序，可以帮助用户拍摄标准化的临床照片。ImageAssist的开发是为了满足这一需求。移动应用程序已集成到电子病历（EMR）中；它实现并自动化了美国整形外科学会/整形外科研究基金会摄影指南，并删除了背景。
■由颅面整形外科医生和健康信息技术产品团队组成的团队开发并实施了ImageAssist的试点应用。该应用程序直接从EMR的移动版本中的患者\'图表中启动，史诗海句（维罗纳，威斯康星州）。面部的标准视图（90度，左右斜，正面和基础视图）内置在数字模板中，并由用户选择。红色数字框架覆盖在屏幕上的患者的脸，并在实现标准化对齐后变成绿色，提示用户捕获。然后将背景数字减去为标准蓝色，和照片不存储在用户的手机上。
■ImageAssist初始beta用户组仅限于皮肤科的13个提供商，ENT,整形手术。混合的医生，高级实践提供商，和护士被纳入使用图像辅助在他们的智能手机上的门诊诊所设置试点应用程序。使用该应用程序后，内部调查用于获得有关用户体验的反馈。在使用的前两年，31位用户在800多次临床接触中拍摄了3400多张照片。自最初发布以来，自动背景删除也有功能的任何解剖区域。
结论：ImageAssist是一种新颖的智能手机应用程序，可标准化临床摄影并集成到EMR中，这可以为寻求获取一致临床图像的临床医生节省时间和费用。未来的步骤包括当前图像捕获功能的持续改进和独立移动设备应用的开发。
■由颅面整形外科医生和健康信息技术产品团队组成的团队开发并实施了ImageAssist的试点应用。该应用程序直接从EMR的移动版本中的患者\'图表中启动，史诗海句（维罗纳，威斯康星州）。面部的标准视图（90度，左右斜，正面和基础视图）内置在数字模板中，并由用户选择。红色数字框架覆盖在屏幕上的患者的脸，并在实现标准化对齐后变成绿色，提示用户捕获。然后将背景数字减去为标准蓝色，和照片不存储在用户的手机上。
■ImageAssist初始beta用户组仅限于皮肤科的13个提供商，ENT,整形手术。混合的医生，高级实践提供商，和护士被纳入使用图像辅助在他们的智能手机上的门诊诊所设置试点应用程序。使用该应用程序后，内部调查用于获得有关用户体验的反馈。在使用的前两年，31位用户在800多次临床接触中拍摄了3400多张照片。自最初发布以来，自动背景删除也有功能的任何解剖区域。
结论：ImageAssist是一种新颖的智能手机应用程序，可标准化临床摄影并集成到EMR中，这可以为寻求获取一致临床图像的临床医生节省时间和费用。未来的步骤包括当前图像捕获功能的持续改进和独立移动设备应用的开发。
