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#FHIR

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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

Official site

The InterSystems Iris Fhirserver running on a Raspberry Pi Raspberry running as a FHIRserver

Raspberry running as FHIRserver

About a year ago I wrote some articles about the installation of the HAPI FHIRserver on a Raspberry Pi. At that time, I only knew the basics of the FHIR standard, little about the technology behind FHIR-servers and not much more about the Raspberry. By trying, failing, giving up and trying again I learned a lot.

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Hi,

We have a PAS that accepts HL7v2 QBP^Q21 requests, and returns patient details in an RSP^K21.

We have a clinical system that wants to sent an http GET request of the form http://server/getpatientbyid?pid=M1234567

So I think I need to convert the query url into a QBP^Q21 (HL7) message, then take the response in HL7v2, convert to SDA, convert to FHIR, and put that in the response to the original GET.

Does anyone have any experience doing this? is there an approach you would recomend?

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I have received 2 errors while publishing Patient data to repository. Message viewer displays like below and the Application log found bold content.

Could you please help me on this to resolve the errors.

An error occurred with the web application.
It has been logged to system error log (System Operation>System Logs>Application Error Log).

"<METHOD DOES NOT EXIST>OnPage+42^EnsPortal.MessageContents.1 *%Id,HS.FHIRServer.API.Data.Request : CSP Error"

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Hi,

I am trying to configure OAuth2 server to connect to Cerner Auth server to get FHIR API access token but I am getting the error "Discovery response not valid".

I can get the access token back okay from Cerner endpoint used in the OAuth configuration below via Postman and Manually sending the request via HTTP Operation from HealthShare, so the URLs I am using looks correct but the OAuth configuration is not working.

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Hi folks!

Researching FHIR bundle transactions.

The idea is that you can post a bundle to a FHIR server with a set of resources. And you can send it as a transaction, so only all the resources will be published or neither.

E.g. I send a bundle of two resources: patient and its observation.

The observation resource should reference an existing patient. But it probably doesn't exist yet on the server and goes within the same bundle.

For this purpose there is a way to have a temporary id in the bundle, to let resources reference ids.

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Hey Developers!

This week is a voting week for the InterSystems IRIS for Health FHIR Contest!

So, it's time to give your vote to the best FHIR solutions built with InterSystems IRIS for Health.

🔥 You decide: VOTING IS HERE 🔥

How to vote? This is easy: you will have one vote, and your vote goes either in Experts Nomination or in Community Nomination.

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Hi.

We are going to have basic patient demographic data coming in to Cache via a webservice. I thought that I should define the input as XML something like the FHIR format (with UK extensions).

In the past we've input XML streams and used the %XML.Reader to convert them to matching classes successfully, so I thought it would be easy. However, I've found that the FHIR format stores everything in attributes like:

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Article
· Feb 1, 2024 2m read
Mind map your FHIR patient data

According Wikipedia a mind map is a diagram used to visually organize information into a hierarchy, showing relationships among pieces of the whole. It is often created around a single concept, drawn as an image in the center of a blank page, to which associated representations of ideas such as images, words and parts of words are added. Major ideas are connected directly to the central concept, and other ideas branch out from those major ideas.

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Hi folks!

Recently I was in need to setup a local FHIR server using IRIS For Health and I think I found the easiest and simplest way ever.

Just run in terminal these two lines below :

docker run --rm --name my-iris -d --publish 9091:1972 --publish 9092:52773 intersystemsdc/irishealth-community

and

docker exec -it my-iris iris session iris -U "USER" '##class(%ZPM.PackageManager).Shell("install fhir-server")'

And you'll have FHIR server running locally at http://localhost:9092/fhir/r4.

That's it!

The FHIR server will use the latest build of InterSystems IRIS for Health Community Edition and will deploy FHIR server from this app via IPM package in FHIRSERVER namespace.

This is for Mac, so please add in comments how it works in Windows.

This is a very short article as it is really easy to setup a local FHIR server with InterSystems IRIS for Health and IPM Package Manager.

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When we create a FHIR repository in IRIS, we have an endpoint to access information, create new resources, etc. But there are some resources in FHIR that probably we wont have in our repository, for example, Binary resource (this resource returns a document, like PDF for example).

I have created an example that when a Binary resource is requested, FHIR endpoint returns a response, like it exists in the repository.

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Dear,

I'm trying to configure a new interface that reads HL7, transform them into FHIR messages and then send POST or PUT or DELETE depending on HL7 doc type.

1-I added an HL7 TCP service that reads ADTs messages

2a-Send ADTs to a process to transform them into SDA (using the following command: do ##class(HS.Gateway.HL7.HL7ToSDA3).GetSDA(request,.con))

2b-Extract the patient MRN and add it to the AdditionalInfo property (using the following request message class: HS.Message.XMLMessage)

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Is there any good documentation/tutorials on creating gateways in both directions between FHIR and Hl7v2 (for Health Connect)?

the scenarios I'm most interested in

1. Client application sends a FHIR demographic query to Health Connect - and the interface has to convert this to Hl7v2 QBP^Q11 message to the PAS.

2. Health connect sends a PDF document (from a file or HL7v2 interface) to an EPR over FHIR.

Thanks

Stephen

UPDATE

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Motivation

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.

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Hi,

I found an issue while fetching records from FHIR DB, I am getting below error thou FHIR repository have the records with the corresponding id

{

"resourceType": "OperationOutcome",

"issue": [

{

"severity": "error",

"code": "not-found",

"diagnostics": "<HSFHIRErr>ResourceNotFound",

"details": {

"text": "No resource with type 'Appointment' and id '21'"

}

}

]

}

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Hi Developers!

InterSystems FHIR contest has been started and in this post, I want to introduce several topics you may find interesting and use to build FHIR applications with InterSystems IRIS for Health.

Amongst them are:

  • a frontend mobile or web app for FHIR server FHIR REST API or SQL;
  • Backend apps to perform complex queries and maintain rules;
  • work with different HL7 data standards.

See the details below.

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Hello Developers!

Have you ever had to convert HL7v2 messages to FHIR (Fast Healthcare Interoperability Resources) and found the process complicated and confusing? InterSystems is rolling out a new cloud based SaaS offering called InterSystems FHIR Transformation Service, which makes the process easy. We are excited to announce an Early Access Preview Program for our new offering, and we would love to have you kick the tires and let us know what you think! All you need is a free AWS account, with an S3 bucket to drop in your HL7v2 messages, and another S3 bucket to get your FHIR output.

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Article
· Aug 22, 2020 2m read
My experience working with FHIR

Hi Community,

I want to share my experience creating the iris-fhir-portal with FHIR.

I decided to take a step forward and join the IRIS for Health FHIR contest, but I had never worked with FHIR before.

After the FHIR Contest Kick-Off Webinar, where we got an overview of how the IRIS for Health works with FHIR, I started to looking at the FHIR documentation to create my Patient Chart project.

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Hi guys.

Recently, I get interest in FHIR in order to run for the IRIS for Health FHIR
contest. As a beginner on this topic, I've heard somewhat about it, but I didn't know how complex and powerful was FHIR. As pointed out by @Henrique.GonçalvesDias here, you can model several aspects of the patient history and other related entities.

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