#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

So I have been working in Healthcare Interops for about a month now and in IRIS. I am looking to implement SMART on FHIR and I am currently working to make an endpoint that works as the discovery endpoint. It is a custom dispatch class and unauthenticated is selected for access. I am trying to make a simple get request from Postman to test that the proper JSON is sent, but I receive a 403 Forbidden error. It is reaching IRIS it seems so I know its not a reverse proxy error. Here is an example of my custom Dispatch Class.

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I am trying to use IRIS for Health as a Facade for an external FHIR Server, where IRIS provides the proper authentication.
The client authenticates using a bearer token obtained from the IRIS OAuth2 server via a jwt client assertion.
The IRIS endpoint, however, returns a 401 as soon as I remove the Unauthenticated access

Is there w way to make this work through configuration?

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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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I am trying to work with Epic on FHIR. Epic's documentation stated, your application makes a HTTP POST request to the authorization server's OAuth 2.0 token endpoint to obtain access token.

Set tSC = ##class(%SYS.OAuth2.Authorization).GetAccessTokenClient(pClient,pScopes,.prop,.err) returns

ERROR #9761: No key in provided JWKS for alg ES512 and kid

I check this /csp/sys/oauth2/OAuth2.JWTServer.cls?client_name=medbank and I see this:

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Introduction

To achieve optimized AI performance, robust explainability, adaptability, and efficiency in healthcare solutions, InterSystems IRIS serves as the core foundation for a project within the x-rAI multi-agentic framework. This article provides an in-depth look at how InterSystems IRIS empowers the development of a real-time health data analytics platform, enabling advanced analytics and actionable insights. The solution leverages the strengths of InterSystems IRIS, including dynamic SQL, native vector search capabilities, distributed caching (ECP), and FHIR interoperability. This innovative approach directly aligns with the contest themes of "Using Dynamic SQL & Embedded SQL," "GenAI, Vector Search," and "FHIR, EHR," showcasing a practical application of InterSystems IRIS in a critical healthcare context.

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Working on a project where I'm needing to make FHIR calls from my HealthConnect Interop production to Epic.

My issue is I'm not able to construct a valid JWT for the OAuth token retrieval that Epic will accept. I have the below code where I'm able to create a valid header and payload that I'm base64URL encoding and then trying to sign with my .pem private key file. However, Epic is not liking the signature portion of my JWT.

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Hey Community,

Enjoy the new video on InterSystems Developers YouTube:

⏯ SMART on FHIR: Application Setup

https://www.youtube.com/embed/D8pBBVKxmJ0
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Article
· Nov 15, 2024 2m read
HL7 -> SDA -> FHIR -> Personal Growth

I have a large tree outside my window. Here in Phoenix, Arizona, USA it's still warm and sunny so our plants are still covered in lush foliage despite so many other places in the full throws of Autumn. My desk is oriented such that I can look out at the tree throughout the day.

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Hey Community,

Enjoy the new video on InterSystems Developers YouTube:

⏯ SMART on FHIR: Introduction & FHIR Server Setup

https://www.youtube.com/embed/OHaZ5qiyQ1c
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Hey Community,

Enjoy the new video on InterSystems Developers YouTube:

⏯ SMART on FHIR: App Running

https://www.youtube.com/embed/3PBqQwOn7rs
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Over the past couple of months, I have been working on the SMART on FHIR EHR Launch to test the capabilities of IRIS for Health using two open-source apps from CSIRO: SMART-EHR-Launcher and SMART Forms App. This journey has been incredibly interesting, and I’m truly grateful for the opportunity to work on this task and explore more of IRIS for Health’s potential.

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Hi Community,

Check out this new video that shows how to build the UI for InterSystems FHIR server from scratch using AI with no previous frontend experience:

📺 Building and Deploying React Frontend for the InterSystems FHIR server in 20 minutes with Lovable AI

🗣 Presenter: @Evgeny Shvarov, Senior Manager of Developer and Startup Programs, InterSystems

https://www.youtube.com/embed/NmQipSlYaeg
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I finally figured out how to get JWT token using set x = ##class(%SYS.OAuth2.Authorization).GetAccessTokenClient("medbank","openid fhirUser",.prop,.err).

I also found iris-fhir-client app on Open Exchange. I registered Epic sandbox server, but I cannot list resources. I suspect I need to integrate authorization / authentication. How do I do this with irisfhirclient py?

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Hey Community,

Enjoy the new video on InterSystems Developers YouTube:

⏯ SMART on FHIR: OAuthServer

https://www.youtube.com/embed/rkOAGBY1yUw
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Hey Community,

Enjoy the new video on InterSystems Developers YouTube:

⏯ SMART on FHIR: FHIR Server - OAuth Config

https://www.youtube.com/embed/CKhwj_nP678
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My IRIS instance is connected to a Postgres database using SQL Gateway and linked tables.
One of these tables is projected to the Patient class. I want to select a record from this table by ID and convert it to a FHIR resource using the %ExistsId and %OpenId methods.
I noticed that if I call these two methods from the console, the record is always found.

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Hi, Community!

Are you working with clinical data in a research setting? See how InterSystems OMOP streamlines data integration and analysis.

Using InterSystems OMOP to Transform FHIR Data

https://www.youtube.com/embed/kXpTyKL_-nA?utm_source=youtube&utm_medium=social&utm_campaign=kXpTyKL_-nA
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Hey Community!

We're happy to share the next video in the "Code to Care" series on our InterSystems Developers YouTube:

⏯ How Project BEST Transforms FDA Adverse Event Reporting with FHIR

https://www.youtube.com/embed/7w5Nx3khqCE
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IRIS supports CCDA and FHIR transformations out-of-the-box, yet the ability to access and view those features requires considerable setup time and product knowledge. The IRIS Interop DevTools application was designed to bridge that gap, allowing implementers to immediately jump in and view the built-in transformation capabilities of the product.

In addition to the IRIS XML, XPath, and CCDA Transformation environment, the Interop DevTools package now provides:

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Introducing Smart Clinical Sidechick — the intelligent, no-drama partner your EHR wishes it could be. She reads FHIR data in real time, interprets lab results without ghosting, and explains clinical alerts like she actually cares. Built with GPT-4 brains and YAML sass, she’s not here to replace your main EHR—just to make it look bad. Tired of irrelevant alerts and cryptic warnings? Sidechick serves up real, explainable insights, not vague “elevated risk” vibes. And when your backend crashes, she doesn’t panic—she self-heals.

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Summary:

Duties and Responsibilities:

Design and implement healthcare data integration solutions using the InterSystems platform /HealthShare platform, ensuring data interoperability across various healthcare systems.

Develop and maintain data mappings and transformations to ensure accurate data exchange between systems, leveraging IRIS API’s, HL7, FHIR, and other healthcare data standards.

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Hi Community,

Enjoy the new video on InterSystems Developers YouTube:

⏯ Customizing the InterSystems FHIR Transformation Service @ Global Summit 2024

https://www.youtube.com/embed/OULbRZfRPBY
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