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
in addition to HL7 V2 interfaces mediated via TCP/IP, we have been implementing more and more HS.FHIRServer.Interop.Service based services that are addressed via port 57772. We would like to secure access to the Management Portal now and have come up with a procedure that I would like to discuss.
Starting a FHIR repository project with IRIS for Health, what are the pros and cons to use R5 instead of R4 ? What is the effort to migrate from R4 to R5 the FHIR repo ? What are the risks or disadvantages to use R5 ?
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)
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?
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."
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".
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.
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:
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.
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?
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.
I am looking for a way to serialize fhir content received via interoperability adapter into it´s corresponding ISC model class (e.g. HS.FHIR.DTL.vR4.Model.Resource.DiagnosticReport) for later use. In my opinion the outline to accomplish this would be something like
1) Receive the FHIR data 2) Get quick stream containing the JSON data 3) Examine if bundle or single ressource 4) For resource serialize to coressponding model class (HS.FHIR.DTL.vR4.Model.Resource.*) 5) further use of newly created object of type HS.FHIR.DTL.vR4.Model.Resource.*
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:
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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