#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

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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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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Announcement
· Feb 20, 2024
[Video] FHIR in the Cloud

Hey Developers,

Watch this video to learn how to deploy your FHIR server using AWS, EKS, and Kubernetes: advantages and disadvantages of cloud deployment and demo a deployment:

⏯ FHIR in the Cloud @ Global Summit 2023

https://www.youtube.com/embed/hP6V0UbyV7Y
[This is an embedded link, but you cannot view embedded content directly on the site because you have declined the cookies necessary to access it. To view embedded content, you would need to accept all cookies in your Cookies Settings]

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We conclude this series of SMART On FHIR articles with Auth0 and InterSystems IRIS FHIR Repository by reviewing our application developed in Angular 16.

Let's remember what the architecture defined for our solution is like:

Our front-end application corresponds to the second column and as you can see it will be in charge of two things:

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Introduction

I recently participated in a fantastically organized hands-on by @Patrick Jamieson in which an Angular application was configured together with an IRIS FHIR server following the protocols defined by SMART On FHIR and I found it really interesting, so I decided to develop my own Angular application and thus take advantage of what I learned to publish it in the Community.

SMART On FHIR

Let's see what Google tells us about SMART On FHIR:

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We resume our series of articles on the FHIR Adapter tool available to HealthShare HealthConnect and InterSystems IRIS users.

In the previous articles we have presented the small application on which we set up our workshop and showed the architecture deployed in our IRIS instance after installing the FHIR Adapter. In today's article we will see an example of how we can perform one of the most common CRUD (Create - Read - Update - Delete) operations, the reading operation, and we will do it by recovering a Resource.

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Background

In 2021, I participated as an InterSystems mentor in a hackathon, where a newcomer to FHIR asked me if there was a tool to transform generic JSON data containing basic patient information into FHIR format. I informed her that I didn't know anything like that, unfortunately.

But that idea stays in my mind...

Several months later, in 2022, I came up with an idea to experiment: to train a named entity recognition (NER) to identify FHIR elements into generic texts. The training involved synthetic FHIR data generated by Synthea and the spaCy Python library.

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Article
· Feb 1, 2024 2m read
Mind map your FHIR patient data

According Wikipedia a mind map is a diagram used to visually organize information into a hierarchy, showing relationships among pieces of the whole. It is often created around a single concept, drawn as an image in the center of a blank page, to which associated representations of ideas such as images, words and parts of words are added. Major ideas are connected directly to the central concept, and other ideas branch out from those major ideas.

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I created this application considering how to convert images such as prescription forms into FHIR messages

It recognizes the text in the image through OCR technology and extracts it, which is then transformed into fhir messages through AI (LLA language model).

Finally, sending the message to the fhir server of IntereSystems can verify whether the message meets the fhir requirements. If approved, it can be viewed on the select page.

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Sometimes we need to convert FHIR message to HL7 V2, e.g. to register a patient to the PACS system.
In this article, I will explain the steps to achieve the desired by using IRIS FHIR Server production.

Below are the steps we need to follow:

  1. Make sure FHIRServer production is started.
  2. Register Business Service with FHIRServer endpoint.
  3. Define Business Processes to convert FHIR message to SDA and then Convert SDA to HL7 v2.
  4. Post JSON resource to FHIRServer endpoint and get HL7 V2 response.

Let's review the steps in detail.

Step 1. Make sure FHIRServer production is started

Open the production page and make sure Production is started. In the next step, we need to make sure business service HS.FHIRServer.Interop.Service is registered with FHIRServer

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We return with our example of using the FHIR Adapter, in this article we are going to review how we can configure it in our IRIS instances and what the result of the installation is.

The steps taken to configure the project are the same as indicated in the official documentation, you can review them directly here. Well, let's get to work!

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Article
· Feb 2, 2024 2m read
Fhir-HepatitisC-Predict application

Hi Community

This document mainly enriches the content of the previous article and introduces the use of the application.

Perhaps you have already read the previous article, but I still want to say,
After completing the initialization operation (including model creation and training), the Fhir HepatitisC Predict application then predicts HepatitisC

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1、Background

When I first encountered FHIR, I encountered a problem with its message format. It was difficult for me to determine whether the message I created met the format, and it was also difficult to easily create an FHIR message from scratch.

So, through fhir server of IntereSystems’fhirserver API, I created this application for quickly generating/validating FHIR messages.

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Surely you have all heard about FHIR as the panacea and solution to all interoperability and compatibility problems between systems. Right here we can see one of his classic defenders holding a FHIR resource in his hand and enjoying it immensely:

But for the rest of us mortals we are going to make a small introduction.

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Article
· Jan 29, 2024 2m read
Get familiar with FHIR

🔥 Curious about the FHIR standard that everyone's talking about?

📚 Read on for a brief introduction, then try a brand-new learning path to get more in-depth knowledge!

The HL7® FHIR® standard has revolutionized the way healthcare developers take on the challenges of data interoperability. FHIR allows healthcare systems to exchange information seamlessly, and patient data can be consolidated in real time, regardless of where it's stored.

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Article
· Jan 28, 2024 3m read
Fhir-HepatitisC-Predict

Processing FHIR resources with FHIR SQL BUILDER to predict the probability of developing hepatitis C disease

With the development of technology, the medical industry is also constantly advancing, and humans often pay more attention to their own health,
By learning and processing datasets through computers, diseases can be predicted.

Pre condition: Ability to use FHIR and ML
Firstly, our dataset is obtained from kaggle and transformed into FHIR resources based on patient gender, age, ALP or ALT, and imported into the FHIR resource repository

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Hi Developers,

We have exciting news! The new InterSystems online programming contest dedicated to all things health-related will start very soon!

🏆 InterSystems FHIR and Digital Health Interoperability Contest 🏆

Duration: January 15 - February 4, 2024

Prize pool: $14,000

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Job Description

Planning, building, training, and manage (Program and Project) to convert HL7 inbound messages (coming from primarily Epic) to InterSystems FHIR.

Looking for a person who can develop (well versed in InterSystems FHIR experience), demo, train/mentor the team, manage the project.

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In the context of HL7 FHIR (Fast Healthcare Interoperability Resources), the terms "id" and "identifier" refer to specific elements used for identifying resources within the FHIR data model. For a newbie, these terms can be confusingly similar, but they serve distinct purposes.

Look at the below Patient resource for August T. Faulkner:

The resource has an id of “1” — generated by the FHIR server when the resource was created.
Patient August T. Faulkner also has a identifier (Medical Record Number) — possibly provided by the hospital — of 78510398960

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