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Radiation Dose Summary for Diagnostic Procedures on FHIR (Jira PSS-1716)

Basics

Radiation Dose Summary for Diagnostic Procedures on FHIR (Jira PSS-1716)

1692
Ballot - STU


FHIR Implementation Guide

Create New Standard

Details

Scope

- Share a summary of dose information by exam through FHIR

- Irradiations received by the patient

- The targeted modalities are CT/XA/RF/MG/NM

Out Of Scope

- Share details of the radiation administration

- Share enhanced data (SSDE, Organ Dose, etc) to third applications

- Irradiations received by the practitioner

The aim of this IG is to standardize sharing of minimal radiation information following a performed exam. This minimal radiation information is needed by multiple stakeholders like RIS, EHR, and national/regional stakeholders. Minimal radiation information reporting is asked by many regulations/recommendations, to be included for instance in the patient imaging report. Thus, this IG allows to standardize and enhance data sharing from dose management systems to third parties.

The IG is more in relationship with the Imaging Integration than the pharmacy WG, as it expose radiation information related to (and coming from) imaging procedures, and not medications.


The IHE Dose Reporter actor from the IHE REM profile gather Radiation information and dose reports from modalities. However, there is no standardization of the exposure of the gathered data to third parties in light format/API. Dose Management systems need to share information related to the exam to multiple third parties : Mobile Applications, RIS/EHR, and third backend systems.

The DICOM RDSRs have a complete and a strong structure for sharing the dose information from the modalities to the Dose Consumer/Reporter actors, and also between the Dose Reporter and the Dose Registry systems. However, most of third party application have a very light needs for the Dose report. For example, RIS systems in France needs only for CT Dose Length Product Total from the CT RDSR, in order to fit local reglementations.

The emergence of HL7 FHIR simplified the exchange between backend applications and third parties through the exchange of normalized resources. This project allows to share minimal dose information through FHIR resources.



FHIR IG_ R1 - Target: Sept 2021


PSS: https://jira.hl7.org/browse/PSS-1716 https://confluence.hl7.org/display/IMIN/Radiation+Dose+Summary+for+Diagnostic+Procedures+on+FHIR


FHIR DICOM SR PS3.16 DICOM PS3.20

Medical Imaging Service,EHR, PHR; Health Care IT; HIS

GE Healthcare

None

Dose Summary on FHIR Dose Report




No

2026 May: TSC approved an STU Publication request for HL7 FHIR Implementation Guide: RAdiation Dose Summary for Diagnostic Procedures on FHIR, Edition 1 for two years
Organization & Realm

Universal

People

Abderrazek Boufahja



Imaging Integration Work Group

Clinical Quality Information Work Group; Pharmacy Work Group

Status & Dates

Active

STU - Preparing Ballot

02/23/2021

09/15/2028

2028 Sept WGM/Ballot

05/15/2028

2028 May WGM/Ballot

2022 Jan Ballot Cycle Info: STU Ballot Results: Did not meet basic vote requirements. 16 Negatives to reconcile Document Name: HL7 FHIR Implementation Guide: Radiation Dose Summary for Diagnostic Procedures on FHIR, Release 1 (See Jira Ballot Dashboard) 2021 Sept Ballot Cycle Info: STU Ballot Results: Postponed Document Name: HL7 FHIR Implementation Guide: Radiation Dose Summary, Release 1 (See Jira Ballot Dashboard)
Approvals

04/09/2021


Not Needed


Received




FHIR Management Group -- Agreed -- (PSS-1774)
System Info

153485

PSS-1716



05/07/2026

Anne Wizauer