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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

Question
· Sep 5, 2017
Create Patient via FHIR?

Hi,

I've been trying to create a patient using FHIR, but all I seem to get back is:

{"resourceType":"OperationOutcome","issue":[{"severity":"error","code":"invalid","details":{"text":"FHIR create interaction invalid for this end point"},"diagnostics":"FHIR create interaction invalid for this end point"}]}

I've tried a variety of requests and read operations work, but create doesn't seem to. Has anyone run into this? Any ideas? Thanks.

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Hi community,

I am looking for an implementation strategy to create/update organizations in a local ISC based FHIR server. Thoase organizations do have a certain dependancy to one another. For Organization resources the "partOf" property symbolizes that. It is planned, that a Interoperability Production (supporting FHIR Server) receives a bundle which contains a batch export of all organizations of a customer (Hospital). The task is to bring those data into the FHIR server create and/or update organization.

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In article

https://community.intersystems.com/print/518106

Traceback (most recent call last):
File "c:\Users\rochesterd\PythonScripts\fhir_stuff\fhir-client-python-main\fhir-client-python-main\src\client.py", line 57, in <module>
patient0 = Patient.parse_obj(patients_resources.search(
AttributeError: 'NoneType' object has no attribute 'serialize'

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Hello Community,

I've created my FHIR patient profile and POST into FHIR endpoint in Intersystems FHIR Server. 

http:localhost:52773/fhirr4/StructureDefinition

I use the profile url into my Patient resource without the meet the profile requirements.

http:localhost:52773/fhirr4/Paient

The resource is stored successfully in the FHIR Server instead of a FHIR exception.

Why the resource doesn't validate with the mentioned profile?

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Hi,

We have a PAS that accepts HL7v2 QBP^Q21 requests, and returns patient details in an RSP^K21.

We have a clinical system that wants to sent an http GET request of the form http://server/getpatientbyid?pid=M1234567

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?

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I have received 2 errors while publishing Patient data to repository. Message viewer displays like below and the Application log found bold content.

Could you please help me on this to resolve the errors.

An error occurred with the web application.
It has been logged to system error log (System Operation>System Logs>Application Error Log).

"<METHOD DOES NOT EXIST>OnPage+42^EnsPortal.MessageContents.1 *%Id,HS.FHIRServer.API.Data.Request : CSP Error"

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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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Hi,

I am trying to configure OAuth2 server to connect to Cerner Auth server to get FHIR API access token but I am getting the error "Discovery response not valid".

I can get the access token back okay from Cerner endpoint used in the OAuth configuration below via Postman and Manually sending the request via HTTP Operation from HealthShare, so the URLs I am using looks correct but the OAuth configuration is not working.

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Question
· Sep 15, 2017
Clinical Viewer for SMART Apps

The product I'm using is HealthConnect ( this installation HSAP-2017.1.1.111.0.17521-hscore15.03-b8382-win_x64.exe). Do I have access to the Information Exchange Clinical Viewer ? Is there a way to install this and connect it up to my HealthShare FHIR repository?

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Hi folks!

Researching FHIR bundle transactions.

The idea is that you can post a bundle to a FHIR server with a set of resources. And you can send it as a transaction, so only all the resources will be published or neither.

E.g. I send a bundle of two resources: patient and its observation.

The observation resource should reference an existing patient. But it probably doesn't exist yet on the server and goes within the same bundle.

For this purpose there is a way to have a temporary id in the bundle, to let resources reference ids.

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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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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

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I have been successfully able to transform hand-written medical test results documents to HL7 ORU_R01 v2.x, then to SDA, which will be trasformed to FHIR or C-CDA.

However, I have a category of documents which contains reference range in multiple date formats, which are measured for each gestation period.
For example, below is one of the documents.

Analyte: HCG, Value: 1968, Unit: mlU/mL

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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.

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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

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