#FHIR

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 global) on 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.

Hi,
Getting the below error while posting FHIR resource to FHIR Server

Looking Forward
Thanks

Hi Community,

Enjoy watching the new video on InterSystems Developers YouTube:

⏯ Getting to Know FHIR: The Best Explanation of FHIR They've Ever Heard @ Global Summit 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?

Hi,

Can you please suggest how to import vR4 packages for my FHIR application implementation. I can see SDA3 packages but want to work with vR4.

Is there any version compatibility for SDA3/vR4? What is the difference of SDA3 and vR4?

Thanks,

This YouTube video about submitting a FHIR transaction bundle impressed me. It shows me two things:

1. how a new resource (in the video, the Observation) referencing another new resource (the Patient) in the same bundle can be done, given that their link-up will be sorted out in the repository and reflected in the subsequent retrieval through a HTTP GET; and
2. how a conditional create with the PUT method may be achieved, in case we cannot tell if such a resource (e.g. the Patient with an identifier) to be submitted may or may not exist.

Hi,

How to send PDF/Image as attachment along with FHIR Resource.

Thanks

Hello Community!

I want to share with you an interesting solution that will allow you to perform integration testing for your healthcare applications. Let me introduce you to Pandora – a FHIR server testing software designed by Fyrstain, offering cutting-edge solutions for healthcare interoperability testing.

InstallFoundation method is missing (IRIS 2023.2+)

Recently IRIS 2023.2 was released. This version removed this method InstallFoundation from this class HS.HC.Util.Installer. This was a private method and it was not documented. But it was widely used by the community to install FHIR server.

So if you encounter this error:

<METHOD DOES NOT EXIST> *InstallFoundation,HS.HC.Util.Installer

While build a demo our your own FHIR server, you can fix it by replacing this line:

  do ##class(HS.HC.Util.Installer).InstallFoundation(namespace)

to

  Do ##class(HS.Util.Installer.Foundation).Install(namespace)

Hi developers,

We have received quite a lot of interest in using SQL on FHIR data. As you know, FHIR data is encoded in the form of a complex directed graph, and thus you can not easily query it with traditional SQL queries or business intelligence tools. Some customers have noticed that the "FHIR search tables" in IRIS for Health have flattened part of the FHIR graph, and have tried to use them for analytics. This is an undocumented and unsupported part of IRIS for Health, and can change without notice.

Hi,

Here are the requirements for implementing a new project using FHIR and JSON.

The FHIR JSON resource types - Patient, Encounter, etc. - need to be converted to HL7 messages using DTL.

Does %JSONImport() allow direct conversion of JSON into HS.SDA3.Patient objects?

Could anyone suggest an easy way to convert FHIR objects for DTL use?

The FHIR® SQL Builder, or Builder, is a component of InterSystems IRIS for Health. It is a sophisticated projection tool used to create custom SQL schemas using data in an InterSystems IRIS for Health FHIR repository without moving the data to a separate SQL repository. The Builder is designed specifically to work with FHIR repositories and multi-model databases in InterSystems IRIS for Health.

The objective of the Builder is to enable data analysts and business intelligence developers to work with FHIR using familiar analytic tools, without having to learn a new query syntax.

Hey Developers,

Watch this video to learn more about the FHIR, how it came to be and the future of the standard:

⏯ The Concept of FHIR: A Healthcare Data Standard Designed for the Future

 Did you know that with InterSystems IRIS for Health™, you can create a FHIR Facade that enables healthcare apps to send and receive HL7® FHIR® data?
 Find out how in this learning path (3h 30m), which includes a hands-on exercise (20m).

I have been successfully able to transform hand-written medical test results documents to HL7 ORU_R01 v2.x, then to SDA, which will be trasformed to FHIR or C-CDA.
However, I have a category of documents which contains reference range in multiple date formats, which are measured for each gestation period. 
For example, below is one of the documents.
 

Analyte: HCG, Value: 1968, Unit: mlU/mL 

Reference Range:
Week of gestation: 3, Range: 5.8-71.2
Week of gestation: 4, Range: 9.

FHIR has revolutionized the healthcare industry by providing a standardized data model for building healthcare applications and promoting data exchange between different healthcare systems. As the FHIR standard is based on modern API-driven approaches, making it more accessible to mobile and web developers. However, interacting with FHIR APIs can still be challenging especially when it comes to querying data using natural language.

Introducing the FHIR - AI and OpenAPI Chain application, a solution that allows users to interact with FHIR APIs using natural language queries.

Hello again everyone.

In our previous article we saw how to configure our EMPI to receive FHIR messages. To do this we installed the FHIR Adapter that InterSystems made available to us that configured a REST endpoint to which we could send our FHIR message. We would then get the message and transform it to a %String that we would send via TCP to the output of our EMPI configured in our HSPIDATA namespace.

Alright, it's time to see how we retrieve the message, transform it back to a %DynamicObject and parse it to the class used by the EMPI to store the information.

