#FHIR

Hi, Community!

👩‍⚕️If you need to access clinical data at scale, the InterSystems Bulk FHIR Coordinator can help!

Using the InterSystems Bulk FHIR Coordinator to Extract Clinical Data

Hey Developers,

Watch this video to learn about automating the provisioning and management of FHIR services:

     ⏯ Automating Provisioning and Management of FHIR Services @ Ready 2025

Hi Community!

We’re excited to announce the launch of a new, hands-on training program:

 🧑‍💻 Developing FHIR Applications Using Python 🧑‍💻

This cohort-based course takes developers from FHIR fundamentals to advanced, real-world healthcare interoperability solutions, with deeper, more practical coverage than typical industry offerings and a strong focus on production-ready skills using InterSystems technology.

Hi,
I need to create a bundle of synthetic data in order to populate FHIR servers (not mine).

Can I use a predefined ids, or is it possible the one of the servers will not allow using my IDs and replace them with it's automatic numbering?

10:47 AM — Jose Garcia's creatinine test results arrive at the hospital FHIR server. 2.1 mg/dL — a 35% increase from last month.

What happens next?

• Most systems: ❌ The result sits in a queue until a clinician reviews it manually — hours or days later.
• This system: 👍 An AI agent evaluates the trend, consults clinical guidelines, and generates evidence-based recommendations — in seconds, automatically.

No chatbot. No manual prompts. No black-box reasoning.

This is event-driven clinical decision support with full explainability:

✅ Triggered automatically by FHIR events ✅ Multi-agent reasoning (context, guidelines, recommendations) ✅ Complete audit trail in SQL (every decision, every evidence source) ✅ FHIR-native outputs (DiagnosticReport published to server)

Built with:

• InterSystems IRIS for Health — Orchestration, FHIR, persistence, vector search
• CrewAI — Multi-agent framework for structured reasoning

You'll learn: 🖋️ How to orchestrate agentic AI workflows within production-grade interoperability systems — and why explainability matters more than accuracy alone.

Hey Community!

We're happy to share a new video from our InterSystems Developers YouTube:

⏯  Taking the Fear out of FHIR - Fast Tracking Organizational FHIR Readiness @ Ready 2025

Currently in the health connect code, we are using Epic FHIR API Patient.Create, code return 200 or 201 status values, we process the message based on this return values.

Now I need to use Epic FHIR Patient.$match API, need to check FHIR Error code 4101 for this API. I looked for FHIR statndard return code, but this this seems not standard code, please advice how can I check 4101 value?

I'm using this service to create a FHIR facade. 
I want to return OperationOutcome to the calling application when I detect an error. 
My code at present is :

Hey Community!

We're happy to share a new video from our InterSystems Developers YouTube:

     ⏯ Practical Approches to Transforming Your Data Into FHIR @ Ready 2025

What is a FHIR Profile?

A FHIR profile is a collection of rules and constraints used to customize and refine a base Fast Healthcare Interoperability Resources (FHIR) resource. Profiling is a vital process that adapts the base FHIR resource standard to satisfy the unique requirements of a specific use case, geographic region, medical institution, or clinical workflow.

While the base FHIR specification provides generic, flexible definitions for resources (such as Patient, Observation, or Medication), profiles transform these generic resources into more precise ones. This ensures consistent and interoperable data exchange tailored for a particular community or implementation.

FHIR is designed to cover various healthcare scenarios globally. Profiles allow implementers to adapt this general platform without losing the benefits of standardization.

Needs some help with FHIR return code 200 or 201 when processing HL7 messages in HealthConnect.

Issue:

1. If FHIR code is 200 or 201, HealthConnect keep processing HL7 messages

2. If FHIR code is NOT 200 or 201, HealthConnect keep suspend the HL7 messages in the messages queue, then keep processing NEXT subsequent HL7 messages in the TEXT file if the FHIR code is 200 or 201

3. I am also using following "Reply Code Actions" in Operation settings (:?R=S,:?E=S,:~=S,:?A=C,:*=S,:I?=W,:T?=C)

We are hiring!  100% Remote W2 Contract | 3-6+ Months (numerous extensions likely)

Two Roles:
🔹InterSystems Engineer
🔹Epic Bridges Certified/InterSystems Engineer  

Having solid experience with the below: 

Hi, now I would like to continuous on the topic that we talk about previously

Using Postman for testing the OAuth2.0 of the InterSystems FHIR repository - Part1

Question 1: Where is my client_id and client_secret come form?

Short answer: Authentication Server.

If you don't have an Authentication Server, you may set up one as following

Provide the hostname (the host must support Https), at least 1 grand type (we choose client credential here), and SSL/TSL configuration

Hey Community,

Enjoy the new video on InterSystems Developers YouTube:

⏯  Innovations in FHIR Data Management@ Ready 2025

Introduction

Earlier this year, I set about creating kit to introduce young techy folk at a Health Tech hackathon to using InterSystems IRIS for health, particularly focusing on using FHIR and vector search.

