#FHIR

Hi all! Wanted to share a recent video we created with InterSystems FHIR expert, Russ Leftwich, covering some of the most frequently asked questions with FHIR. Let us know if you have more questions for a future iteration of this!

We return to the attack with our EMPI!

In previous articles we have seen how to configure and customize our EMPI, we have seen how we can include new patients in our system through HL7 messaging, but of course, not everything is HL7 v.2 in this life! How could we configure our EMPI instance to work with FHIR messaging?

What is FHR?

For those of you who are not too familiar with the term FHIR, just indicate that they are the initials of Fast Healthcare Interoperability Resource.

As said in the previous article about the iris-fhir-generative-ai experiment, the project logs all events for analysis. Here we are going to discuss two types of analysis covered by analytics embedded in the project:

• Users prompts
• Execution errors

In order to extract useful data to apply analytics, we used the iknowpy library - an opensource library for Natural Language Processing based in the iKnow for IRIS Data Platform. It makes possible identifies entities (phrases) and their semantic context in natural language text in several languages.

The continuing convergence of AI technologies and healthcare systems has brought forward many compelling advancements. Let's set the scene. If you have interacted with dynamic models like ChatGPT, you might have, like many of us, begun to envision its application using your unique datasets. Suppose in the healthcare sector you wish to link this technology with Electronic Health Records (EHR) or Electronic Medical Records (EMR), or perhaps you aim for heightened interoperability using FHIR's resources.

Description

With InterSystems IRIS FHIR Server you can build a Strategy to customize the behavior of the server (see documentation for more details).

This repository contains a Python Strategy that can be used as a starting point to build your own Strategy in python.

This demo strategy provides the following features:

• Update the capability statement to remove the Account resource
• Simulate a consent management system to allow or not access to the Observation resource
  • If the User has sufficient rights, the Observation resource is returned
  • Otherwise, the Observation resource is not returned

This project is an experiment to use OpenAI API to answer to user prompts in the healthcare domain using FHIR resources and Python code.

Project idea

Generative AIs, like the LLM models available on OpenAI, has been demonstrated remarkable power to understand and answer high level questions. They use huge amounts of data to train their models, so they can answer complex questions.

They can even use programming languages to create code based on prompts - and I have to confess that the idea of getting my work automated causes me some anxiety.

Hi colleagues!

InterSystems Grand Prix 2023 unites all the key features of InterSystems IRIS Data Platform!

Thus we invite you to use the following features and collect additional technical bonuses that will help you to win the prize!

Here we go!

• LLM AI or LangChain usage: Chat GPT, Bard and others - 6
• InterSystems FHIR SQL Builder- 5
• InterSystems FHIR - 3
• IntegratedML - 4
• Native API - 3
• Embedded Python - 4
• Interoperability - 3
• Production EXtension(PEX) - 2
• Adaptive Analytics (AtScale) Cubes usage - 3
• Tableau, PowerBI, Logi usage - 3
• InterSystems IRIS BI - 3 
• Columnar Index Usage - 1
• Docker container usage - 2 
• ZPM Package deployment - 2
• Online Demo - 2
• Unit Testing - 2
• Implement InterSystems Community Idea - 4
• First Article on Developer Community - 2
• Second Article On DC - 1
• Code Quality pass - 1
• First Time Contribution - 3
• Video on YouTube - 3

Problem

In a fast-paced clinical environment, where quick decision-making is crucial, the lack of streamlined document storage and access systems poses several obstacles. While storage solutions for documents exist (e.g, FHIR), accessing and effectively searching for specific patient data within those documents meaningfully can be a significant challenge.

Motivation

AI has made document search remarkably powerful. Question and answering over docs has never been easier with open-source tools like Chroma and Langchain to store and use vector embeddings to query across Generative AI APIs.

Hi Community,

I would like to know how I can query a list of patients that were revoked on HealthShare for the month of April and May.

Messages are sent using FHIR and a revoke is handled with active:false as seen below. A non-revocation will have active: true on the patient resource.

I wanted to check SQL tables but I am not sure which one to check if so. Please advise on how to go about getting this report.

Regards,

Hey Developers,

Watch this video to learn about InterSystems TrakCare Innovation Toolkit which is a free download that enables TrakCare users to quickly access their data in standard HL7® FHIR® format, making the system of record a system of transformation:

⏯ Introduction to the TrakCare Innovation Toolkit @ Global Summit 2022

Hi, 

Getting the following error when activating a foundation namespace(FHIR Server). Anyone had this issue before:

Thanks

Hi all,

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.*

Of course something like set tObj = {}.

Hi Developers,

Enjoy watching the new video on InterSystems Developers YouTube:

⏯ Exporting Bulk Data from a FHIR Server

Hi,

This is Jayanth from OAK Technologies.

Hope you are all doing well!!

We have a position for InterSystems IRIS Technology Role for our client if anyone is interested, please drop your resume to jayanth@oaktechinc.com

Job Role: IRIS technology role

Location: Chicago, Illinois (Remote Work)

Contract:1+ Year W2 OR 1099 Contact

Hi folks!

