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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'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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Working on implementation FHIR to my project, I found interesting project HAPI-FHIR, which could help me to quickly launch my FHIR api server with InterSystems Caché as a storage, because this projects uses Hibernate to connect to database, as an example they use DerbyDB. I tried to change settings to use InterSystems Caché, but unfortunately it does not work and throw some errors inside HIbernate. As I found in Caché documentation, I have not some many options, I just have to set Cache dialect, and set database url.

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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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Question
· Nov 2, 2016
Healthshare FHIR Subscriptions

Hello All,

Having a recent project to create a FHIR repository, I want to know (as looking at the code) if HealthShare FHIR implementaton supports subscriptions?. I know it records the subscriptions ok, BUT does it handle sending the subscription out (based on the tags) to an endpoint (i.e. when a new FHIR request commits data that would trigger the subscription) ?, I'm 50% it doesn't, but would rather find out for sure before shoe horning something in.

Regards

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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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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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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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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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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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Question
· Oct 17, 2023
FHIR Profile Validation Issues

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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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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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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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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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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Hi,

I have a scenario where I recognize that I have a duplicate patient in FHIR , both have a different set of data attached to them (Specimens / Observations / Conditions) and I want to transfer all the data from patient X to patient Y, and maybe mark patient X as not relevant or delete it IDK yet.

since Patch currently supports only single patch,

"The Conditional Patch query identified more than one resource."

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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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