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#FHIR

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Fast Healthcare Interoperability Resources (FHIR, pronounced "fire") is a draft standard describing data formats and elements (known as "resources") and an application programming interface (API) for exchanging electronic health records

Official site

Hi,

I've successfully installed and configured the custom MESH API supplied by intersystems. I'm able to send HTML rendered documents directly to GP's using Kettering.xml.

Ideally, I'd like to be able to send PDF/RTF files rather than HTML. Is this possible and if so can I still use Kettering xml? I know FHIR is the preferred method of transmission but i've tried sending a test FHIR message through MESH to EMIS but it's not displaying so I'm not sure if EMIS is able to display FHIR formatted messages.

Thanks.

Anthony Breen

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Working on implementation FHIR to my project, I found interesting project HAPI-FHIR, which could help me to quickly launch my FHIR api server with InterSystems Caché as a storage, because this projects uses Hibernate to connect to database, as an example they use DerbyDB. I tried to change settings to use InterSystems Caché, but unfortunately it does not work and throw some errors inside HIbernate. As I found in Caché documentation, I have not some many options, I just have to set Cache dialect, and set database url.

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Question
Tom M · Sep 5, 2017
Create Patient via FHIR?

Hi,

I've been trying to create a patient using FHIR, but all I seem to get back is:

{"resourceType":"OperationOutcome","issue":[{"severity":"error","code":"invalid","details":{"text":"FHIR create interaction invalid for this end point"},"diagnostics":"FHIR create interaction invalid for this end point"}]}

I've tried a variety of requests and read operations work, but create doesn't seem to. Has anyone run into this? Any ideas? Thanks.

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Question
Paul Hula · Nov 2, 2016
Healthshare FHIR Subscriptions

Hello All,

Having a recent project to create a FHIR repository, I want to know (as looking at the code) if HealthShare FHIR implementaton supports subscriptions?. I know it records the subscriptions ok, BUT does it handle sending the subscription out (based on the tags) to an endpoint (i.e. when a new FHIR request commits data that would trigger the subscription) ?, I'm 50% it doesn't, but would rather find out for sure before shoe horning something in.

Regards

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Hi,

We have a PAS that accepts HL7v2 QBP^Q21 requests, and returns patient details in an RSP^K21.

We have a clinical system that wants to sent an http GET request of the form http://server/getpatientbyid?pid=M1234567

So I think I need to convert the query url into a QBP^Q21 (HL7) message, then take the response in HL7v2, convert to SDA, convert to FHIR, and put that in the response to the original GET.

Does anyone have any experience doing this? is there an approach you would recomend?

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Hi,

I am trying to configure OAuth2 server to connect to Cerner Auth server to get FHIR API access token but I am getting the error "Discovery response not valid".

I can get the access token back okay from Cerner endpoint used in the OAuth configuration below via Postman and Manually sending the request via HTTP Operation from HealthShare, so the URLs I am using looks correct but the OAuth configuration is not working.

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Is there any good documentation/tutorials on creating gateways in both directions between FHIR and Hl7v2 (for Health Connect)?

the scenarios I'm most interested in

1. Client application sends a FHIR demographic query to Health Connect - and the interface has to convert this to Hl7v2 QBP^Q11 message to the PAS.

2. Health connect sends a PDF document (from a file or HL7v2 interface) to an EPR over FHIR.

Thanks

Stephen

UPDATE

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Conor Browne · Sep 15, 2017
Clinical Viewer for SMART Apps

The product I'm using is HealthConnect ( this installation HSAP-2017.1.1.111.0.17521-hscore15.03-b8382-win_x64.exe). Do I have access to the Information Exchange Clinical Viewer ? Is there a way to install this and connect it up to my HealthShare FHIR repository?

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I reached out to Gary Monger yesterday and asked him how he configured Apache for his SMART on FHIR demo?
See https://learning.intersystems.com/mod/page/view.php?id=2948.
Gary's response was for me to post my question on the Developer Community forum - so that other people can benefit from the answer.

This is what I asked Gary:

I'm after turning a local Health Share instance on my laptop into a SMART on FHIR server.

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Hello;

I have created an App launch to my FHIR app in the sandbox and am able to access Patients that are provided in the Sandbox. Having done this, I would now like to upload a test patient in a FHIR bundle to the sandbox, however I have not been able to find out how I can do this.

Can you provide some direction/tools that I can use to upload my bundle to the sandbox?

Thanks

-Rand

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HI,

Has anyone implemented the NHS Care Connect profile in HealthShare and if so could you share the steps you took?

I am not looking to integrate it into the SDA model, Just looking having the classes within HealthShare and then applying a DTL to convert to HL7 2.x

I was hoping i could just down load the profiles from git hub and import into Studio but it appears I need the XSD to do this, which are not available.

Cheers,

Jason

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Hoping someone can help.

I had posted a similar question outside this group a while ago "Errors requesting data from local Ensemble FHIR Repository" but haven't had the chance to follow up on it since. It was suggested I re-post inside this group.

I'm trying to request data from my local FHIR repository using a simple JavaScript client and am getting the following CORS errors . ( It is a standalone client not inside HealthShare without CSP etc. on my localhost ).

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I am sending a PUT FHIR message for a CodeSystem Resource using the defailt Service and server that was installed when I installed the FHIR on the NameSpace.

When I try to use the FHIR Request "id" property it is empty; e.g. pFHIRRequest.id is EMPTY. I really need to get this value, how can I get it?

I added a trace ion both the HS.FHIR.Service and HS.FHIR.Server.Process, details to follow:

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Hello community,

is there anything special to consider when running a foundation production regarding purge jobs (Ens.Util.Tasks.Purge)? I am thinking specifically of the QuickStreams, which according to my information are stored in a temporary database until the system is restarted. Since a system reboot is much less frequent then the purges, I wonder what happens to the QuickStreams whose messages and headers have already been purged. Is there a way to view Quickstreams (not content, but rather metadata) e.g. via the Management Portal?

Thanks for your comments and hints,

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I need to add some extensions to the HS.FHIR.vSTU3,Model.Resource.Patient class and then use those extensions to convert incoming FHIR JSON to the FHIR Patient Resource and Likewise add functionality to create A FHIR Patient (target class) from my patient database into the FHIR Patient Resource Object (target class)

many months ago I found a tutorial that explained all of this but can no longer find that tutorial.

Yours

Nigel Salm

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Hello,

I am working on the new USCDI Requirement to store LOINC Codes/Descriptions for various types of Clinical Notes in the SDA.

According to all of the documentation I had been able to find, in order to store a coded value for Document Type, I have to use Custom Pairs:

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Surya Sekhar Yerram · Mar 17, 2017
Convert HL7 to FHIR

Hello Greetings-

I am exploring on converting HL7 to FHIR.

1. I saw there are built in DTLs “FHIR.FromSDA” and “FHIR.ToSDA” to convert SDA -> FHIR and FHIR -> SDA. Similarly Do Intersystems have DTLs for HL7 -> FHIR and FHIR -> HL7?

2. The reason why I am asking is, I see in HSLIB namespace HS->GateWay->HL7->HL7toSDA3 and HS->GateWay->SDA3->SDA3toHL7 DTLs. Like-wise I am trying to locate HL7 -> FHIR and FHIR -> HL7. Please help me to locate them

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