Hi all! Wanted to share a recent video we created with InterSystems FHIR expert, Russ Leftwich, covering some of the most frequently asked questions with FHIR. Let us know if you have more questions for a future iteration of this!

We return to the attack with our EMPI!

In previous articles we have seen how to configure and customize our EMPI, we have seen how we can include new patients in our system through HL7 messaging, but of course, not everything is HL7 v.2 in this life! How could we configure our EMPI instance to work with FHIR messaging?

What is FHR?

For those of you who are not too familiar with the term FHIR, just indicate that they are the initials of Fast Healthcare Interoperability Resource.

As said in the previous article about the iris-fhir-generative-ai experiment, the project logs all events for analysis. Here we are going to discuss two types of analysis covered by analytics embedded in the project:

• Users prompts
• Execution errors

In order to extract useful data to apply analytics, we used the iknowpy library - an opensource library for Natural Language Processing based in the iKnow for IRIS Data Platform. It makes possible identifies entities (phrases) and their semantic context in natural language text in several languages.

The continuing convergence of AI technologies and healthcare systems has brought forward many compelling advancements. Let's set the scene. If you have interacted with dynamic models like ChatGPT, you might have, like many of us, begun to envision its application using your unique datasets. Suppose in the healthcare sector you wish to link this technology with Electronic Health Records (EHR) or Electronic Medical Records (EMR), or perhaps you aim for heightened interoperability using FHIR's resources.

Description

With InterSystems IRIS FHIR Server you can build a Strategy to customize the behavior of the server (see documentation for more details).

This repository contains a Python Strategy that can be used as a starting point to build your own Strategy in python.

This demo strategy provides the following features:

• Update the capability statement to remove the Account resource
• Simulate a consent management system to allow or not access to the Observation resource
  • If the User has sufficient rights, the Observation resource is returned
  • Otherwise, the Observation resource is not returned

This project is an experiment to use OpenAI API to answer to user prompts in the healthcare domain using FHIR resources and Python code.

YouTube video player

Project idea

Generative AIs, like the LLM models available on OpenAI, has been demonstrated remarkable power to understand and answer high level questions. They use huge amounts of data to train their models, so they can answer complex questions.

They can even use programming languages to create code based on prompts - and I have to confess that the idea of getting my work automated causes me some anxiety.

Hi colleagues!

InterSystems Grand Prix 2023 unites all the key features of InterSystems IRIS Data Platform!

Thus we invite you to use the following features and collect additional technical bonuses that will help you to win the prize!

Here we go!

• LLM AI or LangChain usage: Chat GPT, Bard and others - 6
• InterSystems FHIR SQL Builder- 5
• InterSystems FHIR - 3
• IntegratedML - 4
• Native API - 3
• Embedded Python - 4
• Interoperability - 3
• Production EXtension(PEX) - 2
• Adaptive Analytics (AtScale) Cubes usage - 3
• Tableau, PowerBI, Logi usage - 3
• InterSystems IRIS BI - 3 
• Columnar Index Usage - 1
• Docker container usage - 2 
• ZPM Package deployment - 2
• Online Demo - 2
• Unit Testing - 2
• Implement InterSystems Community Idea - 4
• First Article on Developer Community - 2
• Second Article On DC - 1
• Code Quality pass - 1
• First Time Contribution - 3
• Video on YouTube - 3

Problem

In a fast-paced clinical environment, where quick decision-making is crucial, the lack of streamlined document storage and access systems poses several obstacles. While storage solutions for documents exist (e.g, FHIR), accessing and effectively searching for specific patient data within those documents meaningfully can be a significant challenge.

Motivation

AI has made document search remarkably powerful. Question and answering over docs has never been easier with open-source tools like Chroma and Langchain to store and use vector embeddings to query across Generative AI APIs.

Hi Community,

I would like to know how I can query a list of patients that were revoked on HealthShare for the month of April and May.

Messages are sent using FHIR and a revoke is handled with active:false as seen below. A non-revocation will have active: true on the patient resource.

I wanted to check SQL tables but I am not sure which one to check if so. Please advise on how to go about getting this report.

Regards,

Hey Developers,

Watch this video to learn about InterSystems TrakCare Innovation Toolkit which is a free download that enables TrakCare users to quickly access their data in standard HL7® FHIR® format, making the system of record a system of transformation:

⏯ Introduction to the TrakCare Innovation Toolkit @ Global Summit 2022

Hi, 

Getting the following error when activating a foundation namespace(FHIR Server). Anyone had this issue before:

Thanks

Hi all,

I am looking for a way to serialize fhir content received via interoperability adapter into it´s corresponding ISC model class (e.g. HS.FHIR.DTL.vR4.Model.Resource.DiagnosticReport) for later use. In my opinion the outline to accomplish this would be something like

1) Receive the FHIR data
2) Get quick stream containing the JSON data
3) Examine if bundle or single ressource
4) For resource serialize to coressponding model class (HS.FHIR.DTL.vR4.Model.Resource.*)
5) further use of newly created object of type HS.FHIR.DTL.vR4.Model.Resource.*

Of course something like set tObj = {}.