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FHIRbase

fhirbase

FHIRbase is an open source relational storage for FHIR targeting real production.

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Docker Repository on Quay.io

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Motivation

While crafting Health IT systems we understand an importance of a properly chosen domain model. FHIR is an open source new generation lightweight standard for health data interoperability, which (we hope) could be used as a foundation for Health IT systems. FHIR is based on a concept of resource.

FHIR® is a next generation standards framework created by HL7. FHIR combines the best features of HL7 Version 2, Version 3 and CDA® product lines while leveraging the latest web standards and applying a tight focus on implementability.

Also we learned that data is a heart of any information system, and should be reliably managed. PostgreSQL is a battle proved open source database which supports structured documents (jsonb) while preserving ACID guaranties and richness of SQL query language.

PostgreSQL is a powerful, open source object-relational database system. It has more than 15 years of active development and a proven architecture that has earned it a strong reputation for reliability, data integrity, and correctness.

Here is the list of PostgreSQL features that we use:

We actively collaborate with PostgreSQL lead developers to craft production ready storage for FHIR.

Why are we doing this inside a database?

We decided to implement most of FHIR specification inside a database for scalability reason (all data operations are done efficiently in a database).

This approach also gives you a possibility to use FHIRbase from your preferred lang/platform (.NET, java, ruby, nodejs etc). We have implemented FHIR compliant server in clojure with small amount of code - FHIRPlace.

And there is an option to break FHIR specification abstraction (if required) and go into the database by generic SQL interface and complete your business task.

Features

FHIRbase implements 80% of FHIR specification inside the database as procedures:

  • meta-data resource storage (StructureDefinition, ValueSet, SearchParameter, etc)
  • CRUD on resources with history
  • search operations with indexing
  • transactions

Documentation

Roadmap

  • resource validation
  • referential integrity
  • terminology
  • guides for java, .NET, python, ruby, js

Contribution

Thxs

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Sponsored by: choice-hs.com

License

Copyright © 2014 health samurai.

FHIRbase is released under the terms of the MIT License.

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Relational Storage for FHIR

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  • PLpgSQL 41.9%
  • Python 22.7%
  • CoffeeScript 15.5%
  • Shell 12.7%
  • SQLPL 5.6%
  • Ruby 1.6%