How to retrieve Imaging data

[Shubham Mandloi]

Hello,

We want to show Imaging data for our Smart on FHIR Application. How can we retrieve Imaging data (Echo Cardiogram & X-ray) using FHIR APIs on code cerner.

Please help us out.

Thanks in advance

[Fenil Desani (Cerner)]

Hello,

You can either use to DiagnosticReport [1] to pull back a radiology report or DocumentReference [2] to pull back the clinical document. The actual X-Ray/E-cardio may not be retrievable unless there are embedded within a document. 

[1] http://fhir.cerner.com/millennium/dstu2/diagnostic/diagnostic-report/

[2] http://fhir.cerner.com/millennium/r4/foundation/documents/document-reference/

Thanks,

Fenil

[Shubham Mandloi]

Hello Fenil,

I was able to add an image embedded in a PDF document for "Smart Timmy" patient via documentReference resource.

But when I try to retrieve that pdf by calling the DocumentReference resource via Patient filter, I could not find the pdf which I added for that patient.

But when I search the documentReference resource with DocumentID, I could retrieve the PDF I added.

So can you please let me know the method through which I can retrieve that pdf directly from patient ID?

Thanks in advance

On Tuesday, September 28, 2021 at 11:06:45 AM UTC+5:30 Shubham Mandloi wrote:

Hello Fenil,

Thanks for the reply, but out of the 10 patients available in cerner for testing, none of them have an X-ray/E-cardio embedded within a document.

So , is there any way to add an X-ray/E-cardio image in Diagnostic report for any of these test patients?

Please let us know.

Thanks in advance

[Fenil Desani (Cerner)]

Can you please provide x-request-ID, where you are not able to search for the document? And Also for the one where you are able to find the document by ID?

[Shubham Mandloi]

Hi Fenil,

This is the X-request ID when I search DocumentReference resource for a patient but could not find the PDF I added for it-

"293d7854-2b4f-4a5e-8087-71fc86d74d0b"

This is the X-request ID when I search DocumentReference with DocumentID in which I can see the PDF for same patient-

"fe428403-ff15-49f1-bcd7-6ee4952c36b9"

Please help me out here.

Thanks

Shubham

[Fenil Desani (Cerner)]

I do see the document coming back. Make sure you are paging across all the NEXT page or you can filter down the results using query params.

For Example: https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/DocumentReference?patient=12724069&period=ge2019-12-31&period=lt2020-01-02&_count=50 returns the DocRef to your document.

[Shubham Mandloi]

Thanks Fenil for your help.

Really appreciated.