1. Contest-FHIR

*** CSV TO FHIR TO SQL TO JUPYTER ***

This is a full python IRIS production that gather information from a csv, use a DataTransformation to make it into a FHIR object, save that information to a FHIR server.
From here we can use the SQL BUILDER TOOL to transform our FHIR DataBase to a SQL DataBase in order to analyze or to implement machine learning.
For the latter, we can use the implemented JUPYTER connection to our server that will help use get all the information from our FHIR server to a DataFrame Pandas in Python notebook.
From here doing machine learning is quite easy !!!

In conclusion, in a few clicks you’ll be able to transform your CSV to a FHIR server, then to an SQL server then analyze this server using Pandas in Jupyter Python !

This use interop, FHIR, SQL, and Jupyter.
The objective is to help people understand how easy it is to use FHIR.
I didn’t have the time to create a csv about women’s health, but you can easily imagine this application using a csv on Women’s Health.

1. Contest-FHIR
2. Prerequisites
3. Installation
4. FHIR server
5. Walkthrough
6. Conclusion
7. Creation of a new DataTransformation
8. What’s inside the repo

2. Prerequisites

Make sure you have git and Docker desktop installed.

If you work inside the container, as seen in 3.3., you don’t need to install fhirpy and fhir.resources.

If you are not inside the container, you can use pip to install fhirpy and fhir.resources.
Check fhirpy and fhir.resources for morte information.

3. Installation

3.1. Installation for development

Clone/git pull the repo into any local directory e.g. like it is shown below:

git clone https://github.com/LucasEnard/fhir-client-python.git

Open the terminal in this directory and run:

docker-compose up --build

This will create the IRIS Framework and the FHIR Server.

Once you are done building enter the Management portal, open the interop tab, open the Production and start it.

Now you will see that the CSV was automatically read from your local files and added to the FHIR server.

This app will periodically read any csv inside the “csv” folder and will send it to the FHIR server, doing the Data Transformation needed.

3.2. Management Portal and VSCode

This repository is ready for VS Code.

Open the locally-cloned Contest-FHIR folder in VS Code.

If prompted (bottom right corner), install the recommended extensions.

3.3. Having the folder open inside the container

You can be inside the container before coding if you wish.

For this, docker must be on before opening VSCode.

Then, inside VSCode, when prompted (in the right bottom corner), reopen the folder inside the container so you will be able to use the python components within it.

The first time you do this it may take several minutes while the container is readied.

If you don’t have this option, you can click in the bottom left corner and press reopen in container then select From Dockerfile

More information here

Architecture

By opening the folder remote you enable VS Code and any terminals you open within it to use the python components within the container.

4. FHIR server

To complete this walktrough we will use a fhir server.

This fhir server was already build-in when you cloned and build the container.

The url is localhost:52773/fhir/r4 inside the container and localhost:33783/fhir/r4 on your machine.

5. Walkthrough

Complete walkthrough of the Python IRIS production.

5.1. CSV TO FHIR

Here you must use the ProductionCSV and change the parameters if needed to transform any CSV file added to the data/in folder to your FHIR server.

This link will help you load the ProductionCSV, change the parameters if needed and start it :

http://localhost:33783/csp/healthshare/fhirserver/EnsPortal.ProductionConfig.zen?$NAMESPACE=FHIRSERVER&$NAMESPACE=FHIRSERVER&

Connect using :

username : superuser

password : SYS

Go to Action in the far right menu, then click Open then choose Python and ProducitonCSV !

Now START the production.

Just by loading it and starting it, the production should automatically load a really simple csv file containing information on some organizations to our FHIR server.

Note :

If you want to do it with others fhir resources you need to create a new Data Transfomation and create a new message type.

5.1.1. FHIR ?

We now have a FHIR server ( That was pre-filled with random generated Organization and Patient ) that also contains our 2 new organizations !!
All that from a simple click in the Production.

5.2. FHIR TO SQL

Here we will use a powerful InterSystems tool that allows us to transform any FHIR server to an SQL server and perform some more transformation on the data if needed !

For that follow :

http://localhost:33783/csp/fhirsql/index.csp/

Connect using :

username : superuser

password : SYS

We will now create an analysis of our FHIR repo, then a projection, and finally we will convert it to SQL.

5.2.1. FHIR ANALYSIS

Here, enter :

Name : Local_FHIR

Host : localhost

Port : 52773

SSL conf : don’t touch

Credentials : Press new and add a new credentials like

name : superuser

username : superuser

password : SYS

FHIR Repository URL : /fhir/r4

And press OK.

Now enter 100 in Selectivity Percentage and press Launch Analysis Task.

Note

It’s possible to use any FHIR server here, and the configuration given in this GitHub is just for our InterSystems local FHIR server ( Note that you could use also a cloud InterSystems FHIR server )

5.2.2. FHIR PROJECTION

We have prepared a simple and easy projection from FHIR to SQL.

