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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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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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Hi

I get always the following error when I query our FHIR repository with a specific TAG

/csp/healthshare/fhirserver/fhir/Encounter?_tag=

ERROR #5002: Cache error: <INVALID OREF>zSearch+86 ^HS.FHIR.Repository.Operations.1

I've deleted rows from cache database. On the table HS_FHIR_Repository_Resource.Encounter as we had duplicate records...

Any help would be great

Kind Regards,

Joao Palma

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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 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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If I add the same patient data with a different unique ID then it inserts as new data using a POST request.
So, In the FHIR server How can I prevent this kind of thing by using POST requests?
Note:- I don't want to use a PUT request for the same. The main thing is I want to get a unique patient record.
Que:- Is there any way to check data duplication on each FHIR resource?

Thanks & Regards,

Harshdeep Acharya

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Hello,

I am new to this forum. So please let me know if this is not the place to post these questions.

I have heard from some previous Intersystems presentations that FHIR profile validation before posting to FHIR server (using $validate) would be available in IRIS for Health. How do I confirm if this functionality is available and if so, on which version of IRIS?

Thanks

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Hi All,
I am a product owner for a 3rd party healthcare product.
We have built FHIR integrations with Cerner and EPIC using their FHIR sandboxes and would like to do the same for Trakcare.

Essentially we can lookup a patient record on the FHIR sandbox and import their demographics into our product. Switch out the sandbox credentials for production and we can integrate directly into the customers data.

Does a similar service exist for Trakcare?

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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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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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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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Question
· May 16, 2024
Implementing a counter for OBX

Hi Team,

I am trying to use the inbuilt class: EnsLib.HL7.Service.FileService to pass through an HL7 ADT message as a part of an HL7 to FHIR transformation. We have a client requirement, where we are receiving an NTE segment as a part of the ADT message. I am trying to map the NTE segment to an OBX Segment. I need to implement a counter for OBX segment whenever a NTE segment is found and map the NTE fields to the new OBX segment

How do I implement the counter for OBX?

Thanks

Santosh

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We have a situation where we want to save the patient photo (or any other attachment) received via FHIR to a persistent property without decoding it. When it is sent out again using FHIR is is stored in the encoded format and need not be encoded. We do not need to decode it for our application. We always use it on another system that retrieves it or saves it via FHIR and therefore it is always received or sent embedded in JSON.

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