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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

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Article Nicole Sun · Apr 17, 2025 6m read

Over the past couple of months, I have been working on the SMART on FHIR EHR Launch to test the capabilities of IRIS for Health using two open-source apps from CSIRO: SMART-EHR-Launcher and SMART Forms App. This journey has been incredibly interesting, and I’m truly grateful for the opportunity to work on this task and explore more of IRIS for Health’s potential.

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Announcement Derek Robinson · May 15, 2025

Hi, Community!

Do you have HL7® V2 messages that you need to convert to the HL7® FHIR® format for better integration and analysis? See how the InterSystems FHIR Transformation Service can help:

Using the FHIR Transformation Service with AWS HealthLake

<iframe allowfullscreen="" frameborder="0" height="360" src="https://www.youtube.com/embed/ggf6yuV0FxE?utm_source=youtube&utm_medium=social&utm_campaign=ggf6yuV0FxE" width="640"></iframe>

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Article Kunal Pandey · May 12, 2025 1m read

Introducing Smart Clinical Sidechick — the intelligent, no-drama partner your EHR wishes it could be. She reads FHIR data in real time, interprets lab results without ghosting, and explains clinical alerts like she actually cares. Built with GPT-4 brains and YAML sass, she’s not here to replace your main EHR—just to make it look bad. Tired of irrelevant alerts and cryptic warnings? Sidechick serves up real, explainable insights, not vague “elevated risk” vibes. And when your backend crashes, she doesn’t panic—she self-heals. Secure, responsive, and (unlike your last vendor) emotionally

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Article Evgeny Shvarov · Apr 13, 2025 2m read

Hi developers!

This will be a very short article as in April 2025 with Lovable and other Prompt-to-UI tools it becomes possible to build the frontend with prompting. Even to the folks like me who is not familiar with modern UI techics at all.

Well, I know at least the words javascript, typescript and ReactJS, so in this very short article we will be building the ReactJS UI to InterSystems FHIR server with Lovable.ai.

Let's go!

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Question Rushi Chandel · Apr 14, 2025

Hello Developers,

I have MacBook Pro M3 and I'm new to the IRIS for Health setup / installation with all pre-requisite / requirements so someone could please help me with detailed instructions on how to setup IRIS for Health (HL7 & FHIR) from scratch along with SQL Server? I have Windows 11 installed in parallel desktop if that's required and complete installation / setup is not possible on MacBook.

Thank you in advance.

Rushi

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Article Patrick Jamieson · Apr 15, 2025 6m read

I know that people who are completely new to VS Code, Git, Docker, FHIR, and other tools can sometimes struggle with setting up the environment. So I decided to write an article that walks through the entire setup process step by step to make it easier to get started.

I’d really appreciate it if you could leave a comment at the end - let me know if the instructions were clear, if anything was missing, or if there’s anything else you'd find helpful.

The setup includes:

✅ VS Code – Code editor
✅ Git – Version control system
✅ Docker – Runs an instance of IRIS for Health Community
✅ VS Code REST Client Extension – For running FHIR API queries
✅ Python – For writing FHIR-based scripts
✅ Jupyter Notebooks – For AI and FHIR assignments

Before you begin: Ensure you have administrator privileges on your system.

In addition to reading the guide, you can also follow the steps in the videos:

For Windows

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Announcement Anastasia Dyubaylo · Mar 25, 2025

Hi Community,

Check out this new video that shows how to build the UI for InterSystems FHIR server from scratch using AI with no previous frontend experience:

📺 Building and Deploying React Frontend for the InterSystems FHIR server in 20 minutes with Lovable AI

🗣 Presenter: @Evgeny Shvarov, Senior Manager of Developer and Startup Programs, InterSystems

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Article Yuri Marx · Mar 10, 2025 5m read

The FHIR standard establishes a powerful but flexible data model that can smoothly adapt to the complexities of operational healthcare data management. This flexibility comes at the cost of a data model with many tables and relationships, even for simple data such as the patient's record of telephone numbers, addresses, and emails. It would easily require querying 4 different tables. However, FHIR SQL Builder eliminates this problem, allowing you to create visual projections (mappings) in web wizards. It lets you consolidate data from 4 or more tables into just 1 and gives you the advantage of

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Announcement Anastasia Dyubaylo · Mar 12, 2025

Hey Community,

We're excited to invite you to the next InterSystems UKI Tech Talk webinar: 

👉 Cloud Health: FHIR Server

Join this webinar to dive into the world of HealthShare Health Connect Cloud with our upcoming session on Cloud Health: FHIR Server.

