Introduction

I recently participated in a fantastically organized hands-on by @Patrick Jamieson in which an Angular application was configured together with an IRIS FHIR server following the protocols defined by SMART On FHIR and I found it really interesting, so I decided to develop my own Angular application and thus take advantage of what I learned to publish it in the Community.

SMART On FHIR

Let's see what Google tells us about SMART On FHIR:

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We resume our series of articles on the FHIR Adapter tool available to HealthShare HealthConnect and InterSystems IRIS users.

In the previous articles we have presented the small application on which we set up our workshop and showed the architecture deployed in our IRIS instance after installing the FHIR Adapter. In today's article we will see an example of how we can perform one of the most common CRUD (Create - Read - Update - Delete) operations, the reading operation, and we will do it by recovering a Resource.

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Hello Community,

SQL language remains the most practical way to retrieve information stored in a database.

The JSON format is very often used in data exchange.

It is therefore common to seek to obtain data in JSON format from SQL queries.

Below you will find simple examples that can help you meet this need using ObjectScript and Python code.

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In this article I will demonstrate the following :

  • Update ReferencesRange(OBX:7) against ObservationIdentifier(OBX:3.1)[TestCode] from database by using custom utility function
  • Update Abnormal Flag(OBX:8) against ObservationIdentifier(OBX:3.1)[TestCode] and ObservationValue(OBX:5)[Result] from database utility function
  • Route Message based on Abnormal Flag(OBX:8)

Below is the primary and transformed HL7 2.5 ORU_R01 message:

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Background

In 2021, I participated as an InterSystems mentor in a hackathon, where a newcomer to FHIR asked me if there was a tool to transform generic JSON data containing basic patient information into FHIR format. I informed her that I didn't know anything like that, unfortunately.

But that idea stays in my mind...

Several months later, in 2022, I came up with an idea to experiment: to train a named entity recognition (NER) to identify FHIR elements into generic texts. The training involved synthetic FHIR data generated by Synthea and the spaCy Python library.

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Article
· Feb 1, 2024 2m read
Mind map your FHIR patient data

According Wikipedia a mind map is a diagram used to visually organize information into a hierarchy, showing relationships among pieces of the whole. It is often created around a single concept, drawn as an image in the center of a blank page, to which associated representations of ideas such as images, words and parts of words are added. Major ideas are connected directly to the central concept, and other ideas branch out from those major ideas.

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The architect of the JSON schema (MS) asked if IRIS could perform schema validation. I asked on Discord objectscript channel how we could validate a Dynamic Object against a JSON schema. Dmitry Maslennikov replied that probably the easiest way would be to use python, but it would require converting ObjectScript JSON to Python dict.

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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:

  1. Make sure FHIRServer production is started.
  2. Register Business Service with FHIRServer endpoint.
  3. Define Business Processes to convert FHIR message to SDA and then Convert SDA to HL7 v2.
  4. 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

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We return with our example of using the FHIR Adapter, in this article we are going to review how we can configure it in our IRIS instances and what the result of the installation is.

The steps taken to configure the project are the same as indicated in the official documentation, you can review them directly here. Well, let's get to work!

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Article
· Feb 2, 2024 2m read
Fhir-HepatitisC-Predict application

Hi Community

This document mainly enriches the content of the previous article and introduces the use of the application.

Perhaps you have already read the previous article, but I still want to say,
After completing the initialization operation (including model creation and training), the Fhir HepatitisC Predict application then predicts HepatitisC

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Do you ever spend an age entering criteria in the message viewer page, trying to find a message just to realise you're in the wrong instance of IRIS?

Or get lost in a sea of message tabs struggling to spot that Visual Trace page your were JUST looking at?

Well, have you tried the IRIS WHIZ browser extension and its suite of tools designed to help you avoid such unpleasantness?

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Article
· Jan 31, 2024 2m read
What is iris-hl7?

