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Introduction

 

Excerpt

This guide walks you through the process of creating a simple JavaScript app for a healthcare provider (doctor, nurse, pharmacist, etc.) that is launched from an EHR (HSPC Sandbox) and queries the Bilirubin Observations for the patient in the EHR context.

This simple JavaScript app is a great starter project from which you can begin to add your business logic and user interface.

Prerequisites

What you will build

In this guide, you will build a simple JavaScript app that consists of two HTML files.  If you prefer, you can skip the steps in the guide and download a finished copy of the project.

What you will need

  • A Web Server.  This guide will use Apache Tomcat.  Please see our guides for AWS, Apache, and Tomcat.
  • Your IP Address.
  • An IDE or text editor

Step 1: Create a Simple Launch File

When your app is used in production, it will be made available within the EHR as a link or a button.  The healthcare provider will choose a patient then select your app.  The EHR will send a launch request to tell your app that it is being launched.  The launch message will include information such as the address of the EHR resource server and the patient in the EHR context.  

Create an HTML file that will handle the following launch request from the EHR.   .html file on your filesystem:

launch.html

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"
"http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
<script src="https://apps.hspconsortium.org/hspc-reference-apps/static/jsfiddle/fhir-client.js"></script>

<script>
FHIR.oauth2.authorize({
client_id: "my_web_app",
scope: "patient/*.read"
});
</script>
</head>
<body>
Launching...
</body>
</html>

As you can see, when the launch page is requested, it will use the SMART on FHIR client library to authorize the app.  In this example, we will be using the client existing "my_web_app".  When you register your app with the HSPC Sandbox, you will be issued a new client id.  It is likely that each EHR system will issue your app a client id within that EHR.

Step 2: Create a Simple App File

When your app completes the authorization protocol (from the launch.html page), the EHR will send a request to a "redirect" address.  This redirect address is typically the entry point to your app.  In this guide, this will be our index.html file.  

Create an HTML file that will handle the redirect after authorization.the following index.html file on your filesystem:

 

Code Block
languagejs
titleindex.html
<html>
<head>
    <script src="https://apps.hspconsortium.org/hspc-reference-apps/static/jsfiddle/fhir-client.js"></script>
    <script src="http://ajax.googleapis.com/ajax/libs/jquery/2.1.0/jquery.min.js"></script>
    <style>
        table, th, td {
            border: 1px solid black;
            border-collapse: collapse;
        }

        th, td {
            padding: 5px;
            text-align: left;
        }
    </style>
</head>
<body>
<script type="text/javascript">
    FHIR.oauth2.ready(function (fhirClient) {
        var patient = fhirClient.patient;
        $.when(patient.read())
                .done(function (p) {
                    var name = p.name[0];
                    var formattedName = name.given[0] + " " + name.family;
                    $("#patientName").text(formattedName);
                });
        $.when(patient.api.search({type: "Observation", query: {code: 'http://loinc.org|58941-6'}, count: 50}))
                .done(function (obsSearchResults) {
                    obsSearchResults.data.entry.forEach(function (obs) {
                        var obsRow = "<tr><td>" + obs.resource.effectiveDateTime + "</td>" + "<td>" +
                                obs.resource.valueQuantity.value + obs.resource.valueQuantity.unit + "</td></tr>"
                        $("#obsTable").append(obsRow);
                    });
                });
    });
</script>
<h2 id="patientName"></h2>
<table id="obsTable">
    <tr>
        <th>Date</th>
        <th>Value</th>
    </tr>
</table>
</body>
</html>

As you can see, the app is again using the SMART on FHIR client library.  The app first uses the FHIR.oauth2.ready method to compete the authorization process.  When the process is completed, the app will get the patient from the SMART context, look up the patient demographics, and query for Bilirubin (http://loinc.org|58941-6) observations.  The app will display these values in a table.

Step 3: Try it out

We will run this app using a two-step process.  

  1. Host this app on a web server.  
    If you host on a server running locally, get the hostname of your machine. The app needs to be accessible from the HSPC Sandbox.  If you are using Apache Tomcat, create a folder within the webapps folder called "fhir-app" then copy the index.html and launch.html files into that folder.  Start up Tomcat.
  2. Use the HSPC Sandbox to launch your app.
    1. Log into the HSPC Sandbox.  If you don't have an HSPC Sandbox account, create one now.  Refer to the HSPC Sandbox reference for details.
    2. Create a launch scenario to launch your app.  See the Sandbox Launch Scenarios reference for details.
      1. Practitioner: Any
      2. Patient: Baby Bili
      3. App ID: my_web_app
      4. Launch URL:  [your app host address and context]/launch.html
        * ex: http://example.com/fhir-app/launch.html
      5. (Optional) Save your scenario
    3. Launch Your App
    4. Complete the Authorization Flow
      1. At this point, you have asked the EHR (HSPC Sandbox) to launch the app "My Web App" for the provider and the patient Baby Bili.  The EHR (HSPC Sandbox) has sent a launch request to your hosted launch.html.  The launch.html has initiated the FHIR.oauth2.authorize for the client my_web_app with a scope of "patient/*.read".
      2. Allow the app to proceed (gain access to the EHR's data on your behalf) by selecting "Authorize".
    5. Enter the app
      Upon authorization, the EHR redirects to the index.html with an OAuth2 access token your app can then use to query data from the EHR.

Where to go from here

Now you have a fully operational SMART on FHIR app that does launch, scopes, authentication, and querying.  Continue to build out your app logic and user interface using this starter project or merge these same techniques into your existing codebase.

Get the Source Code

GitHub

Clone using HTTPS
git clone https://bitbucket.org/hspconsortium/quick-start-javascript-for-provider.git
Go to the Repo
https://bitbucket.org/hspconsortium/quick-start-javascript-for-provider