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ELEXIS-SERVER The swiss-knife cuts it in Switzerland Marco Descher <[email protected]> | FhirDevDays 2018
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ELEXIS-SERVER€¦ · THE ELEXIS PROJECT • Provides (open-source) solution for requirements of a swiss medical practice • Started in 2005 by a swiss physician • Commercial product

May 22, 2020

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Page 1: ELEXIS-SERVER€¦ · THE ELEXIS PROJECT • Provides (open-source) solution for requirements of a swiss medical practice • Started in 2005 by a swiss physician • Commercial product

ELEXIS-SERVERThe swiss-knife cuts it in Switzerland

Marco Descher <[email protected]> | FhirDevDays 2018

Page 2: ELEXIS-SERVER€¦ · THE ELEXIS PROJECT • Provides (open-source) solution for requirements of a swiss medical practice • Started in 2005 by a swiss physician • Commercial product

THE ELEXIS PROJECT

• Provides (open-source) solution for requirements of a swiss medical practice

• Started in 2005 by a swiss physician

• Commercial product available, based on open-source core (EPL)

www.medelexis.ch

Page 3: ELEXIS-SERVER€¦ · THE ELEXIS PROJECT • Provides (open-source) solution for requirements of a swiss medical practice • Started in 2005 by a swiss physician • Commercial product

„ELEXIS-UI“

• Based on Eclipse Rich Client Platform

• Productive 2-layer-application

• Dozens of plugins to handle requirements of the medical practice

Page 4: ELEXIS-SERVER€¦ · THE ELEXIS PROJECT • Provides (open-source) solution for requirements of a swiss medical practice • Started in 2005 by a swiss physician • Commercial product

ELEXIS-SERVER (ES)• OSGI based server with JPA persistence to replace 2-layer-

architecture

• Provides (selected*) FHIR (using HAPI-FHIR) and OpenId service(s)

• Enables medical practice to provide self-sufficient Smart-On-Fhir service

• FHIR first approach; remaining API → Swagger

Kudos to you guys!!

* Lazy-Implementation-Pattern

Page 5: ELEXIS-SERVER€¦ · THE ELEXIS PROJECT • Provides (open-source) solution for requirements of a swiss medical practice • Started in 2005 by a swiss physician • Commercial product

WHY OUR OWN S-O-F SERVER?

• Retain data control within the medical practice

• Enable opt-in interoperability for existing installations

• Enable peer-to-peer FHIR with full control on each premise

Page 6: ELEXIS-SERVER€¦ · THE ELEXIS PROJECT • Provides (open-source) solution for requirements of a swiss medical practice • Started in 2005 by a swiss physician • Commercial product

ES BECOMING S-O-F• OpenId integration via maven-overlay

• Connecting to Elexis database

• Extending login with TOTP 2FA

• Implement HAPI-FHIR resources

• Mapping our own model to FHIR

• Add the SMART-on-FHIR profile

• Packing it all as OSGI bundles

https://github.com/elexis/elexis-openid-connect-overlay

Page 7: ELEXIS-SERVER€¦ · THE ELEXIS PROJECT • Provides (open-source) solution for requirements of a swiss medical practice • Started in 2005 by a swiss physician • Commercial product

PHYSICIANS WORKING STACK

• Use Elexis-Ui to work and configure users allowed for FHIR access

• Use the apps provided with their own server

Page 8: ELEXIS-SERVER€¦ · THE ELEXIS PROJECT • Provides (open-source) solution for requirements of a swiss medical practice • Started in 2005 by a swiss physician • Commercial product

FHIR DEVELOPERS WORKING STACK

• ES is distributed either via source, installable product or docker image

• ES Vue.js plugin for easy app creation

Page 9: ELEXIS-SERVER€¦ · THE ELEXIS PROJECT • Provides (open-source) solution for requirements of a swiss medical practice • Started in 2005 by a swiss physician • Commercial product
Page 10: ELEXIS-SERVER€¦ · THE ELEXIS PROJECT • Provides (open-source) solution for requirements of a swiss medical practice • Started in 2005 by a swiss physician • Commercial product

VUE.JS ES PLUGIN

• Adds a route guard, all routes are blocked prior to login

• Provides static pre-configured accessors for FHIR ($es.smart) and Swagger ($es.swagger) to access resources

• (will…) provide/include things we learned here!https://www.npmjs.com/package/@col.panic/vue-es

Page 11: ELEXIS-SERVER€¦ · THE ELEXIS PROJECT • Provides (open-source) solution for requirements of a swiss medical practice • Started in 2005 by a swiss physician • Commercial product

DEMO

• Setting Your a physician, that wants to check his appointments from home…

• I already prepared that for you, just gimme a minute…

Page 12: ELEXIS-SERVER€¦ · THE ELEXIS PROJECT • Provides (open-source) solution for requirements of a swiss medical practice • Started in 2005 by a swiss physician • Commercial product

WANNA TRY AT HOME?

• Get ES demo server up and running docker run —rm -e TZ=Europe/Zurich -e DEMO_MODE='true' -h „es.localhost“-p 8380:8380 -p 8480:8480 -p 7234:7234 medevit/elexis-server

• Create Vue.js based demo app to list patients

• Authorize (OAuth) App on ES

https://github.com/elexis/elexis-server/wiki/Installation-and-setup

https://github.com/elexis/vue-es-demo-app

Page 13: ELEXIS-SERVER€¦ · THE ELEXIS PROJECT • Provides (open-source) solution for requirements of a swiss medical practice • Started in 2005 by a swiss physician • Commercial product

LINKS

• http://elexis.info/en_index.html

• http://www.github.com/elexis

• https://www.npmjs.com/package/@col.panic/vue-es