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10:47 AM — Jose Garcia's creatinine test results arrive at the hospital FHIR server.
2.1 mg/dL — a 35% increase from last month.

What happens next?

  • Most systems: ❌ The result sits in a queue until a clinician reviews it manually — hours or days later.
  • This system: 👍 An AI agent evaluates the trend, consults clinical guidelines, and generates evidence-based recommendations — in seconds, automatically.

No chatbot. No manual prompts. No black-box reasoning.

This is event-driven clinical decision support with full explainability:

image

Triggered automatically by FHIR events
Multi-agent reasoning (context, guidelines, recommendations)
Complete audit trail in SQL (every decision, every evidence source)
FHIR-native outputs (DiagnosticReport published to server)

Built with:
- InterSystems IRIS for Health — Orchestration, FHIR, persistence, vector search
- CrewAI — Multi-agent framework for structured reasoning

You'll learn: 🖋️ How to orchestrate agentic AI workflows within production-grade interoperability systems — and why explainability matters more than accuracy alone.

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How I Vibecoded a Backend (and Frontend) on InterSystems IRIS

I wanted to try vibecoding a real backend + frontend setup on InterSystems IRIS, ideally using something realistic rather than a toy example. The goal was simple: take an existing, well-known persistent package in IRIS and quickly build a usable UI and API around it — letting AI handle as much of the boilerplate as possible. Here is the result of the experiments.

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Hello and welcome to the InterSystems Ideas Portal Annual Recap 2025.
General Stats:
182 new ideas in 2025
44 new implementations in 2025
174 new comments in 2025
725 new votes in 2025
232 new users in 2025
713 ideas all time
132 implemented ideas all time
991 comments all time
3,426 votes all time
1,207 users all time

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Hi everyone,

This is the first time I'm dealing with a request of modifying a variable value in a UDF OnSQLTrigger on InterSystems TrakCare.

I can't find any documentation to address this issue, but basically, my goal is to modify the value of one of the fields in a table when it is first inserted.

This is basically what the code should do, namely, to change the content of the %d variable at a specific key.

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Hi Community!

We’re excited to announce the launch of a new, hands-on training program:

🧑‍💻 Developing FHIR Applications Using Python 🧑‍💻

This cohort-based course takes developers from FHIR fundamentals to advanced, real-world healthcare interoperability solutions, with deeper, more practical coverage than typical industry offerings and a strong focus on production-ready skills using InterSystems technology.

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Hey everyone,

I'm just seeking some guidance and confirmation on what I'm doing for my production health monitoring.

We utilize Grafana to have reporting/monitoring dashboards and I have made a REST API to query the health of our productions. I believe I have everything figured out except for one thing that I'm uncertain about and that is the Production Item Color indicators:

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Hi,

I'm having a problem with %JSON.Adaptor and "list of" binding.

For exemple, this class with a property "oazisCode As list of %String".

Class User.ADGroup Extends (%Persistent, %JSON.Adaptor)

{
/// Code interne
Property code As %String;

/// Libellé
Property text As %String(MAXLEN = "");

Property oazisCode As list Of %String;

}

The first time call to %JSONImport works properly

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Hey Community!

We're happy to share a new video from our InterSystems Developers YouTube:

Develop the Next Generation of Health IT with InterSystems@ Ready 2025

https://www.youtube.com/embed/K47GEnabO-k
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In this article, I aim to demonstrate a couple of methods for easily adding validation to REST APIs on InterSystems IRIS Data Platform. I believe a specification-first approach is an excellent idea for API development. IRIS already has features for generating an implementation stub from a specification and publishing that specification for external developers (use it with iris-web-swagger-ui for the best results). The remaining important thing not yet implemented in the platform is the request validator. Let's fix it!

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Hi, Community!

Building integrations with InterSystems products? Find out about the latest UX enhancements available in version 2025.3!

Building Integrations: A New User Experience Version 2025.3

https://www.youtube.com/embed/oDFS0k38_ik?utm_source=youtube&utm_medium=social&utm_campaign=oDFS0k38_ik
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Hello everyone,

The Certification Team of InterSystems Learning Services is excited to announce the release of our new InterSystems EHR Reports Specialist exam. It is now available for purchase and scheduling in InterSystems exam catalog. This exam tests candidates’ ability to use Logi Report Designer along with TrakCare/Intellicare to design, author, and support InterSystems Reports. For a list of topics covered by the exam, please refer to the exam page. Candidates who successfully pass the exam will receive a digital certification badge that can be shared on social media accounts like LinkedIn. If you are new to InterSystems Certification, please review our program pages that include information on taking exams, exam policies, FAQ and more.

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Hey Community!

We're happy to share a new video from our InterSystems Developers YouTube:

Optimizing Query Performance in Health Insight @ Ready 2025

https://www.youtube.com/embed/s9CIi1HQ_iQ
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