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
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Hi All, I am a product owner for a 3rd party healthcare product. We have built FHIR integrations with Cerner and EPIC using their FHIR sandboxes and would like to do the same for Trakcare.
Essentially we can lookup a patient record on the FHIR sandbox and import their demographics into our product. Switch out the sandbox credentials for production and we can integrate directly into the customers data.
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Thought you might be interested in this new partner we just signed in Sydney -- PainChek® Ltd , the Australian-based developer of the world’s first pain assessment and monitoring application for smartphones. Its software-as-a-service, artificial intelligence platform uses smart devices with cameras to accurately evaluate pain levels.
PainChek is using InterSystems IRIS for Health™ and integrating its application with electronic medical record (EMR) systems – including InterSystems TrakCare®.
In the context of HL7 FHIR (Fast Healthcare Interoperability Resources), the terms "id" and "identifier" refer to specific elements used for identifying resources within the FHIR data model. For a newbie, these terms can be confusingly similar, but they serve distinct purposes.
Look at the below Patient resource for August T. Faulkner:
The resource has an id of “1” — generated by the FHIR server when the resource was created. Patient August T. Faulkner also has a identifier (Medical Record Number) — possibly provided by the hospital — of 78510398960
I have been successfully able to transform hand-written medical test results documents to HL7 ORU_R01 v2.x, then to SDA, which will be trasformed to FHIR or C-CDA.
However, I have a category of documents which contains reference range in multiple date formats, which are measured for each gestation period. For example, below is one of the documents.
In this demonstration you will see the building blocks of an integration in InterSystems IRIS for Health and HealthShare and see how messages are received, processed, and sent—including messages in the HL7 format:
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InterSystems IRIS for Health™ includes several features that aid in healthcare interoperability including routing, support for standard data formats such as HL7v2, FHIR, CDA, a data transformation user interface, and easy integration with other systems such as for terminology services.
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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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I´ve setup a local FHIR server via the framework functionality und set a service config name for the created endpoint since I plan to use a production based FHIR server. I´ve created an additional ressource "FhirClientRessource" and role "FhirClientRole" as well as a user named "FhirClient". The Role resource "FhirClientRessource" ist set as "required resource" in the FHIR server configuration page. The user "FhirClient" is member of the Role "FhirClientRole" which in turn holds RWU priveliges on the "FhirClientRessources".
In our previous article we saw how to configure our EMPI to receive FHIR messages. To do this we installed the FHIR Adapter that InterSystems made available to us that configured a REST endpoint to which we could send our FHIR message. We would then get the message and transform it to a %String that we would send via TCP to the output of our EMPI configured in our HSPIDATA namespace.
Alright, it's time to see how we retrieve the message, transform it back to a %DynamicObject and parse it to the class used by the EMPI to store the information.
Did you know that with InterSystems IRIS for Health™, you can create a FHIR Facade that enables healthcare apps to send and receive HL7® FHIR® data? Find out how in this learning path(3h 30m), which includes a hands-on exercise(20m).
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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.
Sometimes we need to convert FHIR message to HL7 V2, e.g. to register a patient to the PACS system. In this article, I will explain the steps to achieve the desired by using IRIS FHIR Server production.
Below are the steps we need to follow:
Make sure FHIRServer production is started.
Register Business Service with FHIRServer endpoint.
Define Business Processes to convert FHIR message to SDA and then Convert SDA to HL7 v2.
Post JSON resource to FHIRServer endpoint and get HL7 V2 response.
Let's review the steps in detail.
Step 1. Make sure FHIRServer production is started
Open the production page and make sure Production is started. In the next step, we need to make sure business service HS.FHIRServer.Interop.Service is registered with FHIRServer
I just realized that for the latest version of IRIS for Health 2023.3 the method InstallFoundation from HS.HC.Util.Installer has just disappear. I checked the official documentation (here) but I can't find any reference to it like in previous versions (here).
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