I know that people who are completely new to VS Code, Git, Docker, FHIR, and other tools can sometimes struggle with setting up the environment. So I decided to write an article that walks through the entire setup process step by step to make it easier to get started.

I’d really appreciate it if you could leave a comment at the end - let me know if the instructions were clear, if anything was missing, or if there’s anything else you'd find helpful.

The setup includes:

✅ VS Code – Code editor
✅ Git – Version control system
✅ Docker – Runs an instance of IRIS for Health Community
✅ VS Code REST Client Extension – For running FHIR API queries
✅ Python – For writing FHIR-based scripts
✅ Jupyter Notebooks – For AI and FHIR assignments

Before you begin: Ensure you have administrator privileges on your system.

In addition to reading the guide, you can also follow the steps in the videos:

For Windows

https://www.youtube.com/embed/IyvuHbxCwCY
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Hey Community,

Enjoy the new video on InterSystems Developers YouTube:

⏯ Introduction to OMOP Platform

https://www.youtube.com/embed/5O9J-tRQZM8
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Hi Community,

Enjoy the new video on InterSystems Developers YouTube:

⏯ FHIR Lessons Learned From the Field @ Global Summit 2024

https://www.youtube.com/embed/ojNDhiWdfeI
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Hi Community,

Enjoy the new video on InterSystems Developers YouTube:

⏯ FHIR Object Model @ Global Summit 2024

https://www.youtube.com/embed/UvwLHz5OGjs
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Hey Community,

We're excited to invite you to the next InterSystems UKI Tech Talk webinar:

👉 Cloud Health: FHIR Server

Join this webinar to dive into the world of HealthShare Health Connect Cloud with our upcoming session on Cloud Health: FHIR Server.

⏱ Date & Time: Thursday, March 20, 2025 2:30 PM GMT

👨‍🏫 Speaker: @Regilo Regilio Guedes de Souza, Director of Cloud Delivery, InterSystems

When we create a FHIR repository in IRIS, we have an endpoint to access information, create new resources, etc. But there are some resources in FHIR that probably we wont have in our repository, for example, Binary resource (this resource returns a document, like PDF for example).

I have created an example that when a Binary resource is requested, FHIR endpoint returns a response, like it exists in the repository.

I'm experimenting with FHIR bulk data load using NDJSONs, so far the import is running smoothly, but when I'm trying to perform a request of kind /Patient or /Procedure I'm getting back the following error:

Introduction

To achieve optimized AI performance, robust explainability, adaptability, and efficiency in healthcare solutions, InterSystems IRIS serves as the core foundation for a project within the x-rAI multi-agentic framework. This article provides an in-depth look at how InterSystems IRIS empowers the development of a real-time health data analytics platform, enabling advanced analytics and actionable insights. The solution leverages the strengths of InterSystems IRIS, including dynamic SQL, native vector search capabilities, distributed caching (ECP), and FHIR interoperability. This innovative approach directly aligns with the contest themes of "Using Dynamic SQL & Embedded SQL," "GenAI, Vector Search," and "FHIR, EHR," showcasing a practical application of InterSystems IRIS in a critical healthcare context.

I'm working on FHIR project and using this code to convert an incoming request to FHIR

Method OnRequest(request As HS.FHIRServer.Interop.Request, Output response As HS.FHIRServer.Interop.Response) As %Status

{

#dim tSC As %Status = $$$OK

Try {

// Process incoming request

set stream = ##class(HS.SDA3.QuickStream).%OpenId(request.QuickStreamId)

set bundle = ##class(HS.FHIR.DTL.vR4.Model.Resource.Bundle).FromJSON(stream,"vR4")

InterSystems OMOP, The Cloud Service (Troy)

FHIR repositories, applications and servers typically serve clinical data in small quantities, whether to return data about a patient, their medications, vaccines, allergies, among other information. However, it is common for a large amount of data in FHIR/JSON format to be requested to be used to load into Data Lakes, identifying study cohorts, population health, or transferring data from one EHR to another. To meet these business scenarios that require large extractions and loads of data, it is recommended to use the FHIR Bulk Data Access feature provided by HL7 institution.

I understand that InterSystems provides functions to facilitate transactions between FHIR and HL7 via the SDA segment. My question is:

My main goal of this article was to prove the use of InterSystems IRIS for Health for REST FHIR interoperability between multiple applications. In this use case, some initiating application makes a REST call to IRIS for Health (which is merely a passthrough for REST calls) to retrieve FHIR data from an Oracle Health R4 FHIR repository. Ideally, it simplifies the syntax for calling the Oracle Health APIs.

Everytime I try to send a POST FHIR bundle I'm getting the following response: 404 Not Found. I'm not really sure why, although it works fine with a GET!

This is an example:

Response:

It might be something related to request path but not really sure.

And this is the HTTP service I'm using