Design of HL7 FHIR Profiles for Pathology Reports Integrated with Pathology Images

Chung Yueh Lien, Tzu Yun Ting, Li Chun Kuo, Pau Choo Chung, Yuan Chia Chu, Chen Tsung Kuo

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

This paper describes the development of Health Level Seven Fast Healthcare Interoperability Resource (FHIR) profiles for pathology reports integrated with whole slide images and clinical data to create a pathology research database. A report template was designed to collect structured reports, enabling pathologists to select structured terms based on a checklist, allowing for the standardization of terms used to describe tumor features. We gathered and analyzed 190 non-small-cell lung cancer pathology reports in free text format, which were then structured by mapping the itemized vocabulary to FHIR observation resources, using international standard terminologies, such as the International Classification of Diseases, LOINC, and SNOMED CT. The resulting FHIR profiles were published as an implementation guide, which includes 25 profiles for essential data elements, value sets, and structured definitions for integrating clinical data and pathology images associated with the pathology report. These profiles enable the exchange of structured data between systems and facilitate the integration of pathology data into electronic health records, which can improve the quality of care for patients with cancer.

Original languageEnglish
Title of host publicationMEDINFO 2023 - The Future is Accessible
Subtitle of host publicationProceedings of the 19th World Congress on Medical and Health Informatics
EditorsJen Bichel-Findlay, Paula Otero, Philip Scott, Elaine Huesing
PublisherIOS Press BV
Pages13-17
Number of pages5
ISBN (Electronic)9781643684567
DOIs
Publication statusPublished - 2024 Jan 25
Event19th World Congress on Medical and Health Informatics, MedInfo 2023 - Sydney, Australia
Duration: 2023 Jul 82023 Jul 12

Publication series

NameStudies in Health Technology and Informatics
Volume310
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Conference

Conference19th World Congress on Medical and Health Informatics, MedInfo 2023
Country/TerritoryAustralia
CitySydney
Period23-07-0823-07-12

All Science Journal Classification (ASJC) codes

  • Biomedical Engineering
  • Health Informatics
  • Health Information Management

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