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Streamlining Referrals and National Screening Compliance with Kailo Medical

An enterprise healthcare organisation in the USA with over 50 sites spread across three main regions: East, West, and South.

Publication:

F. Lu et al., “Synoptic Reporting of Focal Liver Masses in at-Risk Patients: Algorithmic Diagnosis and CEUS LI-RADS”, Ultrasound in Medicine & Biology, 2024. Wiley Online Library.

Background

Healthcare providers across Australia are under increasing pressure to streamline clinical workflows, integrate new digital health standards, and meet national programme requirements. Two recent initiatives highlight how Kailo Medical is supporting imaging providers: enabling FHIR-to-HL7 eReferral interoperability and ensuring compliance with the National Lung Cancer Screening Programme.

Challenge

  1. Interoperability between FHIR and HL7 referrals
    A radiology group needed a way to integrate their existing HL7-based referrals application with the Magentus FHIR-based referrals platform. Without seamless integration, they risked delays in accepting referrals and limited access to new groups of referrers using the Magentus Patient Management System.
  2. Compliance with the National Lung Cancer Screening Programme
    The Australian Government’s National Lung Cancer Screening Programme requires imaging providers to submit diagnostic lung screening reports to the National Cancer Screening Register (NCSR). Providers needed a solution to ensure reports met strict national specifications, including data completeness, coding, and secure transmission.

Kailo Medical Solution

For FHIR-to-HL7 eReferrals (Lumus Imaging & Magentus):

  • Automatic query of the Magentus FHIR resource server for new electronic referrals.
  • Retrieval of associated FHIR resources including patient, referrer, and requested service details.
  • Conversion of FHIR-based resources into HL7 v2.4 messages for downstream referrals applications.
  • Generation of an electronic request form sent as a base64-encoded HL7 segment.
  • Posting of referral status updates (received, in-progress, completed) back to the Magentus FHIR resource server, ensuring referrers can track patient progress.

For the National Lung Cancer Screening Programme:

  • Storage of key order information from RIS systems (patient, referrer, referral details).
  • Matching inbound diagnostic reports for lung screening orders.
  • Transformation of order and report data to meet NCSR’s national specification.
  • Secure HL7 message encryption and transmission to the NCSR.
  • Automated alert notifications for incomplete report content or transmission failures.

Impact

  • Lumus Imaging can now seamlessly accept referrals from Magentus-connected referrers, broadening their referral network and eliminating workflow bottlenecks.
  • Referrers benefit from real-time referral tracking, improving communication and patient care coordination.
  • National Lung Cancer Screening compliance is simplified for imaging providers, reducing administrative burden and ensuring timely, accurate submissions to the NCSR.
  • Providers leveraging AI for preliminary reporting can integrate seamlessly into national reporting requirements without risk of data rejection.
“Kailo Medical has transformed the way we handle referrals and national screening compliance. Our team now spends less time managing administrative tasks and more time focusing on patient care. The FHIR-to-HL7 integration is seamless, and we always know where a referral stands in real time.”
– Lumus Imaging

Conclusion

Kailo Medical’s innovative interoperability and compliance solution, KailoHub, is helping imaging providers across Australia modernize their workflows, meet national programme requirements, and deliver better outcomes for all. By bridging FHIR and HL7 standards and streamlining national reporting obligations, Kailo Medical ensures providers remain both compliant and connected in a rapidly evolving digital health ecosystem.