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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

Hi Community,

The day has arrived — InterSystems FHIR Healthtech Incubator Caelestinus Final Demo Day, November 30, 2022!

We started Caelestinus 8 months ago in March with 22 outstanding teams. Today 15 teams will pitch what they have achieved so far and their message to the market!

I’m pleased to invite everyone to InterSystems FHIR Health Tech incubator Caelestinus Demo Day, which will happen in a hybrid online/offline mode: you can watch pitches online via www.caelestinus.tech starting at 2 p.m. CET or go in-person in IKEM — Institute for Clinical and Experimental Medicine, the largest Czech medical research and clinical hospital.

https://www.youtube.com/embed/sC-R9MflORg
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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?

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An extension “extends” or enhances a FHIR resource or a data element in a custom way. The extension can be added to the root of a resource, such as “Patient.ethnicity” in US Core profile, and they can be added to individual elements such as HumanName, Address or Identifier.

Did you know that you can also add an extension to a primitive data type?

Primitives usually store a single item and are the most basic element in FHIR. For example: "Keren", false, 1234, 12/08/2024 etc.

For example, the patient resources might look like this:

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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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Overview

In our previous post, we discussed the motivation for developing a chatbot agent with access to FHIR resources. In this post, we will dive into the high-level design aspects of integrating a Streamlit-based chat interface with a Java SpringBoot backend, and enabling a LangChain agent with access to FHIR (Fast Healthcare Interoperability Resources) via APIs.

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I am trying to work with Epic on FHIR. Epic's documentation stated, your application makes a HTTP POST request to the authorization server's OAuth 2.0 token endpoint to obtain access token.

Set tSC = ##class(%SYS.OAuth2.Authorization).GetAccessTokenClient(pClient,pScopes,.prop,.err) returns

ERROR #9761: No key in provided JWKS for alg ES512 and kid

I check this /csp/sys/oauth2/OAuth2.JWTServer.cls?client_name=medbank and I see this:

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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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Article
· Dec 1, 2022 1m read
My First FHIR app

I participated in InterSystems Women’s Health FHIR contest, because I loved the challenge to learn a new-to-me technology. I wanted to develop an app that receives data from a mobile device like my Fitbit or a Smart Watch. I did not get access to such data except when I downloaded a spreadsheet (CSV file) showing my daily steps and sleep data. I saw in iris-fhir-template it imported some patient data to a FHIR server.

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Newbie here...

I am looking to use fhir to gather patients in our end point that have a certain diagnosis and or certain insurance.

Is this what fhir can be used for?

In the past I have done the normal SQL query/extract to CSV file. Looking to use fhir for this for future.

Thanks in advance for your time

Dean-O

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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.

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Hey Community,

Enjoy watching the new video on InterSystems Developers YouTube:

⏯ Creating an HL7 v2 to FHIR Transformation Pipeline with HealthLake Target

https://www.youtube.com/embed/5ZOcooTo0fs
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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:

Application menu

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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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Working on a project where I'm needing to make FHIR calls from my HealthConnect Interop production to Epic.

My issue is I'm not able to construct a valid JWT for the OAuth token retrieval that Epic will accept. I have the below code where I'm able to create a valid header and payload that I'm base64URL encoding and then trying to sign with my .pem private key file. However, Epic is not liking the signature portion of my JWT.

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Hi Community,

Please welcome the new video on InterSystems Developers YouTube:

⏯ Getting To Know FHIR - The Best Explanation of FHIR They've Ever Heard @ Global Summit 2022

https://www.youtube.com/embed/k_9uh98LEjY
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Hey Community,

Enjoy the new video on InterSystems Developers YouTube:

⏯ SMART on FHIR: Application Setup

https://www.youtube.com/embed/D8pBBVKxmJ0
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Hi -

I was wondering how if the "old FHIR gateway" works with the latest release of HealthShare Information Exchange. Since there is an impact on the amount of storage needed to use the "FHIR Gateway 2 which uses the Operation Data Store (ODS)", my question is how (if at all) can FHIR access to Information Exchange work without ODS?

Thanks

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Article
· Aug 22, 2020 2m read
An overview of iris-fhir-portal

I created the iris-fhir-portal as part of the current contest InterSystems IRIS for Health FHIR, and I'm writing this quick overview to introduce the features that my application offers.

The goal of iris-fhir-portal is to show how easy we can create a Patient Chart using FHIR capabilities in IRIS for Health and empower the user with their own data.

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If I add the same patient data with a different unique ID then it inserts as new data using a POST request.
So, In the FHIR server How can I prevent this kind of thing by using POST requests?
Note:- I don't want to use a PUT request for the same. The main thing is I want to get a unique patient record.
Que:- Is there any way to check data duplication on each FHIR resource?

Thanks & Regards,

Harshdeep Acharya

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Article
· Nov 15, 2024 2m read
HL7 -> SDA -> FHIR -> Personal Growth

I have a large tree outside my window. Here in Phoenix, Arizona, USA it's still warm and sunny so our plants are still covered in lush foliage despite so many other places in the full throws of Autumn. My desk is oriented such that I can look out at the tree throughout the day.

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