Hi Developers!

We are happy to present the bonuses page for the applications submitted to the InterSystems FHIR and Digital Health Interoperability Contest 2024!

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.

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

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!

Installation

As you can see in the project associated with the article, we have our IRIS instance deployed in Docker, so the main part of the initial configuration will be done in the Dockerfile.

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

First

You need to input some information on the application, of course, only the results of some checks, not including privacy data.

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.

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.

What is 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.

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.

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

All FHIR resources have a Meta element containing metadata about the resource. Some attributes are updated by the server, others are populated by the app constructing the resource.

Here are the 3 common attributes of FHIR’s Meta element: 

1. versionId
This is an ID that identifies a saved version of the resource on the FHIR server. Many servers use a GUID here, others use an integer. But it’s a string value, so don’t write code against this assuming a sequential integer, regardless of what the server does.

2. lastUpdated
The date and time that the resource was last updated, populated by the server.

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. 

Required Skills 
5 years Experience with InterSystems Cache Objects.
5 years Experience with InterSystems HL7.
4-5 years experience working with SDA3
2-3 years Experience with FHIR Install, Configure and working with FHIR Models.

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

We are in the process of installing a FHIR server on our InterSystems interface engine and have encountered a few questions. Your expertise and insights would be greatly appreciated:

1. Automatic Handling of Requests and Responses:
   • Is installing a FHIR server sufficient to handle requests (POST, GET, PUT) automatically without manual intervention? Can we expect automatic creation and updating of resources based on incoming requests?
2. Storage of FHIR Resources:
   • Where are FHIR resources typically stored? Is it in a database, global arrays, or another form?

Hi Developers!

Here are the technology bonuses for the InterSystems FHIR and Digital Health Interoperability Programming Contest that will give you extra points in the voting:

• InterSystems FHIR usage - 3
• InterSystems FHIR SQL Builder usage - 3
• Digital Health Interoperability - 4
• LLM AI or LangChain usage: Chat GPT, Bard and others - 3
• Embedded Python - 2
• IRIS For Health Instruqt Survey - 2
• Docker container usage - 2 
• IPM Package deployment - 2
• Online Demo - 2
• Implement InterSystems Community Idea - 4
• Find a bug in InterSystems FHIR server - 2
• Find a bug in InterSystems Interoperability - 2
• New First Article on Developer Community - 2
• New Second Article on Developer Community - 1
• First Time Contribution - 3
• Video on YouTube - 3

See the details below.

clinFHIR is a web application that has been developed pretty much over the same time as FHIR has. 

Originally developed to help clinicians visualize FHIR (hence the ‘clin’ in the name) it has become more widely used by the FHIR community for learning FHIR and assisting with design. It is maintained by David Hay - one of the FHIR Management Group co-chairs with support from InterSystems, which is much appreciated!

There are 4 modules that may be of interest to participants in the upcoming Interoperability contest.

• The Patient viewer for looking at an individual patients records
• Server Query which makes RESTful API calls against a FHIR server displaying the result in different formats
• Bundle Visualizer which will display the contents of a bundle
• Graph Builder which allows you to build graphs of interconnected resources.

I’ve created a longer post on google docs that goes into a little more details of these modules, with links to other resources such as my blog and the R4 Specification and R5 FHIR specification. I’ll be enhancing that over time - feel free to comment.

A note with regard to FHIR versions. The latest version is R5 (release 5), though many in the community still use R4. In most cases, if you're not sure then use R4. If you're not sure which version a FHIR Server supports, examine its CapabilityStatement which you can get from the server endpoint [host]/metadata

I should also point out that clinFHIR doesn’t currently use SSL. It is on the roadmap, but there are a few issues to work through. The consequence of this is that if you enter ‘clinfhir.com' into the browser, it may not find it. You sometimes have to specify http://clinfhir.com/ . 

If you need further assistance, I would alway recommend using the FHIR chat, and if your question / comment / suggestion is related to clinFHIR then there’s a specific stream there.

We're pleased to invite you to the upcoming webinar in Spanish:

👉 OAuth 2.0, OpenID Connect & LDAP: Monitoring access to FHIR resources

🗓️ Date & time: February 1, 4:00 PM (CET).

Hoping someone can help,

I have the "Sample FHIR Production" installed ( as described in the documentation) with the following Components:

Service: HS.Gateway.ECR.SDA3XMLFileService

Processes: HS.FHIR.FromSDA.DTL.Transaction.Process

Operations: HS.FHIR.Repository.Operations

When a patient's data gets updated in my application a new SDA3 message is generated and processed by the FromSDA DTL. The Repository Stores that data as a New patient ( i.e. when I query the Repo they have different IDs "resource":{ "resourceType":"Patient", "id":"4", ) .

Hey Developers,

Watch this video to learn how UC Davis Health uses InterSystems API Manager to satisfy business-partner demand for access to both custom and FHIR APIs:

⏯ How UC Davis Health Uses InterSystems API Manager @ Global Summit 2023

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.

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".

The user itself does not have the %All Permission.

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."

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.

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.

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.

FHIR provides a robust structure for health data, encompassing clinical, administrative, and financial information.

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.

Hi Community,

Enjoy watching the new video on InterSystems Developers YouTube:

⏯ Performing Advanced FHIR Validation @ Global Summit 2023

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.

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.

Hi Developers,

Watch this video to learn about the Bulk FHIR server and client and the latest version of our Bulk FHIR implementation:

⏯ Bulk FHIR Export @ Global Summit 2023