Migration from FHIR works on AWS to Amazon Healthlake

Question

I have been using FHIR works on AWS for a while. Since this solution has gone out of support, I have started to evaluate how can I migrate my current solution to amazon HealthLake. In the current solution I am using
1. FHIR Rest API - For CRUD Operations ( I would like to create a similar API which then invokes HealthLake datastore URL)
2. Cognito Custom Auth - How to setup fwoa auth and RBAC modules so that with minimal changes to Flutter based mobile and Angular based web app this migration is possible.
3. The mobile and web clients - Make a call to Cognito ( MFA enabled) get the JWT token and then make a call to FHIR rest API where lambdas check for RBAC rules. Both the clients are FHIR compliant and use FHIR structures to make CRUD operations.

If there is a standard way to migrate ( note: I am not interested in just migrating the data - This I know how to do it. ) .

FHIR works on AWS :  https://github.com/aws-solutions/fhir-works-on-aws

Answer

Hello,

[1] https://github.com/aws-solutions/fhir-works-on-aws#where-should-i-migrate-to

As per the above link, there is a migration tool released by Amazon for migrating from FHIR Works to Amazon HealthLake.

AWS HealthLake is a HIPAA-eligible service that provides FHIR APIs that help healthcare and life sciences companies securely store, transform, transact, and analyze health data in minutes to give a chronological view at the patient and population-level. AWS HealthLake natively achieved feature parity with FHIR Works on AWS including SMART on FHIR and Bulk FHIR capabilities. Further, AWS HealthLake can support customer conformance with 21st Century Cures Act for patient access and interoperability requirements through a fully managed FHIR server.

AWS has released a migration tool in the FHIR Works on AWS GitHub repository to enable migration to Amazon HealthLake. The migration tool is a collection of scripts that automates the export of FHIR resources from FHIR Works on AWS and imports them into Amazon HealthLake.

Answer

Migration tool documentation is here: https://github.com/aws-solutions/fhir-works-on-aws/blob/d57e66b9a64b06053adc471521ffeebf31eda621/FHIR%20Works%20on%20AWS%20-%20Migration%20Tool%20User%20Guide.pdf and the source code for the tool is here: https://github.com/aws-solutions/fhir-works-on-aws/tree/main/fwoa-tools

Migration from FHIR works on AWS to Amazon Healthlake

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