Data Aggregation Use Case

.gitignore

@@ -166,5 +166,5 @@ scrap/
 .ruff_cache/
 .python-version
 .cursor/
-scripts/
+.private/
 .idea/

README.md

@@ -168,18 +168,16 @@ fhir.add_source("epic", "fhir://fhir.epic.com/r4?client_id=epic_client_id")
 fhir.add_source("cerner", "fhir://fhir.cerner.com/r4?client_id=cerner_client_id")
 
 @fhir.aggregate(Patient)
-def enrich_patient_data(id: str, source: str = None) -> Patient:
+def enrich_patient_data(id: str, source: str) -> Patient:
     """Get patient data from any connected EHR and add AI enhancements"""
-    patient = fhir.read(Patient, id, source)
-
-    # Add AI processing metadata
-    patient.extension = patient.extension or []
-    patient.extension.append({
-        "url": "http://healthchain.org/fhir/ai-processed",
-        "valueString": f"Enhanced by HealthChain from {source}"
-    })
-
-    return patient
+    bundle = fhir.search(
+        Patient,
+        {"_id": id},
+        source,
+        add_provenance=True,
+        provenance_tag="ai-enhanced",
+    )
+    return bundle
 
 app.register_gateway(fhir)
 

cookbook/multi_ehr_data_aggregation.py

@@ -0,0 +1,114 @@
+#!/usr/bin/env python3
+"""
+Multi-Source FHIR Data Aggregation
+
+Demonstrates aggregating patient data from multiple FHIR sources with
+simple pipeline processing and provenance tracking.
+
+Requirements:
+- pip install healthchain python-dotenv
+
+Run:
+- python data_aggregation.py
+"""
+
+from typing import List
+
+from dotenv import load_dotenv
+
+from fhir.resources.bundle import Bundle
+from fhir.resources.condition import Condition
+from fhir.resources.annotation import Annotation
+
+from healthchain.gateway import FHIRGateway, HealthChainAPI
+from healthchain.gateway.clients.fhir.base import FHIRAuthConfig
+from healthchain.pipeline import Pipeline
+from healthchain.io.containers import Document
+from healthchain.fhir import merge_bundles
+
+
+load_dotenv()
+
+
+# Epic FHIR Sandbox - configure via environment, then build connection string
+config = FHIRAuthConfig.from_env("EPIC")
+EPIC_URL = config.to_connection_string()
+
+# Cerner Open Sandbox
+CERNER_URL = "fhir://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d"
+
+
+def create_pipeline() -> Pipeline[Document]:
+    """Build simple pipeline for demo purposes."""
+    pipeline = Pipeline[Document]()
+
+    @pipeline.add_node
+    def deduplicate(doc: Document) -> Document:
+        """Remove duplicate conditions by resource ID."""
+        conditions = doc.fhir.get_resources("Condition")
+        unique = list({c.id: c for c in conditions if c.id}.values())
+        doc.fhir.add_resources(unique, "Condition", replace=True)
+        print(f"Deduplicated {len(unique)} conditions")
+        return doc
+
+    @pipeline.add_node
+    def add_annotation(doc: Document) -> Document:
+        """Add a note to each Condition indicating pipeline processing."""
+        conditions = doc.fhir.get_resources("Condition")
+        for condition in conditions:
+            note_text = "This resource has been processed by healthchain pipeline"
+            annotation = Annotation(text=note_text)
+            condition.note = (condition.note or []) + [annotation]
+        print(f"Added annotation to {len(conditions)} conditions")
+        return doc
+
+    return pipeline
+
+
+def create_app():
+    # Initialize gateway and add sources
+    gateway = FHIRGateway()
+    gateway.add_source("epic", EPIC_URL)
+    gateway.add_source("cerner", CERNER_URL)
+
+    pipeline = create_pipeline()
+
+    @gateway.aggregate(Condition)
+    def get_unified_patient(patient_id: str, sources: List[str]) -> Bundle:
+        """Aggregate conditions for a patient from multiple sources"""
+        bundles = []
+        for source in sources:
+            try:
+                bundle = gateway.search(
+                    Condition,
+                    {"patient": patient_id},
+                    source,
+                    add_provenance=True,
+                    provenance_tag="aggregated",
+                )
+                bundles.append(bundle)
+            except Exception as e:
+                print(f"Error from {source}: {e}")
+
+        # Merge bundles - OperationOutcome resources are automatically extracted
+        merged_bundle = merge_bundles(bundles, deduplicate=True)
+
+        doc = Document(data=merged_bundle)
+        doc = pipeline(doc)
+
+        # print([outcome.model_dump() for outcome in doc.fhir.operation_outcomes])
+
+        return doc.fhir.bundle.model_dump()
+
+    app = HealthChainAPI()
+    app.register_gateway(gateway)
+
+    return app
+
+
+if __name__ == "__main__":
+    import uvicorn
+
+    app = create_app()
+    uvicorn.run(app, port=8888)
+    # Runs at: http://127.0.0.1:8888/

