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#FHIR

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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

Official site

Question
· Jul 6, 2023
REST Documentation Confusion

I had attempted to create a REST Operation before but did not have success. As I am going through the Tutorials and Documentation everything references REST services, but I have a case where I want to create a REST Operation that makes Epic API calls against Interconnect. I have done SOAP operations before and we currently have one in our Production Namespace, but from what I understand SOAP has the wsdl which defines al the structures and etc, where REST does not.

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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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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'

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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,

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Hi All,
I am a product owner for a 3rd party healthcare product.
We have built FHIR integrations with Cerner and EPIC using their FHIR sandboxes and would like to do the same for Trakcare.

Essentially we can lookup a patient record on the FHIR sandbox and import their demographics into our product. Switch out the sandbox credentials for production and we can integrate directly into the customers data.

Does a similar service exist for Trakcare?

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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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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.

Analyte: HCG, Value: 1968, Unit: mlU/mL

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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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Hi folks!

Researching FHIR bundle transactions.

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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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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Question
· 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. 

http:localhost:52773/fhirr4/StructureDefinition

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

http:localhost:52773/fhirr4/Paient

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,

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 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,

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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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