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#FHIR

26

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 objective of the article is to provide the reader with the following informations:

  • Configure and use the FHIR server
  • Create an OAuth2 Authorization Server
  • Bind the FHIR server to the OAuth2 Authorization Server for support of SMART on FHIR
  • Use the interoperability capabilities of IRIS for Health to filter FHIR resources
  • Create a custom operation on the FHIR server

Schema of the article:

Schema

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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 all,

I am looking for a way to serialize fhir content received via interoperability adapter into it´s corresponding ISC model class (e.g. HS.FHIR.DTL.vR4.Model.Resource.DiagnosticReport) for later use. In my opinion the outline to accomplish this would be something like

1) Receive the FHIR data
2) Get quick stream containing the JSON data
3) Examine if bundle or single ressource
4) For resource serialize to coressponding model class (HS.FHIR.DTL.vR4.Model.Resource.*)
5) further use of newly created object of type HS.FHIR.DTL.vR4.Model.Resource.*

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Hi Community,

Enjoy watching the new video on InterSystems Developers YouTube:

⏯ Getting to Know FHIR: The Best Explanation of FHIR They've Ever Heard @ Global Summit 2023

https://www.youtube.com/embed/Qz4FVKw9b5M
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Question
· Jul 6, 2023
REST Documentation Confusion

I had attempted to create a REST Operation before but did not have success. As I am going through the Tutorials and Documentation everything references REST services, but I have a case where I want to create a REST Operation that makes Epic API calls against Interconnect. I have done SOAP operations before and we currently have one in our Production Namespace, but from what I understand SOAP has the wsdl which defines al the structures and etc, where REST does not.

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Hi,

This is Jayanth from OAK Technologies.

Hope you are all doing well!!

We have a position for InterSystems IRIS Technology Role for our client if anyone is interested, please drop your resume to jayanth@oaktechinc.com

Job Role: IRIS technology role

Location: Chicago, Illinois (Remote Work)

Contract:1+ Year W2 OR 1099 Contact

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We conclude this series of SMART On FHIR articles with Auth0 and InterSystems IRIS FHIR Repository by reviewing our application developed in Angular 16.

Let's remember what the architecture defined for our solution is like:

Our front-end application corresponds to the second column and as you can see it will be in charge of two things:

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We return to the attack with our EMPI!

In previous articles we have seen how to configure and customize our EMPI, we have seen how we can include new patients in our system through HL7 messaging, but of course, not everything is HL7 v.2 in this life! How could we configure our EMPI instance to work with FHIR messaging?

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I have created a FHIR endpoint and send the FHIR resource to FHIR Interoperability production class which is HS.FHIRServer.Interop.Service through the the created endpoint(/r4). I can able to see/get the HS.SDA3.QuickStream(It use CacheTemp.HS.Stream temporary global) on the fly(In between the process). I'm unable to get the FHIR resource from the QuickStream once the process completed. Is this HS.SDA3.QuickStream is wiped out from the system once process completed?

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In the last article we presented the architecture of our SMART On FHIR project, so it's time to get down to business and start configuring all the elements that we are going to need.

We will first start with Auth0.

AUTH0 configuration

We will start by creating an Auth0 account with a valid email, once registered we will have to create our first application, and we will do it from the menu on the left:

Application menu

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Introduction

This article aims to explore how the FHIR-PEX system operates and was developed, leveraging the capabilities of InterSystems IRIS.

Streamlining the identification and processing of medical examinations in clinical diagnostic centers, our system aims to enhance the efficiency and accuracy of healthcare workflows. By integrating FHIR standards with InterSystems IRIS database Java-PEX, the system help healthcare professionals with validation and routing capabilities, ultimately contributing to improved decision-making and patient care.

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Hi colleages!

This is very easy to setup a FHIR server in InterSystems IRIS for Health.

It could be even one IPM command with this package:

USER>zpm "install fhir-server"

But which FHIR portal could you recommend to use?

I used to work with this one, which is very easy to install too:

USER>zpm "install fhir-portal"

but it doesn't work at the moment and I'm not sure if its main contributors @José Pereira and @Henrique Dias plan to support it.

What do you use? What do you recommend? Ideally installable with IPM package manager. Thanks!

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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.

Analyte: HCG, Value: 1968, Unit: mlU/mL

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Hi Developers!

Here are the technology bonuses for the InterSystems FHIR and Digital Health Interoperability Programming Contest that will give you extra points in the voting:

  • InterSystems FHIR usage - 3
  • InterSystems FHIR SQL Builder usage - 3
  • Digital Health Interoperability - 4
  • LLM AI or LangChain usage: Chat GPT, Bard and others - 3
  • Embedded Python - 2
  • IRIS For Health Instruqt Survey - 2
  • Docker container usage - 2
  • IPM Package deployment - 2
  • Online Demo - 2
  • Implement InterSystems Community Idea - 4
  • Find a bug in InterSystems FHIR server - 2
  • Find a bug in InterSystems Interoperability - 2
  • New First Article on Developer Community - 2
  • New Second Article on Developer Community - 1
  • First Time Contribution - 3
  • Video on YouTube - 3

See the details below.<--break->

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Hey Developers,

Enjoy watching the new video on InterSystems Developers YouTube:

⏯ How to Customize the InterSystems IRIS for Health FHIR Repository @ Global Summit 2023

https://www.youtube.com/embed/HlDQbng4eJc
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Hello again everyone.

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.

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Hey Community,

Watch the new video on InterSystems Developers YouTube:

⏯ Clinical Research Data Pipeline Using FHIR & OMOP @ Global Summit 2023

https://www.youtube.com/embed/S1vuMAiI8_k
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Hi community,

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".

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Hey Developers,

Watch this video to learn how to deploy your FHIR server using AWS, EKS, and Kubernetes: advantages and disadvantages of cloud deployment and demo a deployment:

⏯ FHIR in the Cloud @ Global Summit 2023

https://www.youtube.com/embed/hP6V0UbyV7Y
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