#FHIR

Summary:

Duties and Responsibilities:

Design and implement healthcare data integration solutions using the InterSystems platform /HealthShare platform, ensuring data interoperability across various healthcare systems.

Develop and maintain data mappings and transformations to ensure accurate data exchange between systems, leveraging IRIS API’s, HL7, FHIR, and other healthcare data standards.

Build and maintain interfaces to connect health information systems, including clinical applications, EHR, and other healthcare data sources.

You know that feeling when you get your blood test results and it all looks like Greek? That's the problem FHIRInsight is here to solve. It started with the idea that medical data shouldn't be scary or confusing – it should be something we can all use. Blood tests are incredibly common for checking our health, but let's be honest, understanding them is tough for most folks, and sometimes even for medical staff who don't specialize in lab work. FHIRInsight wants to make that whole process easier and the information more actionable.

Hi Developers!

We are happy to present the bonuses page for the applications submitted to the FHIR and Digital Health Interoperability Contest 2025!

See the results below.

IRIS supports CCDA and FHIR transformations out-of-the-box, yet the ability to access and view those features requires considerable setup time and product knowledge. The IRIS Interop DevTools application was designed to bridge that gap, allowing implementers to immediately jump in and view the built-in transformation capabilities of the product.

Hi Community,
In this article, I will introduce my application iris-fhir-bridge 
IRIS-FHIR-Bridge is a robust interoperability engine built on InterSystems IRIS for Health, designed to transform healthcare data across multiple formats into FHIR and vice versa. It leverages the InterSystems FHIR Object Model (HS.FHIRModel.R4.*) to enable smooth data standardization and exchange across modern and legacy healthcare systems.

Let me introduce you to FHIRCraft, a lightweight tool to generate synthetic FHIR resources.

Now, you might be thinking:
“But wait — doesn’t Synthea already do that, and with tons of resources?”
Exactly — and that’s precisely why I created this app.

FHIRCraft is designed to generate simpler, smaller, and more focused FHIR resources. Unlike Synthea, it doesn’t aim to simulate entire patient histories or clinical workflows. Instead, it helps when you’re just getting started with FHIR — when you want to test things incrementally, or explore how specific resources behave in isolation.

Hi Developers,

We are happy to announce the new InterSystems online programming contest dedicated to all things health-related:

🏆 InterSystems FHIR and Digital Health Interoperability Contest 🏆

Duration: May 12 - June 1, 2025

Prize pool: $12,000

After we rolled out a new cointainer based on containers.intersystems.com/intersystems/irishealth:2023.1 this week, we suddenly noticed that our FHIR Repository started responding with an Error 500. This turns out to be caused by PROTECT violations on the new HSSYSLOCALTEMP namespace and database used by this version of the IRIS for Health FHIR components.

The trick to solve that is to add the "%DB_HSSYSLOCALTEMP" to the Web Application(s) that handle FHIR Requests. You can script that by running the following Class method in the namespace(s) that define these Web Applications:

do ##class(HS.

Hey Community!

We're happy to share the next video in the "Code to Care" series on our InterSystems Developers YouTube:

⏯  Streamlining Electronic Prior Authorizations with FHIR

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.

After successfully demonstrating the seamless launch of multiple external SMART apps at the HL7 AU FHIR Connectathon, I’m excited to share what I’ve learned with the community.

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

Hello Community!

We're excited to announce that the FHIR France Meetup is making a comeback... in person at SantExpo 2025!

📅 Dates: May 21, 2025, starting at 7:00 PM

📌 Location: Halles d'Issy - Biltoki, 1 Rue Rouget de Lisle, Issy-les-Moulineaux, Paris, France

Hi Developers!

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.

Hey Community!

We're happy to share the next video in the "Code to Care" series on our InterSystems Developers YouTube:

⏯  How Project BEST Transforms FDA Adverse Event Reporting with FHIR

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!

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

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

Hey Community,

Enjoy the new video on InterSystems Developers YouTube:

⏯ Introduction to OMOP Platform

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

Hi Community,

Enjoy the new video on InterSystems Developers YouTube:

⏯  FHIR Lessons Learned From the Field @ Global Summit 2024

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.

Hi Community,

Enjoy the new video on InterSystems Developers YouTube:

⏯ FHIR Object Model @ Global Summit 2024

Hi guys,

I am looking for a way to search for FHIR Encounter resources from an InterSystems FHIR server where there period.start is before or after a certain time. I can´t get my head around which would be a correct way to do this since docs and FHIR spec is not clear to me which fields can be used for searching with wich prefixes.

In my local InterSystems FHIR server I have a set of Encounter ressources, each set with a period.start and (possibly) a period.end. I´d like to retrieve all Encounters with a start date time prior to a given datetime. I did a little testing with URL parameters.

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

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.

Hi Community,

Enjoy the new video on InterSystems Developers YouTube:

⏯ Customizing the InterSystems FHIR Transformation Service @ Global Summit 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).

Hello,

I'm trying to POST a Location resource to a FHIR Server, but I get this error:
{
    "errors": [
        {
            "code": 5002,
            "domain": "%ObjectErrors",
            "error": "ERRORE #5002: Errore di Cach�: <PROTECT>zNewInteractionsInstance+1^HS.FHIRServer.Storage.Json.InteractionsStrategy.1",
            "id": "ObjectScriptError",
            "params": [
                "<PROTECT>zNewInteractionsInstance+1^HS.FHIRServer.Storage.Json.InteractionsStrategy.1"
            ]
        }
    ],
    "summary": "ERRORE #5002: Errore di Cach�: <PROTECT>zNewInteractionsInstance+1^HS.

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.