#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

Hi, 

We have a mixture of legacy and new systems, and are grappling with the issue of moving documents between systems.

At the moment we are mostly using file drops and encoding metadata in filenames, but a new supplier (letter transcription) is going to provide a Hl7v2 feed sending MDM^T02 messages with PDF's of letters base64 encoded in the message itself.

We are thinking of asking all our suppliers to go with MDM (or ORU) for sending documents. 

I'm interested in the pros and cons of the options; and if there are options I haven't thought of. 

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In Episode 8 of Data Points, senior clinical advisor for interoperability at InterSystems @Russ Leftwich joined the podcast to talk about healthcare interoperability standards. In the first part of our two-part interview, Russ tells us about the history of healthcare standards and electronic record-keeping, some of the biggest challenges in the field, and how software has evolved to meet those ever-growing challenges.

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FHIR Terminology Service specification describes a set of operations on CodeSystem, ValueSet and ConceptMap resources. Among those operations, the following four operations appear to be the most widely adopted ones:

CodeSystem ValueSet
$lookup
$validate-code		 $expand
$validate-code

Developing a partial implementation of the specification has been an effective way to explore the new FHIR framework introduced in IRIS for Health 2020.1. The implementation includes four operations listed above, and supports read and search interactions for CodeSystem and ValueSet resources.

It's important to note that the implementation uses plain ObjectScript persistent classes as source terminology tables.

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Hi all,

I am testing asynchronous Bulk Data retrieve with a large EHR vendor. When I retrieve the bulk data, they are returning ndjson (CONTENT-TYPE of "application/fhir+ndjson; charset=utf-8"). If I attempt to process that content using JSON functions - I get

ERROR #5035: General exception Name 'Parsing error' Code '3' Data ''

For example, the following generates the error

s objArray={}.%FromJSON(quickStreamOut)

The error makes sense in that ndjson is not a valid json format (I assume at least).

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Hi -

I was wondering how if the "old FHIR gateway" works with the latest release of HealthShare Information Exchange. Since there is an impact on the amount of storage needed to use the "FHIR Gateway 2 which uses the Operation Data Store (ODS)", my question is how (if at all) can FHIR access to Information Exchange work without ODS?

Thanks

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Hi, 

Most of my development experience is with HL7v2 interfaces and I don't have a background in web development and I'm very weak with javascript.

I'm looking for suggestions of learning resources to learn FHIR  and 'SMART on FHIR' (JavaScript, OpenID connect, OAuth2) for developers like myself who mostly do HL7v2 integrations - but see FHIR as the future - and want to develop their skills!

I've found these 

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Hi Community!

We are super excited to announce the Boston FHIR @ InterSystems Meetup on 10th of September at the InterSystems meeting space! 

There will be two talks with Q&A and networking. 

Doors open at 5:30pm, we should start the first talk around 6pm. We will have a short break between talks for announcements, including job opportunities.

Please check the details below.

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Healthcare interoperability is instrumental in improving patient care, decreasing healthcare provider costs, and providing a more accurate picture to providers. However, with so many different systems, data is formatted in many different ways. There are many standards that have been created to try to solve this problem, including HL7v2, HL7v3, and CDA but each one has its drawbacks.

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Announcement
Patrick Jamieson · Mar 15, 2021
FHIR Analytics

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.

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Google has one intersting tool named Data Studio. This tool allows creating some interactive dashboards, based on your data, available from the internet. It already offers hundreds of connectors to any sort of data developed by the community. As well as some amount of community developed visualizing. And most importantly, Google offers a way to develop your own connector to your data. 

FHIRaaS provides a REST API, and it's available from the internet. So I've decided to try to create some basic report on data stored there. And in the end, I got this.

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