cookbook/notereader_clinical_coding_fhir.py

@@ -13,19 +13,17 @@
 - python notereader_clinical_coding_fhir.py  # Demo and start server
 """
 
-import os
 import uvicorn
-from datetime import datetime, timezone
-
 import healthchain as hc
+
 from fhir.resources.documentreference import DocumentReference
-from fhir.resources.meta import Meta
 from spacy.tokens import Span
 from dotenv import load_dotenv
 
-from healthchain.fhir import create_document_reference
+from healthchain.fhir import create_document_reference, add_provenance_metadata
 from healthchain.gateway.api import HealthChainAPI
 from healthchain.gateway.fhir import FHIRGateway
+from healthchain.gateway.clients.fhir.base import FHIRAuthConfig
 from healthchain.gateway.soap import NoteReaderService
 from healthchain.io import CdaAdapter, Document
 from healthchain.models import CdaRequest
@@ -35,14 +33,9 @@
 
 load_dotenv()
 
-
-BILLING_URL = (
-    f"fhir://api.medplum.com/fhir/R4/"
-    f"?client_id={os.environ.get('MEDPLUM_CLIENT_ID')}"
-    f"&client_secret={os.environ.get('MEDPLUM_CLIENT_SECRET')}"
-    f"&token_url={os.environ.get('MEDPLUM_TOKEN_URL', 'https://api.medplum.com/oauth2/token')}"
-    f"&scope={os.environ.get('MEDPLUM_SCOPE', 'openid')}"
-)
+# Load configuration from environment variables
+config = FHIRAuthConfig.from_env("MEDPLUM")
+BILLING_URL = config.to_connection_string()
 
 
 def create_pipeline():
@@ -84,7 +77,6 @@ def link_entities(doc: Document) -> Document:
 
 
 def create_app():
-    """Create production healthcare API."""
     pipeline = create_pipeline()
     cda_adapter = CdaAdapter()
 
@@ -102,9 +94,8 @@ def ai_coding_workflow(request: CdaRequest):
 
         for condition in doc.fhir.problem_list:
             # Add basic provenance tracking
-            condition.meta = Meta(
-                source="urn:healthchain:pipeline:cdi",
-                lastUpdated=datetime.now(timezone.utc).isoformat(),
+            condition = add_provenance_metadata(
+                condition, source="epic-notereader", tag_code="cdi"
             )
             fhir_gateway.create(condition, source="billing")
 
@@ -127,7 +118,7 @@ class NotereaderSandbox(ClinicalDocumentation):
 
         def __init__(self):
             super().__init__()
-            self.data_path = "./resources/uclh_cda.xml"
+            self.data_path = "./data/notereader_cda.xml"
 
         @hc.ehr(workflow="sign-note-inpatient")
         def load_clinical_document(self) -> DocumentReference: