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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 Fan Ji · 2 hr ago 1m read

Introduction

FHIR (Fast Healthcare Interoperability Resources) is the modern standard for storing and exchanging clinical data. But once your data is in a FHIR server, how do you actually explore it? FHIR data is stored as JSON — powerful, but not practical to read directly. I wanted a tool where you could click on a patient, see their conditions, medications, lab results, and more — in a clean, readable format. So I built the FHIR Patient Viewer.

How It Works

The app runs entirely in Docker and connects directly to an InterSystems IRIS for Health FHIR server.

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InterSystems Official Daniel Palevski · 22 hr ago

The 2026.1 release of InterSystems IRIS® data platform, InterSystems IRIS® for HealthTM, and HealthShare® Health Connect is now Generally Available (GA). This is an Extended Maintenance (EM) release.

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Question Scott Roth · Aug 23, 2024

I thought I knew how to return a Response from a Business Process back to the Source Config Name, but I guess not. 

I am working on a Proof of Concept, that the Request Message Class would determine a "Route" within a Business Process to make a FHIR call (search, read) to our External FHIR repository, and return back the HS.FHIR.DTL.vR4.Model.Resource.xxxxxxx as a Response to the Source Config Name.

I have the FHIR part working, however now that I have the data in the form of HS.FHIR.DTL.vR4.Model.Resource.

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Article Gabriel Ing · Jan 16 5m read

Introduction

Earlier this year, I set about creating kit to introduce young techy folk at a Health Tech hackathon to using InterSystems IRIS for health, particularly focusing on using FHIR and vector search.

I wanted to publish this to the developer community because the tutorials included in the kit make a great introduction to using FHIR and to building a basic RAG system in IRIS.

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Article Scott Roth · Mar 11 3m read

Background

Emergency Medical Services (EMS) teams often arrive at the emergency department with patients whose demographics are incomplete or unknown—no medical record number (MRN), no confirmed name, and sometimes no date of birth. Yet EMS transportation notes still need to land in the correct chart.

To support safe and reliable documentation, EMS agencies, third-party integration services, and hospital integration teams build secure interfaces that exchange identifiers and clinical messages.

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Discussion André Sheydin · Feb 28

Hello everyone,

I am André from MedVertical. We are exploring InterSystems-native ways to operationalize continuous FHIR conformance: repeatable regression runs, baseline/delta comparisons, and evidence-style reporting to detect drift after releases and IG changes.

In many FHIR implementations, validation is done “point-in-time” in pre-prod, but conformance degrades in production due to IG/profile updates, terminology changes, mapping evolution, upstream releases, and configuration drift.

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Announcement Patrick Jamieson · Feb 24

Hello Community,

We are excited to announce that registration is now open for the second cohort of the course:

 🧑‍💻 Developing FHIR Applications Using Python 🧑‍💻

This hands-on program is designed for developers who want to build real-world FHIR applications using Python and InterSystems IRIS for Health. 

👉 Watch 5-minute course overview

📅 Second cohort starts March 29, 2026

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Article Ashok Kumar T · Feb 24 2m read

In the modern healthcare landscape, finding clinically similar patients often feels like looking for a needle in a haystack. Traditional keyword searches often fail because medical language is highly nuanced; a search for "Heart Failure" might miss a record containing "Congestive Cardiac Failure."

I am excited to share iris-medmatch, an AI-powered patient matching engine built on InterSystems IRIS for Health. By leveraging Vector Search, this tool understands clinical intent rather than just matching literal strings.

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Announcement Anastasia Dyubaylo · Feb 13

Hi Community!

We’re excited to announce the launch of a new, hands-on training program:

 🧑‍💻 Developing FHIR Applications Using Python 🧑‍💻

This cohort-based course takes developers from FHIR fundamentals to advanced, real-world healthcare interoperability solutions, with deeper, more practical coverage than typical industry offerings and a strong focus on production-ready skills using InterSystems technology.

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Article Henry Pereira · Feb 14 3m read

cover

You’ve seen how tools like Lovable are shaking up web development. People are spinning up entire apps just by talking to an AI, almost like pair‑programming on steroids.

Now imagine bringing that same “vibe coding” experience into healthcare. know, it sounds crazy. Healthcare is complex, full of regulations, and usually gives us a headache just thinking about the interoperability rules.

That’s exactly the space where withLove lives: an AI‑Native, Low‑Code platform built entirely on InterSystems IRIS for Health.

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Article Alberto Fuentes · Feb 13 10m read

10:47 AM — Jose Garcia's creatinine test results arrive at the hospital FHIR server. 2.1 mg/dL — a 35% increase from last month.

What happens next?

