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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

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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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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Announcement
· 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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Article
· May 28, 2021 1m read
Fetch Upstream in GitHub

Hi colleagues!

Often when we collaborate to someone's repo in GitHub we do the following cycle:

Fork-Clone-Change-Commit-Push-Pull-Request-Merge to the original repo.

This is all great and works fine!

And if we want to make a second collaboration right after the merge you need to perform "Fetch upstream" to your forked repo first to "ingest" your own Pull-request in the original repo.

Geeky git-professionals do it with ease but this was always a headache for me so I usually simply deleted the fork and created a new one.

And today I figured that Github added a new UI feature that I can easily fetch-upstream for my fork with the original one and make it up to date and capable for pull-requests.

Here is where the button is:

This is a relief! )

Wanted to share this relief and productivity tip with you!

Bring more collaborations to Github repos!

And speaking of PR - I just made a PR with docker to Google Cloud Run deployment for the FHIRaaS demo made by @Anton Umnikov for the current FHIR Contest! Looking for more of your contributions!

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Hi everyone,

I am very pleased to announce that the Readmission Demo has been released as open source. Many thanks to the Solution Factory team that worked hard on making this possible.

Here are the changes:

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Brainstorming the project we would build to showcase in the current female health themed InterSystems FHIR Contest, our girl band decided that we need to do something practical for the ordinary user and to solve some burning issues of the modern life. This discussion led to the idea of creating a project that will help women not to forget their health in daily grind - FemTech Reminder.

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Good morning, evening, night,... wink

A small reflection/question for today... it's true that new IRIS for Health (I4H) releases are more and more powerful each time regarding FHIR capabilities. Nowadays it allows us to consume FHIR resources with extrem easiness, we can connect with end-points in external FHIR servers very easily and make I4H act as passthrough or consume their resources... or, even more, we can define, configure and run a FHIR repository in, literally, less than 5 minutes.

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Problem

In a fast-paced clinical environment, where quick decision-making is crucial, the lack of streamlined document storage and access systems poses several obstacles. While storage solutions for documents exist (e.g, FHIR), accessing and effectively searching for specific patient data within those documents meaningfully can be a significant challenge.

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A simple production that enables FHIR transaction bundles to be loaded into InterSystems® FHIR® Server via Box and Dropbox. Using the included MFT Connection Components and a 14 liner Custom Business Process, this production will process your transaction bundles to FHIR Resources for immediate consumption with Harry Potter like wizardry. Great for Hackathons, Research and FHIR® Cocktail parties.

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Hi Community!

We'd like to invite you to join our next contest to share your FHIR knowledge:

🏆 InterSystems IRIS for Health Contest: FHIR for Women's Health 🏆

Submit an application that uses InterSystems FHIR or InterSystems Healthcare Interoperability!

    Duration: November 14 - December 4, 2022

    Prizes: $13,500!

    >> Submit your application here <<

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    In this article, we'd like to describe Med.me's incubation experience and takeaways, the cross-organizational booking problem, and our approach to solving it.

    This exciting story started during one of the regular medtech meetups, where I met @Evgeny Shvarov, senior InterSystems chief of the Developer Community. Following the good old startup rule “pitch wherever you can”, I briefly explained to Evgeny Med.me concept – EHR exchange and appointment scheduling platform to automate and simplify communication between clinics, pharma on one hand and insurance companies, doctors, and patients on the other.

    Evgeny listened carefully and replied that InterSystems provides plenty of products to solve the interoperability problems amongst the vast variety of EMRs and kindly advised me to hurry up to apply to the FHIR incubator Caelestinus powered by InterSystems.

    That led to a start of an amazing 9-months long road where we were able to ramp up our understanding of interoperability, participate at the InterSystems Global Summit, find new customers and partners, and where the new concept of Resource Availability Exchange was born.

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    Hi InterSystems Developers!

    Recently I've updated the FHIR dev template so that it now publishes an IPM package fhir-server that makes the setup of InterSystems FHIR server a trivial manual or automatic or programmatic procedure one command long.

    Please see below how you can benefit from it.

    TLDR

    USER>zpm "install fhir-server"

    All the details below.

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    Hey Community,

    Please join the next InterSystems online programming competition:

    🏆 InterSystems FHIR Accelerator Programming Contest 🏆

    Submit an application that uses InterSystems FHIR-as-a-service on AWS or helps to develop solutions using InterSystems IRIS FHIR Accelerator.

      Duration: May 10 - June 06, 2021

      Total prize: $8,750

      👉 Landing page 👈

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      Hi Community,

      This post is a introduction of my open exchange iris-fhir-client application.

      iris-fhir-client can connect to any open FHIR Server by using embedded python with the help of fhirpy Library.
      Get Resource information by terminal and by using CSP web application.

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      Article
      · Jul 7 8m read
      Iris FHIR Python Strategy

      Description

      With InterSystems IRIS FHIR Server you can build a Strategy to customize the behavior of the server (see documentation for more details).

      Image

      This repository contains a Python Strategy that can be used as a starting point to build your own Strategy in python.

      This demo strategy provides the following features:

      • Update the capability statement to remove the Account resource
      • Simulate a consent management system to allow or not access to the Observation resource
        • If the User has sufficient rights, the Observation resource is returned
        • Otherwise, the Observation resource is not returned
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      Hi developers!

      Maybe you have to implement scenarios that don't require a FHIR repository, but forwarding FHIR requests, manage the responses and maybe run transformations or extract some values in between. Here you will find some examples that can be implemented using InterSystems IRIS For Health o HealthShare Health Connect.

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      Article
      · Nov 30, 2022 14m read
      Creating FHIR questionnaires

      Intersystems IRIS for Health has excellent support for the FHIR industry standard. The main features are:
      1. FHIR Server
      2. FHIR Database
      3. REST and ObjectScript API for CRUD operations on FHIR resources (patient, questionnaire, vaccines, etc.)

      This article demonstrates how to use each of these features, as well as presenting an angular frontend for creating and viewing Quiz-like FHIR resources.

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      InstallFoundation method is missing (IRIS 2023.2+)

      Recently IRIS 2023.2 was released. This version removed this method InstallFoundation from this class HS.HC.Util.Installer. This was a private method and it was not documented. But it was widely used by the community to install FHIR server.

      So if you encounter this error:

      <METHOD DOES NOT EXIST> *InstallFoundation,HS.HC.Util.Installer

      While build a demo our your own FHIR server, you can fix it by replacing this line:

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      FHIR has revolutionized the healthcare industry by providing a standardized data model for building healthcare applications and promoting data exchange between different healthcare systems. As the FHIR standard is based on modern API-driven approaches, making it more accessible to mobile and web developers. However, interacting with FHIR APIs can still be challenging especially when it comes to querying data using natural language.

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