New post

#FHIR

24

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,

We have a mixture of legacy and new systems, and are grappling with the issue of moving documents between systems.

At the moment we are mostly using file drops and encoding metadata in filenames, but a new supplier (letter transcription) is going to provide a Hl7v2 feed sending MDM^T02 messages with PDF's of letters base64 encoded in the message itself.

We are thinking of asking all our suppliers to go with MDM (or ORU) for sending documents.

I'm interested in the pros and cons of the options; and if there are options I haven't thought of.

0 2
0 716

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

0 5
1 1.1K

Hi,

Currently I am working to develop smart on FHIR app with FHIRaas with the help of fhirclient.js and facing one issue that .well-known/smart-configuration is raising following error "This endpoint does not have SMART on FHIR capabilities defined" Below snapshot is for reference:

Looking forward to resolve the above issue or workaround

Thanks

0 3
0 314

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

0 4
0 803
Question
· Jan 18, 2022
FHIR Bulk Data and ndjson

Hi all,

I am testing asynchronous Bulk Data retrieve with a large EHR vendor. When I retrieve the bulk data, they are returning ndjson (CONTENT-TYPE of "application/fhir+ndjson; charset=utf-8"). If I attempt to process that content using JSON functions - I get

ERROR #5035: General exception Name 'Parsing error' Code '3' Data ''

For example, the following generates the error

s objArray={}.%FromJSON(quickStreamOut)

The error makes sense in that ndjson is not a valid json format (I assume at least).

0 1
0 472

I am trying to use IRIS for Health as a Facade for an external FHIR Server, where IRIS provides the proper authentication.
The client authenticates using a bearer token obtained from the IRIS OAuth2 server via a jwt client assertion.
The IRIS endpoint, however, returns a 401 as soon as I remove the Unauthenticated access

Is there w way to make this work through configuration?

0 1
0 56

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

0 21
0 1.2K

Hello,

I have been tinkering with FHIR recently and tried to update the FHIR servers Capability Statement after I made some changes. I updated an OAuth2.Issuer Service Registry entrys URL and needed to update the metadata which the FHIR server sends to the client so they can get the updated URL for the authorization server we use.

However, when I run the Console Setup tool with

0 2
0 422

I'm playing with some anayltic queries against FHIR server tables. The HSFHIR_X0002_S_Patient.addressCity table contains a lot of cities which names contain german charachers such as ä, ö and ü.

The following query works fine:

select value from HSFHIR_X0002_S_Patient.addressCity

But this one converts city names to uppercase, and characters with umlauts are lost, so instead of "Köln" or "München" I see KOLN and MUNCHEN:

0 2
0 53

Hi -

I was wondering how if the "old FHIR gateway" works with the latest release of HealthShare Information Exchange. Since there is an impact on the amount of storage needed to use the "FHIR Gateway 2 which uses the Operation Data Store (ODS)", my question is how (if at all) can FHIR access to Information Exchange work without ODS?

Thanks

0 1
0 501
Question
· Nov 2, 2020
HL7 - FHIR

Hi All,

I know hundreds of people have done this but I'm looking for some DTL's as a start to do HL7 to FHIR, I appreciate everyone's HL7 is slightly different, but just some starter DTL's would be much appreciated? Can anyone help?

Regards

0 2
0 505

Question for folks who have connected to an External FHIR repository outside of IRIS. Within the HS.FHIRServer.Interop.HTTPOperation there is not an option to include TLS or an OAuth authentication when connecting to an external Repository. So then how is that piece done if you need to Authenticate against an OAuth Server before you are able to access the data or call the Web Services/REST calls?

0 1
0 140

Hi

I get always the following error when I query our FHIR repository with a specific TAG

/csp/healthshare/fhirserver/fhir/Encounter?_tag=

ERROR #5002: Cache error: <INVALID OREF>zSearch+86 ^HS.FHIR.Repository.Operations.1

I've deleted rows from cache database. On the table HS_FHIR_Repository_Resource.Encounter as we had duplicate records...

Any help would be great

Kind Regards,

Joao Palma

0 2
0 477

Following "Adding Custom HL7 FHIR packages to the HL7 FHIR server" at https://learning.intersystems.com/course/view.php?id=1721 I'm able to create an FHIR extension of type string as well as a search parameter.

However, I need to create an extension as well as a search parameter of type Reference. And this is not working.

Did anyone successfully add an extension and search parameter of type Reference?

0 2
0 405

I am attempting to make a FHIR call against the Epic Repository through Intersystems. I have setup a Service client per Create FHIR REST Client | InterSystems Developer Community | Business

but I have set it up using OAuth and HTTPS.

I have verified that the OAuth works by executing it manually via a Terminal to verify I get a response. Of course, when I do it is writing to the ISCLOG

0 4
0 133