Click import and select Contest-FHIR/misc/ExportFHIRtoSQL.json.

Select :

Name : T1

Analysis : Local_FHIR

Press Import.

5.2.3. PROJECTION TO SQL

Then press Launch Projection

5.2.4. SQL ?

We now have an SQL server ( That was pre-filled with random generated Organization and Patient ) that also contains our 2 new organizations !!
All that from simples steps using the FHIR SQL BUILDER from InterSystems.

You can access the SQL server following this link :
http://localhost:33783/csp/sys/exp/%25CSP.UI.Portal.SQL.Home.zen?$NAMESPACE=FHIRSERVER

See also :

You can clearly see the generated information presented here but also our two Organization added in the beginning.

5.3. SQL TO JUPYTER

Now that we have done CSV to FHIR to SQL, we need to gather the information from this SQL server to our Jupyter NoteBook.

For that follow this link :

http://localhost:8888/notebooks/SqlAlchemy.ipynb

From here, you can, using the incredible sqlalchemy tool, plug into our SQL IRIS DataBase and ‘play’ with our data while having everything protected and stored in FHIR, the future of the Health industry storage.

You can easily imagine plugging behind this a Machine Learning model, or a deep analysis of our data using all the wonderful Python tools.

6. Conclusion

I hope you are all convinced by now of the power of this tool.

If you want to sell InterSystems to your clients this the demo you need !

Fast data integration to an IRIS FHIR server, fast and realiable conversion from FHIR to SQL then all the data inside a Python NoteBook in a Pandas DataFrame, ready to be worked on by our best data analyst or to be used a fuel to your best Machine learning models !!!

Special thanks to Guillaume Rongier, Evgeny Shvarov, Dmitry Zasypkin and [Dmitry Maslennikov ](https://github.com/LucasEnard/Contest-FHIR/blob/master/![Dmitry Maslennikov](https://github.com/daimor)) as I’m using tools from them like the FHIR SQL BUILDER, the SQLALCHEMY module in Python or the incredible interoperability-embedded-python from Guillaume Rongier. Without this last tool nothing of what I’ve did would work since I know almost nothing in ObjectScript and this allowed me to continue participating in the Dev Community.

Thanks again everyone.

7. Creation of a new DataTransformation

This repository is ready to code in VSCode with InterSystems plugins.
Open /src/python to start coding or using the autocompletion.

Steps to create a new transformation

To add a new transformation and use it, the only things you need to do is add your csv named Patient.csv ( for example ) in the src/python/csv folder.

Then, create an object in src/python/obj.py called BasePatient that map your csv.

Now create a request in src/python/msg.py called PatientRequest that has a variable resource typed BasePatient.

The final step is the DataTransformation, for this, go to src/python/bp.py and add your DT. First add if isinstance(request, PatientRequest): and then map your request resource to a fhir.resource Patient.

Now if you go into the management portal and change the setting of the ServiceCSV to add filename=Patient.csv you can just start the production and see your transformation unfold and you client send the information to the server.

Detailled steps to create a new transformation

If you are unsure of what to do or how to do it here is a step by step creation of a new transformation :

Create the file Patient.csv n the src/python/csv folder and fill it with:

family;given;system;value
FamilyName1;GivenName1;phone;555789675
FamilyName2;GivenName2;phone;023020202

Our CSV hold a family name, a given name and a phone number for two patients.

In src/python/obj.py write :

@dataclass
class BasePatient:
    family:str = None
    given:str = None
    system:str = None
    value:str = None

In src/python/msg.py write:

from obj import BasePatient
@dataclass
class PatientRequest(Message):
    resource:BasePatient = None

In src/python/bp.py write:

from msg import PatientRequest
from fhir.resources.patient import Patient
from fhir.resources.humanname import HumanName

In src/python/bp.py in the on_request function write:

if isinstance(request,PatientRequest):
    base_patient = request.resource

    patient = Patient()

    name = HumanName()
    name.family = base_patient.family
    name.given = [base_patient.given]
    patient.name = [name]

    telecom = ContactPoint()
    telecom.value = base_patient.value
    telecom.system = base_patient.system
    patient.telecom = [telecom]

    msg = FhirRequest()
    msg.resource = patient

    self.send_request_sync("Python.FhirClient", msg)

Now if you go into the management portal and change the setting of the ServiceCSV to add filename=Patient.csv you can just stop and restart the production and see your transformation unfold and you client send the information to the server.

Settings

8. What’s inside the repo

8.1. Dockerfile

The simplest dockerfile to start a Python container.

Use docker-compose up to build and reopen your file in the container to work inside of it.

8.2. .vscode/settings.json

Settings file.

8.3. .vscode/launch.json

Config file if you want to debug.

Contest-FHIR

Experts nomination

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