An App that converts HL7 messages to JSON objects. About a year ago I started a GitHub repo for collecting stuff related to HL7. Recently my team added an HL7 interface to our Interoperability Production and we were asked to persist HL7 messages. We created a Kafka topic to receive HL7 messages. We use Kafka Bridges to send messages to Kafka topics. Kafka messages are sent to the Kafka Bridge in JSON format.

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1Background

When I first encountered FHIR, I encountered a problem with its message format. It was difficult for me to determine whether the message I created met the format, and it was also difficult to easily create an FHIR message from scratch.

So, through fhir server of IntereSystemsfhirserver API, I created this application for quickly generating/validating FHIR messages.

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Surely you have all heard about FHIR as the panacea and solution to all interoperability and compatibility problems between systems. Right here we can see one of his classic defenders holding a FHIR resource in his hand and enjoying it immensely:

But for the rest of us mortals we are going to make a small introduction.

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Article
· Jan 28, 2024 3m read
Fhir-HepatitisC-Predict

Processing FHIR resources with FHIR SQL BUILDER to predict the probability of developing hepatitis C disease

With the development of technology, the medical industry is also constantly advancing, and humans often pay more attention to their own health,
By learning and processing datasets through computers, diseases can be predicted.

Pre condition: Ability to use FHIR and ML
Firstly, our dataset is obtained from kaggle and transformed into FHIR resources based on patient gender, age, ALP or ALT, and imported into the FHIR resource repository

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Article
· Jan 14, 2024 5m read
clinFHIR for developers

This article is intended to describe how the clinFHIR application can be used to help developers both understand FHIR and to develop applications that utilize FHIR artifacts. It’s not intended to be an introduction to FHIR, but rather describe how clinFHIR can help on the learning / development journey.

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InterSystems FAQ rubric

If the system does not stop for 24 hours, old journal files will be deleted at 0:30 according to the "Journal file deletion settings".

A possible cause of journal files remaining that are older than the "Journal file deletion settings" is that there are transactions that remain open.

In that case, you will be able to delete the journal file by searching for processes executing transactions and finalizing the transactions.

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IRIS can use a KMS (Key Managment Service) as of release 2023.3. Intersystems documentation is a good resource on KMS implementation but does not go into details of the KMS set up on the system, nor provide an easily followable example of how one might set this up for basic testing.

The purpose of this article is to supplement the docs with a brief explanation of KMS, an example of its use in IRIS, and notes for setup of a testing system on AWS EC2 RedHat Linux system using the AWS KMS. It is assumed in this document that the reader/implementor already has access/knowledge to set up an AWS EC2 Linux system running IRIS (2023.3 or later), and that they have proper authority to access the AWS KMS and AWS IAM (for creating roles and polices), or that they will be able to get this access either on their own or via their organizations Security contact in charge of their AWS access.

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Article
· Jan 21, 2024 1m read
Debugging a crashing container

I have been struggling with a docker run command that kept crashing, the error message was too generic to point me to the right direction.

Since the container is shut down after the failure, I was unable to login to it in order to figure out the problem.

I had to run the container in a way that I'll be able to log into it before it crashed, so I found the adding -u false prevents the docker run command to run the iris session IRIS and the container stayed up and running. then I was able to log into it using:

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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

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Article
· Jun 30, 2020 3m read
Replicating Audit Log Near Real Time
Many organisations implement centralised log management systems to separate and centralise the log data in order to e.g. automate threat detection (and response) and to comply with regulatory requirements. The primary systems of interest are the various user facing applications, but increasingly also other kinds of systems including integration platforms.
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InterSystems FAQ rubric

This error occurs when an instance of the class is already open at compile time.

There are two ways to deal with this issue:

  1. Terminate the process or application that has the instance open
  2. Compile options in the studio build menu: Check the compile flag “Compile classes in use” and compile.

If you want to determine which process is using the class, try the sample routine below.

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