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Pancreatic Signal For Clinical Informatics And Interoperability Professionals

An open-source sandbox for report-pipeline integration patterns: FHIR and HL7 ingestion, audit-grade import runs, site-scoped access, and explainable downstream triage — deployable locally in minutes.

Research-use workflow software for evaluation, demonstration, and pilot-style exploration under your institution's governance. Not a production clinical system and not regulatory-cleared.

What's implemented (not planned — implemented)

  • FHIR DiagnosticReport ingestion including inline Reference.identifier metadata preservation and text-like presentedForm attachment decoding (plain text and XHTML narratives)
  • HL7 v2 ORU ingestion with base64 ED decode, custom MSH-2 separator handling, escape-sequence normalization, repeated OBX-5 merging, and subcomponent-aware metadata extraction
  • CSV / JSON / JSONL report imports for simpler feeds
  • Persisted import-run audit records with stable failure buckets (parse_error, unsupported_payload, validation_error, site_scope_rejection) and cross-actor visibility rules you can verify yourself
  • Pluggable pilot auth modes: mock auth for local work, trusted-proxy and header-based identity forwarding overlays for controlled demo environments
  • A smoke matrix that proves it: ~25 make targets covering success, failure, shared-visibility, and site-rejection paths against real built images, plus hosted CI smoke runs

Why evaluate it

  • Every import outcome is auditable: who imported, what failed, which bucket, what's visible to whom
  • Deterministic triage downstream means integration testing has stable expected outputs
  • Apache-2.0 — adapt the adapters, keep your changes, or contribute them back
  • Honest boundary-setting: docs distinguish what's automated, what's manual, and what's out of scope

Get started

git clone https://github.com/alex-varga14/pancreatic-signal
cd pancreatic-signal
make pilot-proxy-demo-up && make pilot-proxy-demo-fhir-smoke

Full overlay and smoke matrix: DEPLOYMENT.md. Interop gaps you'd need filled (other resource types, other HL7 segments, IHE profiles)? Open a use-case interest issue.