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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

I have been using embedded python for more than 2 years now on a daily basis.
May be it's time to share some feedback about this journey.

Why write this feedback? Because, I guess, I'm like most of the people here, an ObjectScript developer, and I think that the community would benefit from this feedback and could better understand the pros & cons of chosing embedded python for developing stuff in IRIS. And also avoid some pitfalls.

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The InterSystems Iris Fhirserver running on a Raspberry Pi Raspberry running as a FHIRserver

Raspberry running as FHIRserver

About a year ago I wrote some articles about the installation of the HAPI FHIRserver on a Raspberry Pi. At that time, I only knew the basics of the FHIR standard, little about the technology behind FHIR-servers and not much more about the Raspberry. By trying, failing, giving up and trying again I learned a lot.

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Article
· Feb 1, 2024 2m read
Mind map your FHIR patient data

According Wikipedia a mind map is a diagram used to visually organize information into a hierarchy, showing relationships among pieces of the whole. It is often created around a single concept, drawn as an image in the center of a blank page, to which associated representations of ideas such as images, words and parts of words are added. Major ideas are connected directly to the central concept, and other ideas branch out from those major ideas.

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Hi folks!

Recently I was in need to setup a local FHIR server using IRIS For Health and I think I found the easiest and simplest way ever.

Just run in terminal these two lines below :

docker run --rm --name my-iris -d --publish 9091:1972 --publish 9092:52773 intersystemsdc/irishealth-community

and

docker exec -it my-iris iris session iris -U "USER" '##class(%ZPM.PackageManager).Shell("install fhir-server")'

And you'll have FHIR server running locally at http://localhost:9092/fhir/r4.

That's it!

The FHIR server will use the latest build of InterSystems IRIS for Health Community Edition and will deploy FHIR server from this app via IPM package in FHIRSERVER namespace.

This is for Mac, so please add in comments how it works in Windows.

This is a very short article as it is really easy to setup a local FHIR server with InterSystems IRIS for Health and IPM Package Manager.

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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.

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Article
· Aug 22, 2020 2m read
My experience working with FHIR

Hi Community,

I want to share my experience creating the iris-fhir-portal with FHIR.

I decided to take a step forward and join the IRIS for Health FHIR contest, but I had never worked with FHIR before.

After the FHIR Contest Kick-Off Webinar, where we got an overview of how the IRIS for Health works with FHIR, I started to looking at the FHIR documentation to create my Patient Chart project.

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Motivation

The motivation behind the InterLang project is rooted in the innovative integration of LangChain chatbot agents with the Fast Healthcare Interoperability Resources (FHIR) framework to revolutionize conversational social prescriptions in healthcare. This project aims to leverage the rich and standardized data available through FHIR, an emerging standard in healthcare data exchange, to inform and empower these advanced chatbot agents.

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Hi guys.

Recently, I get interest in FHIR in order to run for the IRIS for Health FHIR
contest. As a beginner on this topic, I've heard somewhat about it, but I didn't know how complex and powerful was FHIR. As pointed out by @Henrique.GonçalvesDias here, you can model several aspects of the patient history and other related entities.

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FHIR has revolutionized the healthcare industry by providing a standardized data model for building healthcare applications and promoting data exchange between different healthcare systems. As the FHIR standard is based on modern API-driven approaches, making it more accessible to mobile and web developers. However, interacting with FHIR APIs can still be challenging especially when it comes to querying data using natural language.

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I created this application considering how to convert images such as prescription forms into FHIR messages

It recognizes the text in the image through OCR technology and extracts it, which is then transformed into fhir messages through AI (LLA language model).

Finally, sending the message to the fhir server of IntereSystems can verify whether the message meets the fhir requirements. If approved, it can be viewed on the select page.

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The objective of the article is to provide the reader with the following informations:

  • Configure and use the FHIR server
  • Create an OAuth2 Authorization Server
  • Bind the FHIR server to the OAuth2 Authorization Server for support of SMART on FHIR
  • Use the interoperability capabilities of IRIS for Health to filter FHIR resources
  • Create a custom operation on the FHIR server

Schema of the article:

Schema

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Based on a great sample and workshop built by @Luis Angel Pérez Ramos (see related articles and related Open Exchange app), which included a local InterSystems IRIS for Health container (and desired setup), this sample presented here, adapted the workshop for using the InterSystems Cloud FHIR Server, and it's related setup.

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Hello, developers!

In this article, I will show you how to configure FHIR repository + OAuth2 authorization server/resource server on IRIS for Health following the previous article.

In Part 1, we introduced the preliminary preparations, configuring the OAuth2 authorization server, and obtaining the access token.
Part 2 will show you how to build an FHIR repository and configure an OAuth2 client/resource server.

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Surely you have all heard about FHIR as the panacea and solution to all interoperability and compatibility problems between systems. Right here we can see one of his classic defenders holding a FHIR resource in his hand and enjoying it immensely:

But for the rest of us mortals we are going to make a small introduction.

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Fun or No Fun - how serious is it?


Large language models are stirring up some phenomena in recent months. So inevitably I was playing ChatGPT too over last weekend, to probe whether it would be a complimentary to some BERT based "traditional" AI chatbots I was knocking up, or rather would it simply sweep them away.

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We resume our series of articles on the FHIR Adapter tool available to HealthShare HealthConnect and InterSystems IRIS users.

In the previous articles we have presented the small application on which we set up our workshop and showed the architecture deployed in our IRIS instance after installing the FHIR Adapter. In today's article we will see an example of how we can perform one of the most common CRUD (Create - Read - Update - Delete) operations, the reading operation, and we will do it by recovering a Resource.

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In this GitHub we gather information from a csv, use a DataTransformation to make it into a FHIR object and then, save that information to a FHIR server all that using only Python.

The objective is to show how easy it is to manipulate data into the output we want, here a FHIR Bundle, in the IRIS full Python framework.

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Introduction

This article aims to explore how the FHIR-PEX system operates and was developed, leveraging the capabilities of InterSystems IRIS.

Streamlining the identification and processing of medical examinations in clinical diagnostic centers, our system aims to enhance the efficiency and accuracy of healthcare workflows. By integrating FHIR standards with InterSystems IRIS database Java-PEX, the system help healthcare professionals with validation and routing capabilities, ultimately contributing to improved decision-making and patient care.

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Article
· Aug 26, 2020 3m read
Updating Patient Resource using fhir.js

Hi Community,

I shared my experience working with FHIR for the first time in this article.

In that article, I wrote how I explored the FHIR Resources and talked about the information that I found useful in FHIR documentation.

The first version of my app only shows the information that FHIR Resource provides.

I wanted to make the user able to update the patient details, so I to search for an example of how to do it.

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I have attached a document that describes the product I have developed called NiPaRobotica Pharmacy. This is an interface I developed that accepts Pharmacy Dispense Requests and converts the line items on the order into dispense dialogues which it sends to pharmacy robots. I deployed the interface into 3 Hospital pharmacies two of which had 6 robots that were arranged in such a way that the dispense chutes channelled medications to desks by the pharmacists sitting in windows serving 1200 patients a day. The robots cut the average waiting time from 2 hours down to one hour.

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