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
I have been using embedded python for more than 2 years now on a daily basis.
May be it's time to share some feedback about this journey.
Why write this feedback? Because, I guess, I'm like most of the people here, an ObjectScript developer, and I think that the community would benefit from this feedback and could better understand the pros & cons of chosing embedded python for developing stuff in IRIS. And also avoid some pitfalls.
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.
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.
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.
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We resume our series of articles on the FHIR Adapter tool available to HealthShare HealthConnect and InterSystems IRIS users.
In the previous articles we have presented the small application on which we set up our workshop and showed the architecture deployed in our IRIS instance after installing the FHIR Adapter. In today's article we will see an example of how we can perform one of the most common CRUD (Create - Read - Update - Delete) operations, the reading operation, and we will do it by recovering a Resource.
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.
In the previous article we saw how we could recover a resource stored in the database of our particular HIS, so today we will see how we can add new records in our HIS whose origin is an FHIR resource that we receive in our system.
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.
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!
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:
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:
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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.
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