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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

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Question Evgeny Shvarov · Feb 28, 2023

Hi folks!

Researching FHIR bundle transactions.

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.

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Question Scott Roth · May 9, 2024

I am trying to create my first call to our Epic FHIR Repository from Health Connect using Samples-FHIRStarter now that I have OAuth2.0 connection tested/working with our Epic Interconnect URL.

When I take a patient example from our Epic environment and test it through Data.BPL.PatientRecordCollector within the Namespace, I keep getting a 404 - File or directory not found 

as it tells me it cannot find the patient. So, I know the connection is being established, I just can't see what is being sent to Epic to see if I could test it through Postman.

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Question Scott Roth · May 7, 2024

Question for folks who have connected to an External FHIR repository outside of IRIS. Within the HS.FHIRServer.Interop.HTTPOperation there is not an option to include TLS or an OAuth authentication when connecting to an external Repository. So then how is that piece done if you need to Authenticate against an OAuth Server before you are able to access the data or call the Web Services/REST calls?

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Question Ali Chaib · Mar 13, 2024

Dear,

I'm trying to configure a new interface that reads HL7, transform them into FHIR messages and then send POST or PUT or DELETE depending on HL7 doc type.

1-I added an HL7 TCP service that reads ADTs messages

2a-Send ADTs to a process to transform them into SDA  (using the following command:  do ##class(HS.Gateway.HL7.HL7ToSDA3).GetSDA(request,.con))

2b-Extract the patient MRN and add it to the AdditionalInfo property  (using the following request message class: HS.Message.XMLMessage)

3-Send the SDA message to the built in process: HS.FHIR.DTL.Util.HC.SDA3.FHIR.Process.

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Article Oliver Wilms · Dec 1, 2022 1m read

I participated in InterSystems Women’s Health FHIR contest, because I loved the challenge to learn a new-to-me technology. I wanted to develop an app that receives data from a mobile device like my Fitbit or a Smart Watch. I did not get access to such data except when I downloaded a spreadsheet (CSV file) showing my daily steps and sleep data. I saw in iris-fhir-template it imported some patient data to a FHIR server. I figured out how to use a Data Transformation to transform a record from a delimited file into FHIR data which I could store into the FHIR server.

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Question Prasanth Annamreddy · Mar 11, 2024

Hi,

I am having an issue when I am publishing data to FHIR which is hosting in AWS. I am sending the data to the Cloud FHIR url but getting the below error.

Any idea how to resolve this issue? Any example to cretae FHIR repository using Object script?

:<!DOCTYPE HTML PUBLIC "-//IETF//DTD HTML 2.0//EN"> <html><head> <title>404 Not Found</title> </head><body> <h1>Not Found</h1> <p>The requested URL was not found on this server.</p> </body></html>

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Article Guillaume Rongier · Feb 29, 2024 26m read

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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Question Ilenia Centonze · Mar 1, 2024

Hi everyone,

I'm looking for a strategy for dividing a large FHIR message, in a post request, into smaller parts. 

I have found the paging modifier for the GET request, but not a similiar one for the POST request. Maybe the 'batch' type of a Bundle could help me to indicate this aim but there aren't any attribute to say the total or the i-th element. 

Do you know of any method for implementing 'paging' in a post request?

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Question Eyal Levin · Feb 25, 2024

Hi,

I have a scenario where I recognize that I have a duplicate patient in FHIR , both have a different set of data attached to them (Specimens / Observations / Conditions) and I want to transfer all the data from patient X to patient Y,  and maybe mark patient X as not relevant or delete it IDK yet.

since Patch currently supports only single patch,

"The Conditional Patch query identified more than one resource."

I can't use it as a bulk, but I need to loop through all the resources I find that are connected to patient X,

so I guess my question is how would you do it?

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Question Luis Angel Pérez Ramos · Jan 10, 2024

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).

Is there anyway to create it by code?

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Discussion Eyal Levin · Feb 6, 2024
Hi everyone,
I was discussing the interoperability side of FHIR as part of a discussion about the best resource/s that should be used in order to represent Antibiotic resilience, and although we've reached an agreement, that got me thinking of two thing, and I'd love to know your thoughts on those matters.
1. How can you make sure that data from another organization is represented the same way it does on your side, I mean how do you get minimal transformation between organizations and minimal translations, for example I use Task in order to represent morbidity, while another organization
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Article Luis Angel Pérez Ramos · Feb 20, 2024 4m read

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:

  1. Redirect the login request to Auth0 and receive the response.
  2. Send and receive the response of requests via REST sent to the FHIR server.

Angular

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