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

Kamel, Peter; Nagy, Paul

doi:10.1007/s10278-018-0087-6

Cited by 26 publications

(18 citation statements)

References 11 publications

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“…REST is available for openEHR, but with large and complex queries becomes difficult. FHIR leverages a wealth of experience in healthcare interoperability with HL7 Version 2, the predominant interoperability standard used today in medical systems for EMR integration [23] and is easier and cheaper than other comparable standards. It is faster to learn, implement and troubleshoot [25].…”

Section: Technical Standards For the Development Of Medical Registriesmentioning

confidence: 99%

Engineering Requirements of a Herpes Simplex Virus Patient Registry: Discovery Phase of a Real-World Evidence Platform to Advance Pharmacogenomics and Personalized Medicine

Surodina¹,

Lam

Cock

et al. 2019

Biomedicines

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Comprehensive pharmacogenomic understanding requires both robust genomic and demographic data. Patient registries present an opportunity to collect large amounts of robust, patient-level data. Pharmacogenomic advancement in the treatment of infectious diseases is yet to be fully realised. Herpes simplex virus (HSV) is one disease for which pharmacogenomic understanding is wanting. This paper aims to understand the key factors that impact data collection quality for medical registries and suggest potential design features of an HSV medical registry to overcome current constraints and allow for this data to be used as a complement to genomic and clinical data to further the treatment of HSV. This paper outlines the discovery phase for the development of an HSV registry with the aim of learning about the users and their contexts, the technological constraints and the potential improvements that can be made. The design requirements and user stories for the HSV registry have been identified for further alpha phase development. The current landscape of HSV research and patient registry development were discussed. Through the analysis of the current state of the art and thematic user analysis, potential design features were elucidated to facilitate the collection of high-quality, robust patient-level data which could contribute to advances in pharmacogenomic understanding and personalised medicine in HSV. The user requirements specification for the development of an HSV registry has been summarised and implementation strategies for the alpha phase discussed.

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Section: Technical Standards For the Development Of Medical Registriesmentioning

confidence: 99%

Engineering Requirements of a Herpes Simplex Virus Patient Registry: Discovery Phase of a Real-World Evidence Platform to Advance Pharmacogenomics and Personalized Medicine

Surodina¹,

Lam

Cock

et al. 2019

Biomedicines

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“…In our use case, the result was text only, that we were able to deliver using a proprietary API available in our dictation system. Standards-based approaches to the delivery of this textual information could leverage technologies such as HL7 and FHIR DiagnosticReport (18) .…”

Section: Discussionmentioning

confidence: 99%

Building Blocks for Integrating Image Analysis Algorithms into a Clinical Workflow

Juluru

Shih

Elnajjar

et al. 2020

Preprint

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Purpose Starting from a broad-based needs assessment and utilizing an image analysis algorithm (IAA) developed at our institution, the purpose of this study was to define generalizable building blocks necessary for the integration of any IAA into a clinical practice. Methods An IAA was developed in our institution to process lymphoscintigraphy exams. A team of radiologists defined a set of building blocks for integration of this IAA into clinical workflow. The building blocks served the following roles: (1) Timely delivery of images to the IAA, (2) quality control, (3) IAA results processing, (4) results presentation & delivery, (5) IAA error correction, (6) system performance monitoring, and (7) active learning. Utilizing these modules, the lymphoscintigraphy IAA was integrated into the clinical workflow at our institution. System performance was tested over a 1 month period, including assessment of number of exams processed and delivered, and error rates and corrections. Results From June 26-July 27, 2019, the building blocks were used to integrate IAA results from 132 lymphoscintigraphy exams into the clinical workflow, representing 100% of the exams performed during the time period. The system enabled radiologists to correct 21 of the IAA results. All results and corrections were successfully stored in a database. A dashboard allowed the development team to monitor system performance in real-time. Conclusions We describe seven building blocks that optimize the integration of IAAs into clinical workflow. The implementation of these building blocks in this study can be used to inform development of more robust, standards-based solutions.

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“…With FHIR, imaging software can query clinical information mined from the EMR and integrate it with other clinical systems used by the radiologist. (Kamel and Nagy, 2018) Some of the resources used in radiology are shown in the table below. (Kamel and Nagy, 2018) The list of all resources can be found at HL7 webpage https://www.hl7.org/fhir/resourcelist.html.…”

Section: Fhir Structurementioning

confidence: 99%

Improving Interoperability in Healthcare Using Hl7 Fhir

Maxhelaku¹,

Kika²

2019

Proceedings of the 47th International Academic Conference, Prague

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Data sharing within patients, hospitals and medical centers and the diversity of healthcare data still remain one of the main challenges in Albania. Exchanging health information is crucial because it can improve treatment, health care and decision-making process. FHIR (Fast Healthcare Interoperability Resources) is used as a standard for exchanging healthcare information in HL7 (Health Level 7). FHIR is based on the RESTful principles, so the resources can be accessed using HTTP and displayed in XML or JSON format. The aim of this paper is to analyse the use of FHIR standard in improving interoperability and integration of patient's data between different hospital services and radiology service in Albania.

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

Cited by 26 publications

References 11 publications

Engineering Requirements of a Herpes Simplex Virus Patient Registry: Discovery Phase of a Real-World Evidence Platform to Advance Pharmacogenomics and Personalized Medicine

Engineering Requirements of a Herpes Simplex Virus Patient Registry: Discovery Phase of a Real-World Evidence Platform to Advance Pharmacogenomics and Personalized Medicine

Building Blocks for Integrating Image Analysis Algorithms into a Clinical Workflow

Improving Interoperability in Healthcare Using Hl7 Fhir

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