Playing with InterSystems FHIR server. 

You can easily install it in IRIS for Health using FHIR template:

zpm "install fhir-server"

NB! For now the IPM command mentioned above works for a namespace called FHIRSERVER only.

I have a FHIR server in a local docker container with endpoint:

localhost:52773/fhir/r4

Fun or No Fun - how serious is it?

Large language models are stirring up some phenomena in recent months. So inevitably I was playing ChatGPT too over last weekend, to probe whether it would be a complimentary to some BERT based "traditional" AI chatbots I was knocking up, or rather would it simply sweep them away. 
A thought comes to mind while playing. By going slightly theoretical or philosophical, eventually interoperability standards such as HL7 and FHIR etc are kind of "languages", right? HL7 has its own grammar, rules, vocabulary and even dialects - every system speaks its own tone.

Hi Community,

Watch this video to learn about InterSystems FHIR Server, the turnkey FHIR data solution that empowers FHIR application developers to focus on building life-changing healthcare applications:

⏯️ What is InterSystems FHIR Server

Hello Community,

As you may know, the next release FHIR R5 is currently published in "beta". Right now, it is undergoing a quality review. And we'd like to invite YOU to participate in this process! 

Your task, if you wish to accept it 😉, is to check text descriptions, copy editing, and grammar. To facilitate this quality review, ClinFHIR is being used, which is a web tool used for developer education on FHIR and to help developers to visualize FHIR data and to plan out the building of FHIR applications. For instructions on how to do the quality review of FHIR R5 read this short document. The application you will use to do the quality review is here.

This is how ClinFHIR looks in action for this FHIR R5 Quality Review:

Hi Community,

We're pleased to invite you to the upcoming webinar in Spanish called "Validating FHIR profiles with InterSystems IRIS for Health".

Date & time: February 2, 3:00 PM CET

Speaker: @Ariel Arias, Sales Engineer, InterSystems Chile

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'

Hi All! Wanted to share this new video we've published, which might be of interest to people in the healthcare space. Achieving True Interoperability in Healthcare Systems is all about going beyond the typical "syntactic" interoperability and understanding what's needed to bring that interoperability to the next level in healthcare.

Newbie here...

I am looking to use fhir to gather patients in our end point that have a certain diagnosis and or certain insurance.

Is this what fhir can be used for?

In the past I have done the normal SQL query/extract to CSV file.  Looking to use fhir for this for future.

Thanks in advance for your time

Dean-O

We are looking for Innovators!

We invite early stage startups to join Caelestinus digital health and FHIR startup incubator for the season 2023!

Hi Developers,

Enjoy watching the new video on InterSystems Developers YouTube:

⏯ InterSystems Startup Accelerator Pitching Sessions @ Global Summit 2022

Hello community,

is there anything special to consider when running a foundation production regarding purge jobs (Ens.Util.Tasks.Purge)? I am thinking specifically of the QuickStreams, which according to my information are stored in a temporary database until the system is restarted. Since a system reboot is much less frequent then the purges, I wonder what happens to the QuickStreams whose messages and headers have already been purged. Is there a way to view Quickstreams (not content, but rather metadata) e.g. via the Management Portal?

Thanks for your comments and hints,

best regards, Martin

Hi Community,

Watch this video to learn about InterSystems FHIR Server, the turnkey FHIR data solution that empowers FHIR application developers to focus on building life-changing healthcare applications:

⏯️ What is InterSystems FHIR Server

Hi InterSystems Developers!

Recently I've updated the FHIR dev template so that it now publishes an IPM package fhir-server that makes the setup of InterSystems FHIR server a trivial manual or automatic or programmatic procedure one command long.

Please see below how you can benefit from it.

TLDR

USER>zpm "install fhir-server"

All the details below.

In the December 2022 newsletter, find more ways to transform, analyze, share, and view your data using InterSystems technologies—including the FHIR Facade! Plus, listen to a new podcast episode on AI Link, a bridge between machine learning and business intelligence. Make sure to subscribe to the newsletter to get the latest resources!

In this article, we'd like to describe Med.me's incubation experience and takeaways, the cross-organizational booking problem, and our approach to solving it.

This exciting story started during one of the regular medtech meetups, where I met @Evgeny Shvarov, senior InterSystems chief of the Developer Community. Following the good old startup rule “pitch wherever you can”, I briefly explained to Evgeny Med.me concept – EHR exchange and appointment scheduling platform to automate and simplify communication between clinics, pharma on one hand and insurance companies, doctors, and patients on the other.

Evgeny listened carefully and replied that InterSystems provides plenty of products to solve the interoperability problems amongst the vast variety of EMRs and kindly advised me to hurry up to apply to the FHIR incubator Caelestinus powered by InterSystems.

That led to a start of an amazing 9-months long road where we were able to ramp up our understanding of interoperability,  participate at the InterSystems Global Summit,  find new customers and partners, and where the new concept of Resource Availability Exchange was born.