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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 Evgeny Shvarov · Mar 27, 2023 1m read

Hi folks!

Recently I was in need to setup a local FHIR server using IRIS For Health and I think I found the easiest and simplest way ever.

Just run in terminal these two lines below :

docker run --rm --name my-iris -d --publish 9091:1972 --publish 9092:52773 intersystemsdc/irishealth-community

and

docker exec -it my-iris iris session iris -U "USER" '##class(%ZPM.PackageManager).Shell("install fhir-server")'

And you'll have FHIR server running locally at http://localhost:9092/fhir/r4.

That's it!

The FHIR server will use the latest build of InterSystems IRIS for Health Community Edition and will deploy FHIR server from this app via IPM package in  FHIRSERVER namespace.

This is for Mac, so please add in comments how it works in Windows.

This is a very short article as it is really easy to setup a local FHIR server with InterSystems IRIS for Health and IPM Package Manager.

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Question Sebastian Thiele · Dec 13, 2023

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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Announcement Olga Zavrazhnova · Dec 9, 2023

Hi Developers, 

We'd like to highlight some outstanding projects created during the European Healthcare Hackathon 2023 in Prague. 
Participants were presented with nine real-world healthcare challenges by IKEM and AstraZeneca.  
InterSystems introduced to the participants an opportunity to use the FHIR repository and perform FHIR availability into their solutions by providing FHIR cloud services on AWS.

Meet the winners of our challenge:

1st place Čarodějové (PathoSync)

"The PathoSync software is a solid base for complex pathologist platforms. With the use of custom mapping, any laboratory can project their data into FHIR7 standard, which soon will be mandatory worldwide. This makes the digitalization process smoother. The connection with InterSystems assures quality and implements many healthcare features. Furthermore, the GDPR norms are strictly followed using the FHIR server based in Europe, so the usage of software follows the European standards."

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Question Sapan Parikh · Dec 5, 2023

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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Article Davi Massaru Teixeira Muta · Nov 26, 2023 8m read

Introduction

This article aims to explore how the FHIR-PEX system operates and was developed, leveraging the capabilities of InterSystems IRIS.

Streamlining the identification and processing of medical examinations in clinical diagnostic centers, our system aims to enhance the efficiency and accuracy of healthcare workflows. By integrating FHIR standards with InterSystems IRIS database Java-PEX, the system help healthcare professionals with validation and routing capabilities, ultimately contributing to improved decision-making and patient care.

how it works

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Article Zacchaeus Chok · Nov 26, 2023 2m read

Motivation

The motivation behind the InterLang project is rooted in the innovative integration of LangChain chatbot agents with the Fast Healthcare Interoperability Resources (FHIR) framework to revolutionize conversational social prescriptions in healthcare. This project aims to leverage the rich and standardized data available through FHIR, an emerging standard in healthcare data exchange, to inform and empower these advanced chatbot agents.

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Discussion Luis Angel Pérez Ramos · Nov 8, 2023

Hi everyone!

The other day I was reflecting on the possibilities that FHIR brings us in the world of interoperability and electronic medical records and it gave me mixed feelings, let me explain, first a small introduction.

Introduction

As you well know, FHIR is based on parameterizing a series of concepts that it calls resources in JSON or XML format with the intention of covering the most common cases within the healthcare environment, relying on HTTP communications to cover CRUD and query functionalities.

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Article Zacchaeus Chok · Nov 28, 2023 3m read

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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Question Prasanth Annamreddy · Nov 20, 2023

I have received 2 errors while publishing Patient data to repository. Message viewer displays like below and the Application log found  bold content.

Could you please help me on this to resolve the errors.

An error occurred with the web application.
It has been logged to system error log (System Operation>System Logs>Application Error Log).

"<METHOD DOES NOT EXIST>OnPage+42^EnsPortal.MessageContents.1 *%Id,HS.FHIRServer.API.Data.Request : CSP Error"

Business Operation Event logs displays "ERROR <Ens>ErrRequestNotHandled: Request message '3@HS.FHIRServer.API.Data.Request' not handled"

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Announcement Olga Zavrazhnova · Nov 10, 2023

Hi Developers,

We invite you to join InterSystems at the European Healthcare Hackathon in Prague Nov 24-26! 
You can participate onlineor come to Prague in-person! Registration closes soon - don't hesitate to register.

InterSystems will introduce the "Innovate with FHIR" challenge with $$$ prizes for the best use of InterSystems FHIR services.

It will be a weekend full of innovation - looking forward to meeting you there! 🤩

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Article Zhong Li · Feb 15, 2023 11m read

A "big" or "small" ask for ChatGPT?


I tried OpenAI GPT's coding model a couple of weeks ago, to see whether it can do e.g. some message transformations between healthcare protocols. It surely "can", to a seemingly fair degree. 
It has been nearly 3 weeks, and it's a long, long time for ChatGPT, so I am wondering how quickly it grows up by now, and whether it could do some of integration engineer jobs for us, e.g. can it create an InterSystems COS DTL tool to turn the HL7 into FHIR message? 

Immediately I got some quick answers, in less than one minute or two.


Test

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Question Evgeny Shvarov · Oct 30, 2023

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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Announcement Anastasia Dyubaylo · Oct 6, 2023

Hi Community,

We're super excited to invite you to the webinar on How GitOps can use the InterSystems Kubernetes Operator prepared as a part of the Community webinars program.

Join this webinar to learn how the FHIR Breathing Identity and Entity Resolution Engine for Healthcare (better known as PID^TOO||) was created.

⏱ Date & Time: Thursday, October 19, 12:00 PM EDT | 6:00 PM CEST

👨‍🏫 Speakers

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Announcement Anastasia Dyubaylo · Oct 17, 2023

Hi Community,

Watch this video to learn how to combine FHIR, CDS Hooks, and the low-code Healthcare Rule Editor into an easy-to- use, powerful platform to help ensure information is delivered in the best possible way:

⏯ Clinical Alerts & Notifications on FHIR: Putting the Healthcare Action Engine into the Workflow @ Global Summit 2023

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Question Ashok Kumar T · Oct 17, 2023

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?

Is this profile validation is really a intersystems FHIR server job or the validation implementation is available now  ?

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Question Sebastian Thiele · Oct 6, 2023

Hi community,

I am looking for an implementation strategy to create/update organizations in a local ISC based FHIR server. Thoase organizations do have a certain dependancy to one another. For Organization resources the "partOf" property symbolizes that. It is planned, that a Interoperability Production (supporting FHIR Server) receives a bundle which contains a batch export of all organizations of a customer (Hospital). The task is to bring those data into the FHIR server create and/or update organization.

I was looking at conditional create/update since there a two major challanges.

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Question Ashok Kumar T · Sep 24, 2023

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 globalon 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?

Executed the below code. Even tried with zwrite of ^CacheTemp.HS.Stream is also empty. Tried with IRSITMEP database as well.

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Question Michael Wood · Sep 18, 2023

I am mapping a field to the FHIR Location resource field address.line.  Using message class HS.FHIR.DTL.vR4.Model.Resource.Location

The line field is repeating

I set field as such,

This causes the error,

ERROR <Ens>ErrException: <INVALID OREF>zTransform+71^AH.AHEDSLPFD.Transforms.ReltioEntityToPFDFHIRLocation.1 -- logged as '-' number - @' If 'tIgnore { Set tSC=target.address.line.SetAt(zVALz,(1)) }'

Any suggestions on how I can format the target?

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