  • Most systems: ❌ The result sits in a queue until a clinician reviews it manually — hours or days later.
  • This system: 👍 An AI agent evaluates the trend, consults clinical guidelines, and generates evidence-based recommendations — in seconds, automatically.

No chatbot. No manual prompts. No black-box reasoning.

This is event-driven clinical decision support with full explainability:

image

Triggered automatically by FHIR events ✅ Multi-agent reasoning (context, guidelines, recommendations) ✅ Complete audit trail in SQL (every decision, every evidence source) ✅ FHIR-native outputs (DiagnosticReport published to server)

Built with:

  • InterSystems IRIS for Health — Orchestration, FHIR, persistence, vector search
  • CrewAI — Multi-agent framework for structured reasoning

You'll learn: 🖋️ How to orchestrate agentic AI workflows within production-grade interoperability systems — and why explainability matters more than accuracy alone.

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Question Hassan Mirza · Jan 27

Currently in the health connect code, we are using Epic FHIR API Patient.Create, code return 200 or 201 status values, we process the message based on this return values.

Now I need to use Epic FHIR Patient.$match API, need to check FHIR Error code 4101 for this API. I looked for FHIR statndard return code, but this this seems not standard code, please advice how can I check 4101 value?

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Question Kevin Mayfield · Jan 27

I'm using this service to create a FHIR facade. 
I want to return OperationOutcome to the calling application when I detect an error. 
My code at present is :

set quickStreamOut=##class(HS.SDA3.QuickStream).%New()

set operationOutcome = ##class(HS.FHIR.DTL.vR4.Model.Resource.OperationOutcome).%New()

s issue = ##class(HS.FHIR.DTL.vR4.Model.Element.OperationOutcome.issue).%New()

s issue.severity = "error"

s issue.code = "exception"

s issue.details = ##class(HS.FHIR.DTL.vR4.Model.Datatype.CodeableConcept).%New()

try {

s issue.details.text = exception.
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Article Ashok Kumar T · Jan 14 14m read

What is a FHIR Profile?

A FHIR profile is a collection of rules and constraints used to customize and refine a base Fast Healthcare Interoperability Resources (FHIR) resource. Profiling is a vital process that adapts the base FHIR resource standard to satisfy the unique requirements of a specific use case, geographic region, medical institution, or clinical workflow.

While the base FHIR specification provides generic, flexible definitions for resources (such as Patient, Observation, or Medication), profiles transform these generic resources into more precise ones. This ensures consistent and interoperable data exchange tailored for a particular community or implementation.

FHIR is designed to cover various healthcare scenarios globally. Profiles allow implementers to adapt this general platform without losing the benefits of standardization.

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Question Hassan Mirza · Jan 15

Needs some help with FHIR return code 200 or 201 when processing HL7 messages in HealthConnect.

Issue:

1. If FHIR code is 200 or 201, HealthConnect keep processing HL7 messages

2. If FHIR code is NOT 200 or 201, HealthConnect keep suspend the HL7 messages in the messages queue, then keep processing NEXT subsequent HL7 messages in the TEXT file if the FHIR code is 200 or 201

3. I am also using following "Reply Code Actions" in Operation settings (:?R=S,:?E=S,:~=S,:?A=C,:*=S,:I?=W,:T?=C)

Please advice if I have a "if condition check" for FHIR codes 200 or 201, what "Reply Code Actions" I should use?

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Job Tricia Scanlon · Jan 19

We are hiring!  100% Remote W2 Contract | 3-6+ Months (numerous extensions likely)

Two Roles:
🔹InterSystems Engineer
🔹Epic Bridges Certified/InterSystems Engineer

Having solid experience with the below: 

  • Interface Development: Building and configuring message routes, business processes, and transformations using components like IRIS, Ensemble, or HealthShare.
  • Interoperability Standards: Implementing and supporting workflows for healthcare standards including HL7 (v2/v3), FHIR, etc.
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Article Kate Lau · Jan 5 3m read

Hi, now I would like to continuous on the topic that we talk about previously

Using Postman for testing the OAuth2.0 of the InterSystems FHIR repository - Part1


Question 1: Where is my client_id and client_secret come form?

Short answer: Authentication Server.

If you don't have an Authentication Server, you may set up one as following

Provide the hostname (the host must support Https), at least 1 grand type (we choose client credential here), and SSL/TSL configuration

Input the scopes (here we input user/*.read and user/*.

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Article Tani Frankel · Dec 28, 2025 6m read

Sometimes it is more convenient, more efficient, and more secure, to limit FHIR Searches per pre-defined "Lists" of Resources.

Since v2025.1 we support several List-related features in our FHIR Server.

I will highlight these here, and provide some samples.

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