⏱ Date & Time: Thursday, March 20, 2025 2:30 PM GMT

👨‍🏫 Speaker: @Regilo Regilio Guedes de Souza, Director of Cloud Delivery, InterSystems

2025 Tech Talk Social Tile 20 березня (чернетка).png

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Article Evgeny Shvarov · Mar 11, 2025 1m read

Hi colleagues!

Often, while developing a frontend app or any other communication vs REST API, it is worth having a Swagger UI - a test UI for the REST API that follows Open API 2.0 spec. Usually, it is quite a handful as it lets have quick manual tests vs REST API and its responses and the data inside.

Recently I've introduced the Swagger support to the InterSystems IRIS FHIR template for FHIR R4 API:

How to get it working.

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Question Dmitrii Baranov · Nov 2, 2024

I'm experimenting with FHIR bulk data load using NDJSONs, so far the import is running smoothly, but when I'm trying to perform a request of kind /Patient or /Procedure I'm getting back the following error:

{
    "resourceType": "OperationOutcome",
    "issue": [
        {
            "severity": "error",
            "code": "too-costly",
            "diagnostics": "<HSFHIRErr>SearchTooCostly",
            "details": {
                "text": "Search selects more than maximum allowed number of results (1000)."
            }
        }
    ]
}
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Article Rahul Singhal · Mar 1, 2025 6m read

Introduction

To achieve optimized AI performance, robust explainability, adaptability, and efficiency in healthcare solutions, InterSystems IRIS serves as the core foundation for a project within the x-rAI multi-agentic framework. This article provides an in-depth look at how InterSystems IRIS empowers the development of a real-time health data analytics platform, enabling advanced analytics and actionable insights. The solution leverages the strengths of InterSystems IRIS, including dynamic SQL, native vector search capabilities, distributed caching (ECP), and FHIR interoperability. This innovative approach directly aligns with the contest themes of "Using Dynamic SQL & Embedded SQL," "GenAI, Vector Search," and "FHIR, EHR," showcasing a practical application of InterSystems IRIS in a critical healthcare context.

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Question Kevin Mayfield · Feb 20, 2025

I'm working on FHIR project and using this code to convert an incoming request to FHIR 

Method OnRequest(request As HS.FHIRServer.Interop.Request, Output response As HS.FHIRServer.Interop.Response) As %Status

{

    #dim tSC As %Status = $$$OK

    Try {

        // Process incoming request

        set stream = ##class(HS.SDA3.QuickStream).%OpenId(request.QuickStreamId)

        set bundle = ##class(HS.FHIR.DTL.vR4.Model.Resource.Bundle).FromJSON(stream,"vR4")

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Article Yuri Marx · Feb 13, 2025 4m read

FHIR repositories, applications and servers typically serve clinical data in small quantities, whether to return data about a patient, their medications, vaccines, allergies, among other information. However, it is common for a large amount of data in FHIR/JSON format to be requested to be used to load into Data Lakes, identifying study cohorts, population health, or transferring data from one EHR to another. To meet these business scenarios that require large extractions and loads of data, it is recommended to use the FHIR Bulk Data Access feature provided by HL7 institution.

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Question Ali Chaib · Feb 7, 2025

I have a scenario where I send a GET request to a broker and receive a FHIR response. When I attempted to use the built-in InterSystems functions to convert this FHIR response into SDA, the transformation failed—likely because it is not a standard FHIR request.

How should I handle this situation? Is there a recommended approach to processing FHIR responses in this context?

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Question Ali Chaib · Feb 7, 2025

I understand that InterSystems provides functions to facilitate transactions between FHIR and HL7 via the SDA segment. My question is:

  • Does this transformation only work when InterSystems receives FHIR requests and converts them into HL7, or does it also support responses?
  • Specifically, if our operation sends a GET request to a broker and receives a FHIR response, does InterSystems support transforming this response into an SDA segment automatically?
  • Or should we manually parse and modify the response to handle it according to our needs?
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Question Prasanth Annamreddy · Mar 23, 2024

Hi,

I found an issue while fetching records from FHIR DB, I am getting below error thou FHIR repository have the records with the corresponding id

{

    "resourceType": "OperationOutcome",

    "issue": [

        {

            "severity": "error",

            "code": "not-found",

            "diagnostics": "<HSFHIRErr>ResourceNotFound",

            "details": {

                "text": "No resource with type 'Appointment' and id '21'"

            }

        }

    ]

}

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