Department of Radiology, Johns Hopkins Medicine, 601 N Caroline St, Baltimore, MD, 21287, USA.
J Digit Imaging. 2018 Jun;31(3):327-333. doi: 10.1007/s10278-018-0087-6.
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.
快速医疗互操作性资源(FHIR)是一种开放的互操作性标准,允许外部软件以开发者友好的方式使用当前互联网技术标准,快速搜索和访问电子病历(EMR)中的临床信息。在本文中,我们重点介绍了新的 FHIR 标准,并说明了如何使用 FHIR 为放射科领域提供更具临床整合性和以患者为中心的系统,以传统标准无法实现的方式将 EMR 开放给外部放射科软件。我们解释了如何使用医学影像学信息学会(SIIM)黑客马拉松应用程序接口(API)构建与医学成像相关的 FHIR 查询,提供了一些可用于查询的示例,并提出了以患者为中心而不是以图像为中心的工作流程的解决方案,该方案仍然与临床相关。