I wanted to publish this to the developer community because the tutorials included in the kit make a great introduction to using FHIR and to building a basic RAG system in IRIS. Its an all inclusive set of tutorials to show in detail how to:

Hey Community,

Enjoy the new video on InterSystems Developers YouTube:

⏯ Advancing Healthcare Interoperability - Strategy and Vision @ Ready 2025

Sometimes it is more convenient, more efficient, and more secure, to limit FHIR Searches per pre-defined "Lists" of Resources.

Since v2025.1 we support several List-related features in our FHIR Server.

I will highlight these here, and provide some samples.

Hey Community,

Enjoy the new video on InterSystems Developers YouTube:

⏯ Developing on FHIR in 2025 @ Ready 2025

Hi all, it's me again for sharing what I am studying recently.😓

Recently, I am studying how to setup OAuth2 authentication for the InterSystems FHIR repository. And I found the following articles are very good and easy to follow.😁

SMART on FHIR EHR Launch with IRIS for Health

Building an FHIR Repository + OAuth2 Authorization Server/Resource Server Configuration on IRIS for Health Part 2

I have been struggling sometime with trying to take a FHIR Bundle Response, extract the "entry.resourceType", extract the MRN and Name from the Patient FHIR Response...

Going through learning.intersystems.com, it suggested that I try using fhirPathAPI to parse and search my response for certain values, however I am not sure my syntax is correct. Using the AI code, it suggested to set my tree = "Bundle.entry.resource.resourceType"

I was wondering if anyone had a way to automate creating the Query String for a FHIR Request?

Using HS.FHIRServer.Interop.Request in my development I have to specify the following...

I was wondering.... if my source had variable number of fields if there was a way to automate the build for the QueryString when doing a Patient Search?

I am trying to replicate a way to use FHIR as a way to query the EMR instead of using a MS SQL Stored Procedure that is populated via HL7 ADT to query.

I'm new to HealthShare. I've installed a demo using the HS.Util.Installer helper, now I'm playing with its FHIR Gateway (which is the HSFHIR namespace). When I try to create a new resource of type Patient using HTTP POST, HealthShare responses with

{
  "resourceType": "OperationOutcome",
  "issue": [
    {
      "severity": "error",
      "code": "not-supported",
      "diagnostics": "<HSFHIRErr>InteractionNotSupported",
      "details": {
        "text": "Interaction 'create' is not supported for resource type 'Patient'."
      }
    }
  ]
}

I built a BP, that every time that a message is received from a BS, it executes 

set isAuth=##class(%SYS.OAuth2.AccessToken).IsAuthorized("EpicFHIRPOC",,,.accessToken,.idtoken,.responseProperties,.error)
 if 'isAuth {
        set tSC=##class(%SYS.OAuth2.Authorization).GetAccessTokenClient("EpicFHIRPOC", "*",, .error)        
         set isAuth=##class(%SYS.OAuth2.AccessToken).IsAuthorized("EpicFHIRPOC",,,.accessToken,.idtoken,.responseProperties,.error)
    }

As I am iterating through the FHIR JSON Response from a Patient Search, I am running into an issue where the extracted values are not being popualted into the Response object that I have created. If I do a $$$LOGINFO on them they will show up in the Object log, however if I try the following for example I get an error.

set target.MRN = identifier.value

Here is my Ens.DataTransform

I am trying to centralize our FHIR queries into a single BP object that would send the FHIR query to the EMR, interpret the response into a %Persistent structure that could be sent back to the requestor. In theory it seemed like it would work but I am running into an issue..

Hi, 
Our production FHIR server is populated by several processes from several sources, 
some of those sources send test data or wrong data (by mistake or as part of an integration test), 
the data is consumed by our BI every 15 minutes.
when I mark a resource as test (using meta security) BI knows to update it on their system.
everything is fine up to here (except that there is test data in Prod)
my problem is that if someone send the same patient again it will recreate the patient without the security tag.
any thoughts?
 

InterSystems API Manager (IAM) is a core component of the InterSystems IRIS Data Platform, offering centralized API management with a strong emphasis on security. IAM simplifies the entire API lifecycle, from creation to retirement, and provides a developer portal for easy API discovery and integration. Access control features allow administrators to define precise permissions, and IAM seamlessly integrates with the IRIS Data Platform, enhancing data management and integration capabilities.

Features of IAM include:

You send an HTTP request and get back an HTTP error but with an HTML error page which you didn't expect... what's happening?... 🤔

Specifically for example, perhaps you tried to READ a FHIR Resource (e.g. /Patient/123) and you get back a 404 error page, even though with other Patient IDs, you get back the Resource payload, so "the page" definitely does exist... why should you be getting a 404 error page? 🙄

Also in previous versions you could define your FHIR Server to accept requests via OAuth 2.0 (e.g. for a SMART on FHIR client) but nowadays with v2024.3, which was released a while ago, there is a new feature, that enables doing this more easily - the OAuth FHIR Client QuickStart.

An extension “extends” or enhances a FHIR resource or a data element in a custom way. The extension can be added to the root of a resource, such as “Patient.ethnicity” in US Core profile, and they can be added to individual elements such as HumanName, Address or Identifier.

Did you know that you can also add an extension to a primitive data type?

Primitives usually store a single item and are the most basic element in FHIR. For example: "Keren", false, 1234, 12/08/2024 etc.

For example, the patient resources might look like this: