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
This demo program is used to show how a custom FHIR profile can be employed to validate data compliance. The custom FHIR implementation guide was developed based on FHIR Version R4, and in this example implements the Organization resource extension to validating data compliance.
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:
Based on a great sample and workshop built by @Luis Angel Pérez Ramos (see related articles and related Open Exchange app), which included a local InterSystems IRIS for Health container (and desired setup), this sample presented here, adapted the workshop for using the InterSystems Cloud FHIR Server, and it's related setup.
I am trying to use IRIS for Health as a Facade for an external FHIR Server, where IRIS provides the proper authentication.
The client authenticates using a bearer token obtained from the IRIS OAuth2 server via a jwt client assertion.
The IRIS endpoint, however, returns a 401 as soon as I remove the Unauthenticated access
Is there w way to make this work through configuration?
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 still trying to understand and come up with a use case to use FHIR as an enhancement to our existing HL7 messages. Does anyone have an example of taking a FHIR response and transforming it into a SDA?
How does the workflow go? Does it go through 1 BP?
In the last article we presented the architecture of our SMART On FHIR project, so it's time to get down to business and start configuring all the elements that we are going to need.
We will first start with Auth0.
AUTH0 configuration
We will start by creating an Auth0 account with a valid email, once registered we will have to create our first application, and we will do it from the menu on the left:
I am trying to create a HS.FHIR.DTL.vR4.Model.Resource.Encounter message based on a conversion of HS.FHIRServer.Interop.Response QuickStream to a JSON %Dynamic Object.
When I try to send the HS.FHIR.DTL.vR4.Model.Resource.Encounter onto the Router
I have this response, which is a FHIR location resource in a bundle. I would like to load the entry(0).resource into a context property defined as HS.FHIR.DTL.vR4.Model.Resource.Location so I can use it as a source in a DTL. Any help would be greatly appreciated. Thanks.
I thought I knew how to return a Response from a Business Process back to the Source Config Name, but I guess not.
I am working on a Proof of Concept, that the Request Message Class would determine a "Route" within a Business Process to make a FHIR call (search, read) to our External FHIR repository, and return back the HS.FHIR.DTL.vR4.Model.Resource.xxxxxxx as a Response to the Source Config Name.
I was looking for an easier way to build the FHIR Query String, given the Record Map request that is passed into the DTL.
I built this Function, but when I run a message through it, my Query String that is passed back into the DTL is a Reference Pointer and not the String I am looking for.
I'm trying to complete Inferno Service Base URL test for FHIR endpoint and I thought it wanted host.com/fhir/r4/.well-known/smart-configuration but I get header error below. Am I using the wrong Service Base URL List or am I missing something? I'm running 2021.2 HealthShare
ERROR <HSFHIRErr>InvalidAcceptSpec: No valid Accept data found (Accept header or _format parameter)
As I begin our adventure into using an External FHIR Repository, I wanted to see what opinions people have about a design Idea I was working on.
I want to create a way that my Team has the ability to send a Message Type, and the system knows from that Message Type which FHIR queries to execute and return the Response back to the user, sort of like a FHIR Query Hub. Does this sound reasonable?
I'm unable see the FHIR SQL builder /csp/fhirsql and /csp/fhirsql/api/ui endpoints in web application to access the FHIR SQL builder. I'm using community edition 2024.1 and it contains the "FHIR SQL Builder".
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.
I have been using embedded python for more than 2 years now on a daily basis.
May be it's time to share some feedback about this journey.
Why write this feedback? Because, I guess, I'm like most of the people here, an ObjectScript developer, and I think that the community would benefit from this feedback and could better understand the pros & cons of chosing embedded python for developing stuff in IRIS. And also avoid some pitfalls.
Using the FHIR DEMO, I have pieced together how to make a FHIR Request using OAuth against an External FHIR Repository. When I execute the Patient search (HS.FHIRServer.Interop.Request), I get a HS.FHIRServer.Interop.Response that has a Quick Stream ID, which I then use to convert the Quick Stream to a JSON Dynamic Object. if I do a trace on the Raw JSON Object, I am able to pull out single elements, however I want to pull the raw JSON into a defined Class Structure.
I'm a beginner and currently working on a project to convert CCDA files to FHIR using InterSystems IRIS. I have developed a web form to upload CCDA files, and I'm attempting to convert the uploaded CCDA files to FHIR. However, I am encountering an issue where the conversion process results in an empty entry. Here's the Output it displays on HTML page:
Up until recently, I have been toying around with REST/FHIR capabilities but only internally. Now I have a request to make REST API calls outside of our Network.
I am using an RSA 4096 key, because Microsoft Active Directory Services which generates the signed certificate could not handle the Elliptical Key (ECC) when I put the request in.
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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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