exporting-bulk-fhir
适合队列化大规模临床文本摄取与去标识化。
需要访问含PHI的FHIR端点并下载数据，涉及敏感权限与合规风险。
启动并收集FHIR Bulk Data $export，将NDJSON流入OpenMed批处理管道。
发起并收集 FHIR 的 Bulk Data $export 异步任务，把拿到的 NDJSON 流式导入到批量的 OpenMed 去标识化和 NER 管道里。适合需要整批人群级别的病历文本抽取而不是单病人场景，比如从 EHR 或数据仓库导出大量文档。关键点是处理异步启动、轮询 Content-Location、下载 NDJSON 并按批次喂给去标识化流程，能做大规模自动化入库。
▸ 展开 SKILL.md 英文原文
Kick off and harvest a FHIR Bulk Data $export (system-, group-, or patient-level) and stream the resulting NDJSON into a batch OpenMed de-identification + NER pipeline at cohort scale. Covers the async kickoff (Prefer respond-async) -> poll Content-Location -> download NDJSON flow, the Bulk Data Access IG, _type/_since filters, and feeding DocumentReference/DiagnosticReport notes into openmed.deidentify in batch. Use when the user needs population-scale note extraction from an EHR or data warehouse to feed OpenMed, mentions bulk export, $export, NDJSON, Flat FHIR, or cohort de-identification. Pairs before the OpenMed de-id/NER pipeline.
帮我安装这个 skill：https://raw.githubusercontent.com/maziyarpanahi/openmed/master/skills/exporting-bulk-fhir/SKILL.mdcurl -fsSL "https://raw.githubusercontent.com/maziyarpanahi/openmed/master/skills/exporting-bulk-fhir/SKILL.md"# Exporting Bulk FHIR When you need *cohort-scale* clinical text — not one patient in a UI — you use the FHIR **Bulk Data Access** (`$export`) operation: an async job that emits **NDJSON** files of resources you then stream into OpenMed for batch de-identification and NER. This skill sits **before** the OpenMed pipeline: it is how the notes arrive. ## When to use Reach for it when the source is an EHR or FHIR data warehouse and the volume is a population/group (thousands of patients), the workload is headless (no clinician UI), and the goal is to batch-feed `openmed.deidentify` / `openmed.analyze_text`. Triggers: "bulk export", "$export", "NDJSON", "Flat FHIR", "cohort de-identification",