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

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Hey Community,

Enjoy the new video on InterSystems Developers YouTube:

Innovations in FHIR Data Management@ Ready 2025

https://www.youtube.com/embed/Q5CrlqcJAkA
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Contestant

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. Its an all inclusive set of tutorials to show in detail how to:

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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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Hey Community,

Enjoy the new video on InterSystems Developers YouTube:

Advancing Healthcare Interoperability - Strategy and Vision @ Ready 2025

https://www.youtube.com/embed/_1mBIv-lGco
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Contestant

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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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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Hey Community,

Enjoy the new video on InterSystems Developers YouTube:

Developing on FHIR in 2025 @ Ready 2025

https://www.youtube.com/embed/rmLd7NH6AbY
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I have been struggling sometime with trying to take a FHIR Bundle Response, extract the "entry.resourceType", extract the MRN and Name from the Patient FHIR Response...

Going through learning.intersystems.com, it suggested that I try using fhirPathAPI to parse and search my response for certain values, however I am not sure my syntax is correct. Using the AI code, it suggested to set my tree = "Bundle.entry.resource.resourceType"

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I was wondering if anyone had a way to automate creating the Query String for a FHIR Request?

Using HS.FHIRServer.Interop.Request in my development I have to specify the following...

I was wondering.... if my source had variable number of fields if there was a way to automate the build for the QueryString when doing a Patient Search?

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Question
· Dec 30, 2025
HealthShare - FHIR gateway

I'm new to HealthShare. I've installed a demo using the HS.Util.Installer helper, now I'm playing with its FHIR Gateway (which is the HSFHIR namespace). When I try to create a new resource of type Patient using HTTP POST, HealthShare responses with

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Hi,
Our production FHIR server is populated by several processes from several sources,
some of those sources send test data or wrong data (by mistake or as part of an integration test),
the data is consumed by our BI every 15 minutes.
when I mark a resource as test (using meta security) BI knows to update it on their system.
everything is fine up to here (except that there is test data in Prod)
my problem is that if someone send the same patient again it will recreate the patient without the security tag.
any thoughts?

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InterSystems API Manager (IAM) is a core component of the InterSystems IRIS Data Platform, offering centralized API management with a strong emphasis on security. IAM simplifies the entire API lifecycle, from creation to retirement, and provides a developer portal for easy API discovery and integration. Access control features allow administrators to define precise permissions, and IAM seamlessly integrates with the IRIS Data Platform, enhancing data management and integration capabilities.

Features of IAM include:

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Article
· Dec 24, 2025 2m read
"The Hidden HTTP Errors" (Behind IIS)

You send an HTTP request and get back an HTTP error but with an HTML error page which you didn't expect... what's happening?... 🤔

Specifically for example, perhaps you tried to READ a FHIR Resource (e.g. /Patient/123) and you get back a 404 error page, even though with other Patient IDs, you get back the Resource payload, so "the page" definitely does exist... why should you be getting a 404 error page? 🙄

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An extension “extends” or enhances a FHIR resource or a data element in a custom way. The extension can be added to the root of a resource, such as “Patient.ethnicity” in US Core profile, and they can be added to individual elements such as HumanName, Address or Identifier.

Did you know that you can also add an extension to a primitive data type?

Primitives usually store a single item and are the most basic element in FHIR. For example: "Keren", false, 1234, 12/08/2024 etc.

For example, the patient resources might look like this:

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Overview

Fast Healthcare Interoperability Resources (FHIR) is a standardized framework developed by HL7 International to facilitate the exchange of healthcare data in a flexible, developer-friendly, and modern way. It leverages contemporary web technologies to ensure seamless integration and communication across healthcare systems.

Key FHIR Technologies

  • RESTful APIs for resource interaction
  • JSON and XML for data representation
  • OAuth2 for secure authorization and authentication

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Article
· Nov 20, 2025 5m read
OMOP Odyssey - Vibing Synthea Modules for OMOP

Vibe the Module, Not the Data


While working with the FHIR to OMOP Service, I've seen good FHIR synthetic data being created using commercial LLM's etc, custom tailored for ConditionOnset with the typical amazement on return, but witnessed some questionable trust first hand on a call. This approach also falls short generating gigantic payloads so I can go back to my interests on the backend and ensure smooth data transition.

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Hi,

I'm using the iris for health community edition and I cannot seem to get the FHIR server configuration UI to show up. I was able to create a FHIR server programaticlly but none of the user interface features that the installation guide talks about are available. Once I was created the server I was able to see a Bulk FHIR Coordinator in the management portal, ut that's it. Are the UI features not available in the community edition or do they need to be enabled somehow?

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I have a quite complex FHIR Implementation Guide (IG) which is based on several other FHIR IGs. It's likely the versions of IGs conflict with each other.

From what I understand, I would need to load in all the other FHIR IG's first?

I don't actually need FHIR profiles to be in our FHIR Repository - I'm just after terminology and the examples for our test system.

Is it possible to load a FHIR IG just as data? (I think I mean here, ignore the FHIR profiles and dependencies between them)

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