#FHIR

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  ?

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.

Hey Developers,

Enjoy watching the new video on InterSystems Developers YouTube:

⏯ How to Customize the InterSystems IRIS for Health FHIR Repository @ Global Summit 2023

Hello Community,

I am working on creating a FHIR bundle with Practitioner resources inside of a BPL business process. Data source is a cache database table containing business partner data objects.
Part of the implementation is a loop over all new or updated data objects. For each element a SAP call is made to retrieve more information and add it to the target resource. As there was no last run on first start, approx. 130000 objects are initially to be exported. After the first run, there would not be more than 100 to be updated on each run.

Hello,

I am trying to get FHIR Resource using OAuth 2.0 . I get access_token sucessfully but when I use this token i get this type of error in postman. It is showing 401 Unauthorized please suggest any solution.

Thank You  

Hi Community

I have created one business service created from "HS.FHIRServer.Interop.Service" in FHIR production.

I want to validate FHIR Patient resource that the age must be greater than 18 years.

How can I achieve this from objectscript as well as from DTL?
Thanks

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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.

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.