Top

Journal of Imaging Informatics in Medicine

Published in:

Open Access 01-06-2018

Patient-Centered Radiology with FHIR: an Introduction to the Use of FHIR to Offer Radiology a Clinically Integrated Platform

Authors: Peter I. Kamel, Paul G. Nagy

Published in: Journal of Imaging Informatics in Medicine | Issue 3/2018

Abstract

Fast Healthcare Interoperability Resources (FHIR) is an open interoperability standard that allows external software to quickly search for and access clinical information from the electronic medical record (EMR) in a method that is developer-friendly, using current internet technology standards. In this article, we highlight the new FHIR standard and illustrate how FHIR can be used to offer the field of radiology a more clinically integrated and patient-centered system, opening the EMR to external radiology software in ways unfeasible with traditional standards. We explain how to construct FHIR queries relevant to medical imaging using the Society for Imaging Informatics in Medicine (SIIM) Hackathon application programming interface (API), provide sample queries for use, and suggest solutions to offer a patient-centered, rather than an image-centered, workflow that remains clinically relevant.

Note: the DiagnosticOrder resource is being replaced by a general ProcedureRequest resource in FHIR Release 3.0, which would require modification of the queries for up-to-date FHIR servers to http://api.hackathon.siim.org/fhir/ProcedureRequest.

Forsberg D, Rosipko B, Sunshine JL, Ros PR: State of integration between PACS and other IT systems: a national survey of academic radiology departments. J Am Coll Radiol 13(7):812–818.e2, 2016. https://doi.org/10.1016/j.jacr.2016.01.018 CrossRefPubMed

Obara P, Sevenster M, Travis A, Qian Y, Westin C, Chang PJ: Evaluating the referring physician’s clinical history and indication as a means for communicating chronic conditions that are pertinent at the point of radiologic interpretation. J Digit Imaging 28(3):272–282, 2014. https://doi.org/10.1007/s10278-014-9751-7 CrossRefPubMedCentral

Lin A, Harris M, Zalis M: Initial observations of electronic medical record usage during CT and MRI interpretation: frequency of use and impact on workflow. Am J Roentgenol 195(1):188–193, 2010. https://doi.org/10.2214/ajr.09.2946 CrossRef

Lee C, Nagy P, Weaver S, Newman-Toker D: Cognitive and system factors contributing to diagnostic errors in radiology. Am J Roentgenol 201(3):611–617, 2013. https://doi.org/10.2214/ajr.12.10375 CrossRef

Franz B, Schuler A, Krauss O: Applying FHIR in an integrated health monitoring system. Eur J Biomed Inform 11(2):En51–En56, 2015CrossRef

Kim D, Hwang S, Kim M, Song J, Lee S, Kim I: Development of Parkinson patient generated data collection platform using FHIR and IoT devices. Stud Health Technol Inform 245:141–145, 2017. https://doi.org/10.3233/978-1-61499-830-3-141 CrossRefPubMed

Khalilia M, Choi M, Henderson A, Iyengar S, Braunstein M, Sun J: Clinical predictive modeling development and deployment through FHIR web services. AMIA Ann Symp Proc 2015:717–726, 2015 PMC4765683

Kohli M, Morrison JJ, Wawira J, Morgan MB, Hostetter J, Genereaux B, Langer SG: Creation and curation of the society of imaging informatics in Medicine Hackathon Dataset. J Digit Imaging, 2017. https://doi.org/10.1007/s10278-017-0003-5 CrossRef

Society for Imaging Informatics in Medicine, Hackathon. Available at https://siim.org/page/2017_hackathon_agree. Accessed 02 Oct 2017

10.

University Health Network HAPI-FHIR Server. Available at http://fhirtest.uhn.ca/. Accessed 02 Oct 2017

11.

Langer S, Shih G, Nagy P, Landman B: Collaborative and reproducible research: goals, challenges, and strategies. J Digit Imaging, 2018. https://doi.org/10.1007/s10278-017-0043-x CrossRef

12.

HL7.org FHIR Release 3. Available at http://hl7.org/fhir/resourcelist.html. Accessed 02 Oct 2017

13.

Logical Observation Identifiers Names and Codes. Available at https://loinc.org/. Accessed 02 Oct 2017

14.

Lipton P, Nagy P, Sevinc G: Leveraging internet technologies with DICOM WADO. J Digit Imaging, 2012. https://doi.org/10.1007/s10278-012-9469-3 CrossRef

15.

Bloomfield RA, Polo-Wood F, Mandel JC, Mandl KD: Opening the Duke electronic health record to apps: implementing SMART on FHIR. Int J Med Inform 99:1–10, 2017. https://doi.org/10.1016/j.ijmedinf.2016.12.005 CrossRefPubMed

16.

Mandl K, Mandel J, Kohane I: Driving innovation in health systems through an apps-based information economy. Cell Syst 1(1):8–13, 2015. https://doi.org/10.1016/j.cels.2015.05.001 CrossRefPubMedPubMedCentral

Title: Patient-Centered Radiology with FHIR: an Introduction to the Use of FHIR to Offer Radiology a Clinically Integrated Platform
Authors: Peter I. Kamel
Paul G. Nagy
Publication date: 01-06-2018
Publisher: Springer International Publishing
Published in: Journal of Imaging Informatics in Medicine / Issue 3/2018
Print ISSN: 2948-2925
Electronic ISSN: 2948-2933
DOI: https://doi.org/10.1007/s10278-018-0087-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Patient-Centered Radiology with FHIR: an Introduction to the Use of FHIR to Offer Radiology a Clinically Integrated Platform

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2018

SimpleITK Image-Analysis Notebooks: a Collaborative Environment for Education and Reproducible Research

IoT in Radiology: Using Raspberry Pi to Automatically Log Telephone Calls in the Reading Room

Hello World Deep Learning in Medical Imaging

DICOMweb™: Background and Application of the Web Standard for Medical Imaging

Container-Based Clinical Solutions for Portable and Reproducible Image Analysis

Learning HL7 FHIR Using the HAPI FHIR Server and Its Use in Medical Imaging with the SIIM Dataset