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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 am having an issue when I am publishing data to FHIR which is hosting in AWS. I am sending the data to the Cloud FHIR url but getting the below error.

Any idea how to resolve this issue? Any example to cretae FHIR repository using Object script?

:<!DOCTYPE HTML PUBLIC "-//IETF//DTD HTML 2.0//EN"> <html><head> <title>404 Not Found</title> </head><body> <h1>Not Found</h1> <p>The requested URL was not found on this server.</p> </body></html>

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Dear,

I'm trying to configure a new interface that reads HL7, transform them into FHIR messages and then send POST or PUT or DELETE depending on HL7 doc type.

1-I added an HL7 TCP service that reads ADTs messages

2a-Send ADTs to a process to transform them into SDA (using the following command: do ##class(HS.Gateway.HL7.HL7ToSDA3).GetSDA(request,.con))

2b-Extract the patient MRN and add it to the AdditionalInfo property (using the following request message class: HS.Message.XMLMessage)

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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?

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Using the FHIR DEMO, I have pieced together how to make a FHIR Request using OAuth against an External FHIR Repository. When I execute the Patient search (HS.FHIRServer.Interop.Request), I get a HS.FHIRServer.Interop.Response that has a Quick Stream ID, which I then use to convert the Quick Stream to a JSON Dynamic Object. if I do a trace on the Raw JSON Object, I am able to pull out single elements, however I want to pull the raw JSON into a defined Class Structure.

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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

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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.

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Hello Community,

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:

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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.

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I'm trying to complete Inferno Service Base URL test for FHIR endpoint and I thought it wanted host.com/fhir/r4/.well-known/smart-configuration but I get header error below. Am I using the wrong Service Base URL List or am I missing something? I'm running 2021.2 HealthShare

ERROR <HSFHIRErr>InvalidAcceptSpec: No valid Accept data found (Accept header or _format parameter)
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I need to create a JWT to connect to EPIC FHIRserver sandbox.

https://fhir.epic.com/Documentation?docId=oauth2&section=BackendOAuth2Guide

You will generate a one-time use JSON Web Token (JWT) to authenticate your app to the authorization server and obtain an access token that can be used to authenticate your app's web service calls. There are several libraries for creating JWTs. See jwt.io for some examples.

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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?

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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:

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I finally figured out how to get JWT token using set x = ##class(%SYS.OAuth2.Authorization).GetAccessTokenClient("medbank","openid fhirUser",.prop,.err).

I also found iris-fhir-client app on Open Exchange. I registered Epic sandbox server, but I cannot list resources. I suspect I need to integrate authorization / authentication. How do I do this with irisfhirclient py?

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