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Record W4411135877 · doi:10.1038/s41746-025-01708-w

SQL on FHIR - Tabular views of FHIR data using FHIRPath

2025· article· en· W4411135877 on OpenAlexaff
John Grimes, Ryan Brush, Nikolai Rhyzhikov, Piotr Szul, Joshua C. Mandel, Grahame Grieve, Bashir Sadjad, Arjun Sanyal

Bibliographic record

Venuenpj Digital Medicine · 2025
Typearticle
Languageen
FieldHealth Professions
TopicElectronic Health Records Systems
Canadian institutionsGoogle (Canada)
Fundersnot available
KeywordsJSONComputer scienceSoftware portabilityImplementationInteroperabilityXMLSQLDatabaseConsistency (knowledge bases)XML databaseVariety (cybernetics)AnalyticsSoftware engineeringProgramming languageWorld Wide Web

Abstract

fetched live from OpenAlex

Challenges exist with the adoption of Fast Healthcare Interoperability Resources (FHIR) within analytics, including the difficulty in transforming complex data structures, and performance issues when querying large datasets in their native JSON or XML formats. In 2023, an international working group began work on a solution to this problem that would be easier to implement than existing approaches. Over the course of 18 months, the group authored a new specification and validated it through the development and testing of multiple independent implementations. The outcome of this work is a standard, implementation-agnostic method for defining views that produce tabular data from FHIR resources. SQL on FHIR view definitions can be written to cover common use cases and can be executed across a variety of technology platforms. We evaluate the feasibility of this approach by replicating findings from an existing study across multiple view runner and database implementations, demonstrating portability and consistency.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.003
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.494
Threshold uncertainty score0.879

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.003
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.393
GPT teacher head0.584
Teacher spread0.191 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations4
Published2025
Admission routes1
Has abstractyes

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