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?



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I am trying to create my first call to our Epic FHIR Repository from Health Connect using Samples-FHIRStarter now that I have OAuth2.0 connection tested/working with our Epic Interconnect URL.

When I take a patient example from our Epic environment and test it through Data.BPL.PatientRecordCollector within the Namespace, I keep getting a 404 - File or directory not found

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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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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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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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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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Hi everyone,

I'm looking for a strategy for dividing a large FHIR message, in a post request, into smaller parts.

I have found the paging modifier for the GET request, but not a similiar one for the POST request. Maybe the 'batch' type of a Bundle could help me to indicate this aim but there aren't any attribute to say the total or the i-th element.

Do you know of any method for implementing 'paging' in a post request?

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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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Hello everyone,

I am working with InterSystems IRIS and seeking guidance on how to perform specific tasks related to the FHIR SQL Builder using commands or code, rather than the graphical user interface (GUI). The specific tasks I am trying to accomplish are:

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Hi community,

I´ve setup a local FHIR server via the framework functionality und set a service config name for the created endpoint since I plan to use a production based FHIR server. I´ve created an additional ressource "FhirClientRessource" and role "FhirClientRole" as well as a user named "FhirClient". The Role resource "FhirClientRessource" ist set as "required resource" in the FHIR server configuration page. The user "FhirClient" is member of the Role "FhirClientRole" which in turn holds RWU priveliges on the "FhirClientRessources".

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What changes are to be made while customizing a FHIR server package when adding a new field. As provided in the documentation, we have a sample JSON package of favorite color and it is added in the table, but when we are adding a new field 'Insurance', it does not imports the package and says package already exists. We have three files of JSON

1) Package.JSON

2) SearchParameter.JSON

3) StructureDefination.JSON

What should we have to change for adding new field.

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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 colleages!

This is very easy to setup a FHIR server in InterSystems IRIS for Health.

It could be even one IPM command with this package:

USER>zpm "install fhir-server"

But which FHIR portal could you recommend to use?

I used to work with this one, which is very easy to install too:

USER>zpm "install fhir-portal"

but it doesn't work at the moment and I'm not sure if its main contributors @José Pereira and @Henrique Dias plan to support it.

What do you use? What do you recommend? Ideally installable with IPM package manager. Thanks!

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· 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.


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


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 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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I have created a FHIR endpoint and send the FHIR resource to FHIR Interoperability production class which is HS.FHIRServer.Interop.Service through the the created endpoint(/r4). I can able to see/get the HS.SDA3.QuickStream(It use CacheTemp.HS.Stream temporary global) on the fly(In between the process). I'm unable to get the FHIR resource from the QuickStream once the process completed. Is this HS.SDA3.QuickStream is wiped out from the system once process completed?

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