Example of using InterSystems IRIS or HealthShare Health Connect interoperability features for FHIR. Scenarios where forwarding requests and handling responses are required.

Setup

Main setup components are:

• FHIRREPO - namespace with a FHIR repository (OAuth enabled) that will be used to simulate an external FHIR repo.
• Apache + Webgateway - webserver + webgateway to enable local https using self-signed certificates.
• FHIINTEROP - namespace that will run interoperability productions using FHIR Adapter.

Build image

docker-compose build

Run container

docker-compose up -d

Modify your local hosts file

Modify your hosts file to resolve webserver hostname to 127.0.0.1

127.0.0.1 webserver

You can find your hosts file in:

Access IRIS instance using superuser / SYS:
https://webserver/iris/csp/sys/UtilHome.csp

1-Create Interoperability namespace

Open a WebTerminal session.

Create FHIRINTEROP namespace for interoperability:

zn "HSLIB"
do ##class(HS.Util.Installer.Foundation).Install("FHIRINTEROP")

Load source code

zn "FHIRINTEROP"
do $SYSTEM.OBJ.LoadDir("/app/src/", "ck", .errorlog, 1)

2-Create FHIR Repository

Create a FHIR server in InterSystems IRIS. You will be using this as an external FHIR server.

Create FHIRREPO namespace for fhir repository

zn "HSLIB"
do ##class(HS.Util.Installer.Foundation).Install("FHIRREPO")

Create FHIR endpoint

Create FHIR server in Health > FHIRREPO > FHIR Configuration > Server Configuration as:

• Endpoint: /csp/healthshare/fhirrepo/fhir/r4
• Core FHIR package: hl7.fhir.r4.core@4.0.1

Create OAuth2 Server

zn "FHIRINTEROP"
do ##class(interop.util.Auth).CreateOAuth2Server()

Create OAuth2 Resource Server

Go to System Administration > Security > OAuth 2.0 > Client > Create Server Description

• Issuer endpoint: https://webserver/iris/oauth2
• SSL/TLS configuration: ssl
• Discover and Save

Go to System Administration > Security > OAuth 2.0 > Client > Client Configurations > Create Client Configuration:

• Application name: fhirserver-resserver
• Client name: fhirserver oauth resource server
• Client type: Resource server
• SSL/TLS configuration: ssl
• Dynamic Registration and Save

Create OAuth2 Client configuration

• Go to System Administration > Security > OAuth 2.0 > Client > Client Configurations > Create Client Configuration:
• Application name: client-app
• Client name: client-app
• Client type: Confidential
• SSL/TLS configuration: ssl
• Client redirect URL:
  • Use TLS: yes
  • Hostname: webserver
  • Prefix: iris
• Required grant types: Client credentials
• Dynamic Registration and Save

Create HTTP OAuth2.Issuer Service Registry

zn "FHIRINTEROP"
do ##class(interop.util.Auth).CreateOAuth2IssuerServiceRegistry()

Edit FHIR server

Health > FHIRREPO > FHIR Configuration > Server Configuration > Edit FHIR Server endpoint:

• OAuth Client Name: fhirserver-resserver
• Smart on FHIR Capabilites: client-confidential-symmetric,client-confidential-asymmetric

Load simple FHIR data

Load some simple sample FHIR data into repo.

zn "FHIRREPO"
set sc = ##class(HS.FHIRServer.Tools.DataLoader).SubmitResourceFiles("/app/install/simple-fhir-data/","FHIRServer","/csp/healthshare/fhirrepo/fhir/r4")

Scenario: FHIR client

Scenario where you need to build or manipulate some FHIR request and send it to an external FHIR server.

Config URL for external FHIR server

Create Basic Credentials

Interoperability > FHIRINTEROP > Configure > Credentials > New

• ID: FHIRRepoBasic
• Username: superuser
• Password: SYS

Create HTTP service (Basic)

In FHIRINTEROP namespace, go to Health > Service Registry and create a new service:

• Name: external-fhirserver-basic
• Service Type: HTTP
• SSL Configuration: ssl
• Host: webserver
• HTTPCredentialsConfig: FHIRRepoBasic
• URL: /iris/csp/healthshare/fhirrepo/fhir/r4

Create HTTP service (OAuth)

In FHIRINTEROP namespace, go to Health > Service Registry and create a new service:

• Name: external-fhirserver-oauth
• Service Type: HTTP
• SSL Configuration: ssl
• Host: webserver
• URL: /iris/csp/healthshare/fhirrepo/fhir/r4

Test interoperability production

Have a look at the interop.Production production:

• interop.bs.FHIRFileService - Business Service that reads a file and creates a HS.FHIRServer.Interop.Request message.
• interop.bp.FileToFHIRService - Business Process that prepare HS.FHIRServer.Interop.Request from service before sending to external FHIR server.
• HS.FHIRServer.Interop.HTTPOperation - built-in Business Operation that sends a FHIR request to an external FHIR server.

Run some tests:

• Start the production
• Copy data/patient.json into data/fhir-input to process a sample file in your production.

Scenario: FHIR server pass-through

Scenario in which you need to receive FHIR requests and send them to an external server.

For example, in case you need to forward a FHIR request to an external server you can use simple FHIR Interoperability Adapter in InterSystems IRIS or HealthShare Health Connect.
You can find more information in FHIR Interoperability Adapter.

OAuth

Let’s say that you need to forward FHIR requests to a FHIR server, including OAuth token:

Install adapter

You need to install the FHIR interoperability adapter before using it in a namespace.
During the adapter installation it will create:

• A web application for your FHIR server endpoint.
• An InteropService and InteropOperation in your production.

Install the adapter:

zn "FHIRINTEROP"
set status = ##class(HS.FHIRServer.Installer).InteropAdapterConfig("/myendpoint/r4")

Update your production as needed

Config InteropService

Change InteropService Target Config Name so it will send messages to FHIRServer Operation OAuth which sends messages to external FHIR server.

Test your service using iris-fhir-interop.postman_collection.json Postman collection FHIR Interop (OAuth)

Simple REST Service

As a variation from the last scenario, let’s say that you need to send FHIR requests to a FHIR service, but you need to make handling on the requests or response:

Create HTTP service (OAuth)

In FHIRINTEROP namespace, go to Health > Service Registry and create a new service:

• Name: external-simple-service
• Service Type: HTTP
• Host: localhost
• Port: 52773
• URL: /csp/external/ServiceRequest

Change InteropService target

Change InteropService target so it will send requests to interop.bp.SimpleServiceFHIRHandler.

Now, test your service using iris-fhir-interop.postman_collection.json Postman collection FHIR Interop (Simple Service)