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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

Introducing Smart Clinical Sidechick — the intelligent, no-drama partner your EHR wishes it could be. She reads FHIR data in real time, interprets lab results without ghosting, and explains clinical alerts like she actually cares. Built with GPT-4 brains and YAML sass, she’s not here to replace your main EHR—just to make it look bad. Tired of irrelevant alerts and cryptic warnings? Sidechick serves up real, explainable insights, not vague “elevated risk” vibes. And when your backend crashes, she doesn’t panic—she self-heals.

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Hello Developers,

I have MacBook Pro M3 and I'm new to the IRIS for Health setup / installation with all pre-requisite / requirements so someone could please help me with detailed instructions on how to setup IRIS for Health (HL7 & FHIR) from scratch along with SQL Server? I have Windows 11 installed in parallel desktop if that's required and complete installation / setup is not possible on MacBook.

Thank you in advance.

Rushi

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I'm working on FHIR project and using this code to convert an incoming request to FHIR

Method OnRequest(request As HS.FHIRServer.Interop.Request, Output response As HS.FHIRServer.Interop.Response) As %Status

{

#dim tSC As %Status = $$$OK

Try {

// Process incoming request

set stream = ##class(HS.SDA3.QuickStream).%OpenId(request.QuickStreamId)

set bundle = ##class(HS.FHIR.DTL.vR4.Model.Resource.Bundle).FromJSON(stream,"vR4")

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I have a scenario where I send a GET request to a broker and receive a FHIR response. When I attempted to use the built-in InterSystems functions to convert this FHIR response into SDA, the transformation failed—likely because it is not a standard FHIR request.

How should I handle this situation? Is there a recommended approach to processing FHIR responses in this context?

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Hi,

I found an issue while fetching records from FHIR DB, I am getting below error thou FHIR repository have the records with the corresponding id

{

"resourceType": "OperationOutcome",

"issue": [

{

"severity": "error",

"code": "not-found",

"diagnostics": "<HSFHIRErr>ResourceNotFound",

"details": {

"text": "No resource with type 'Appointment' and id '21'"

}

}

]

}

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While working with GET request I encountered this situation where FHIR Server return a responseStatusHTTP "HTTP/1.1 200 200" instead of "HTTP/1.1 200 OK" (as highlighted in the attached screenshot).

Although the response code seems valid, these bundles have a total value of 0.

Could anyone clarify what "200 200" signifies in this context? Is there an issue with my setup, or does this indicate a specific condition related to the empty bundle search?

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I am trying to work with Epic on FHIR. Epic's documentation stated, your application makes a HTTP POST request to the authorization server's OAuth 2.0 token endpoint to obtain access token.

Set tSC = ##class(%SYS.OAuth2.Authorization).GetAccessTokenClient(pClient,pScopes,.prop,.err) returns

ERROR #9761: No key in provided JWKS for alg ES512 and kid

I check this /csp/sys/oauth2/OAuth2.JWTServer.cls?client_name=medbank and I see this:

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My IRIS instance is connected to a Postgres database using SQL Gateway and linked tables.
One of these tables is projected to the Patient class. I want to select a record from this table by ID and convert it to a FHIR resource using the %ExistsId and %OpenId methods.
I noticed that if I call these two methods from the console, the record is always found.

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Question
· Dec 4, 2024
Error importing XSD

I'm attempting to import all the FHIR XSD files provided by http://hl7.org/fhir but get the immediate and unhelpful error message:

I've tried different versions of EOLs to no avail. Any idea what this error could mean?

Here's the XSD I'm trying to import:

<?xml version="1.0" encoding="UTF-8"?>
<!--
Copyright (c) 2011+, HL7, Inc
All rights reserved.

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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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Working on a project where I'm needing to make FHIR calls from my HealthConnect Interop production to Epic.

My issue is I'm not able to construct a valid JWT for the OAuth token retrieval that Epic will accept. I have the below code where I'm able to create a valid header and payload that I'm base64URL encoding and then trying to sign with my .pem private key file. However, Epic is not liking the signature portion of my JWT.

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Question
· Nov 19, 2024
How to create a signed JWT

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'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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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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Hi.

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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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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Hi folks!

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:

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I thought I knew how to return a Response from a Business Process back to the Source Config Name, but I guess not.

I am working on a Proof of Concept, that the Request Message Class would determine a "Route" within a Business Process to make a FHIR call (search, read) to our External FHIR repository, and return back the HS.FHIR.DTL.vR4.Model.Resource.xxxxxxx as a Response to the Source Config Name.

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I was looking for an easier way to build the FHIR Query String, given the Record Map request that is passed into the DTL.

I built this Function, but when I run a message through it, my Query String that is passed back into the DTL is a Reference Pointer and not the String I am looking for.

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