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
Recently, I've been working on a Business Process that processes a large JSON FHIR message containing up to 50k requests in an array within the JSON.
Currently, the code imports the JSON as a dynamic object from the original message stream, obtains an iterator from it, and processes each request one at a time in a loop.
I'm trying to customize error handling in the overriden HS.FHIRServer.Storage.JsonAdvSQL.Interactions::Search method. It is clear how to add to the resultset a valid FHIR resource (pseudocode):
Hi, what is the easiest way to clear all the tables which store FHIR data? The most straitforward approach is to get a list of tables using the information_schema.tables view, then execute dynamic SQL with the "delete from" clause, but perhaps some helper class has already been written for this purpose?
We are in the process of installing a FHIR server on our InterSystems interface engine and have encountered a few questions. Your expertise and insights would be greatly appreciated:
IRIS for UNIX (Red Hat Enterprise Linux 8 for x86-64) 2024.1 (Build 267_2U) Tue Apr 30 2024 16:06:39 EDT [HealthConnect:7.2.0-1.r1]
I have a use case where Epic is sending an A60 Allergy transaction is set at the Patient level, but we have a system called VIBE which needs the ADT at an Encounter level instead. Currently we store ADT information in a MS SQL database for years, and we are querying it to get the latest Account Number to insert into the ADT^A60 for VIBE.
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.
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.
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:
I first converted HL7 to FHIR using SDA. Now, I want to convert the same FHIR resources to an FHIR JSON file. Is that possible? If yes, give me a solution for that?
I have this response, which is a FHIR location resource in a bundle. I would like to load the entry(0).resource into a context property defined as HS.FHIR.DTL.vR4.Model.Resource.Location so I can use it as a source in a DTL. Any help would be greatly appreciated. Thanks.
I'm a beginner and currently working on a project to convert CCDA files to FHIR using InterSystems IRIS. I have developed a web form to upload CCDA files, and I'm attempting to convert the uploaded CCDA files to FHIR. However, I am encountering an issue where the conversion process results in an empty entry. Here's the Output it displays on HTML page:
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?
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.
I want to implement functionality in Intersystems IRIS for Health 2021.1. Which Received FHIR JSON from FHIR Repository and Convert them into HL7 different versions by Message type. Can anyone help me with this?
Examining FHIR profile validation with InterSystems FHIR server. FHIR profiles is a very useful feature of FHIR standard that helps an organization or solution to establish constraints to a very disperse FHIR standards that are relevant to a particular business solution. Learn more on FHIR profiles.
I created a very simple FHIR profile with the following JSON:
I'm running into an intermittent issue with some of our Custom Operations/Processes as a result of some large FHIR R4 Binaries. Essentially we get a response from an AthenaHealth FHIR endpoint that appears to be too large to be processed using the IRIS Built In Functions for FHIR:
I've replicated it on the command line here using a file (binary.json) that has the response from the FHIR Endpoint. Not sharing full contents due to PHI concerns.
We have a situation where we want to save the patient photo (or any other attachment) received via FHIR to a persistent property without decoding it. When it is sent out again using FHIR is is stored in the encoded format and need not be encoded. We do not need to decode it for our application. We always use it on another system that retrieves it or saves it via FHIR and therefore it is always received or sent embedded in JSON.
We are going to have basic patient demographic data coming in to Cache via a webservice. I thought that I should define the input as XML something like the FHIR format (with UK extensions).
In the past we've input XML streams and used the %XML.Reader to convert them to matching classes successfully, so I thought it would be easy. However, I've found that the FHIR format stores everything in attributes like:
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