The Contrast Safety & Screening App standardizes the safety workflow for contrast administration by verifying allergies, assessing renal function, and capturing informed consent, all inside the EMR.
It pulls key data (e.g., eGFR, prior reactions, allergies, medications) using SMART on FHIR, applies clinical decision-support rules, and guides technologists and nurses through a consistent, policy-aligned screening process.
With clear pass/fail indicators and structured consent capture, the app reduces variability, prevents missed contraindications, and strengthens compliance with contrast safety protocols across iodinated and gadolinium-based agents.
Benefits
- Reduced adverse events: Proactively identifies contraindications before imaging, minimizing risk of allergic or renal complications.
- Consistent policy adherence: Applies standardized logic for eGFR thresholds, allergy reviews, and override documentation.
- Complete, auditable records: Captures structured screening data and patient consent artifacts within the EMR for defensible documentation.
- Streamlined workflow: Guides clinical staff through automated safety checks without leaving the imaging workflow.
Capabilities
- SMART on FHIR data prefill: Prefills allergies, labs, and prior contrast reaction data from EMR sources in real time.
- Decision-support logic: Evaluates eGFR, allergy type, and medication contraindications using configurable thresholds and policy rules.
- Pass/fail and override logic: Provides clear guidance and requires justification for overrides with auto-documentation.
- Electronic consent capture: Collects structured patient consent, timestamped and stored as a
FHIR DocumentReferenceartifact. - Audit and reporting: Generates compliance reports for quality and safety committees, including exceptions and override frequency.
Great for
- Radiology and Nursing Teams: Perform consistent, automated contrast safety screenings and capture patient consent at the point of care with embedded EMR tools.
- Clinical Informatics and EMR Analysts: Implement SMART on FHIR and decision-support logic to unify contrast risk checks across modalities and workflows.
- Compliance and Risk Officers: Monitor adherence to policy and safety protocols through structured audit trails and consent documentation.
- Quality and Patient Safety Committees: Analyze override trends and adverse event correlations to continuously improve contrast safety practices.
Interops Team builds SMART on FHIR–based safety apps that embed renal risk and allergy screening directly into imaging workflows, strengthening policy adherence and patient safety.


