In this article, we'd like to describe Med.me's incubation experience and takeaways, the cross-organizational booking problem, and our approach to solving it.

This exciting story started during one of the regular medtech meetups, where I met @Evgeny Shvarov, senior InterSystems chief of the Developer Community. Following the good old startup rule “pitch wherever you can”, I briefly explained to Evgeny Med.me concept – EHR exchange and appointment scheduling platform to automate and simplify communication between clinics, pharma on one hand and insurance companies, doctors, and patients on the other.

Evgeny listened carefully and replied that InterSystems provides plenty of products to solve the interoperability problems amongst the vast variety of EMRs and kindly advised me to hurry up to apply to the FHIR incubator Caelestinus powered by InterSystems.

That led to a start of an amazing 9-months long road where we were able to ramp up our understanding of interoperability, participate at the InterSystems Global Summit, find new customers and partners, and where the new concept of Resource Availability Exchange was born.

I'm testing an HL7 2.4 -> HL7 2.3.1 set of transformations. For the time being the source (service) and sink (operation) are file adapters. What I'd really like is to be able to save the output file with a name matching/containing the input file name - but as the DTL transformation in between uses "new" rather than "copy" it looks like I'm losing (some of?) the metadata, including the "Source" field (Body tab, message viewer).

Is there any way of preserving the Source field so the OutboundAdapter has access to it?

HL7 (Health Level 7) is a set of technical specifications for computerized exchanges of clinical, financial and administrative data between hospital information systems (HIS). These specifications are variously integrated into the corpus of formal American (ANSI) and international (ISO) standards.

The L7 of HL7 indicates that it is a standard that operates at layer 7, in other words at the application layer, of the OSI model. This means that HL7 does not have to take into account exchange security considerations, or those of message transport (this being ensured by lower-level layers such as SSL/TLS for security or TCP for the transport of data for example). To be more precise, layer 7 supports communications for end-user processes and applications and the presentation of data for user-facing software applications. As the highest layer of the OSI model, and the closest to the end user, layer 7 provides application-specific functions such as identifying communication partners and the quality of service between them, determining resource availability, considering privacy and user authentication, and synchronizing communication, as well as connecting the application to the lower levels of the OSI model.

Returning to the HL7 standard, the HL7 version 2 standard (also known as Pipehat) was originally created in 1989 but is still being used and updated regularly, resulting in versions 2.1, 2.2, 2.3, 2.3.1, 2.4, 2.5, 2.5.1, 2.6, 2.7, 2.7.1, 2.8, 2.8.1, 2.8.2 and 2.9. The v2.x standards are backward compatible (e.g., a message based on version 2.3 will be understood by an application that supports version 2.6) and in higher versions, you will see some fields are left just for it.

Despite it being more than 30 years old, HL7v2 remains the most widely used healthcare interface standard by a large margin according to the HL7.org portal that tells that:

In the previous article, we've seen the structure of one of the most used types of HL7 message - ADT (Admit, Discharge, Transfer) and an example of ADT^A04 with the description of all its fields. Now let's look at another flow of data having to do with ordering and fulfilling the orders of tests. I'm talking about ORM (as of version 2.5 you should use specific messages to order tests, like OMG, OML, OMD, OMS, OMN, OMI, and OMP), ORL and ORU messages. In a very simplified case, the exchange of data may look like this.

Let's look at these messages in more detail.

After seeing several article raving about how ground-breaking the recent release of ChatGPT is, I thought I would try asking it to help with a Caché newbie question: How do you find the version of InterSystems Caché?

To be honest, I was quite surprised at what the chat bot told me:

Hi!

I'm playing with OAuth2 with FHIR Server, but returned tokens cause 401 or 403 errors when trying to get FHIR resources.

I tried using fhir-client.js and Postman. Access tokens returned have been failing for both, with a 401 when trying through fhir-client.js and a 403 using Postman.

Here are my settings:

Hi Developers,

Enjoy watching the new video on InterSystems Developers YouTube:

⏯ Using Variables in InterSystems ObjectScript

https://www.youtube.com/embed/AA1QA9roDCw
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I have a table, with autoincremented id

CREATE TABLE users (
    id SERIAL NOT NULL,
    name VARCHAR(30) NOT NULL,
    PRIMARY KEY (id)
)

I can add a new item there with an explicit id

INSERT INTO users (id, name) VALUES (2, 'fred')

And while my id is autoincremented, I can omit it

INSERT INTO users (name) VALUES ('ed')

So, this time, I don't know the id, and I want to somehow get it.

I could do it with LAST_IDENTITY() function, but it just uses %RowID, and have no relation to the primary id

IRISTEMP - IRIS.DAT took up all the available disk space of almost 2 TB that leads to Production instance down.

After RCA the suspected cause was some SQL query but not confirmed as query result was received within a minute.

Currently we are monitoring the IRIS.DAT and it is continuously increasing and currently we set the MAX size for this DB, but not sure what will happen once it hit the MAX SIZE ?

Any clue why the IRISTEMP DB is not flushing the data from IRIS.DAT as i believe it is being mostly used for system processes and is in increasing trend at ~ 1GB/day?

Hello!

Not opening an instance by index key after CACHE migration to IRIS. In composite indices, when one of the values is null, when using idx open it does not return the reference.

Has anyone had this problem?

The 2019.2 version of InterSystems IRIS Studio is now Generally Available!

I like to install Cache Evaluation version for learning purpose. Could you please share the download link to install it? I appreciate any help you all provide. Thanks.

Hi Developers,

Enjoy watching the new video on InterSystems Developers YouTube:

⏯ InterSystems IRIS Cloud SQL @ Global Summit 2022

https://www.youtube.com/embed/QLaAH5o60y0
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I have a module that sends EMAIL from a Cache INT routine (listed below).

In order to make sure the columns align in the body of the message that the recipient receives I want to force the setting of the FONT and SIZE in the body.

Does anyone know what I need to insert in this code in order to control font and size?

Alternatively is there a way to send mail from within Cache that will keep column data aligned?

Thanks.

________________________________________________________

s server=##class(%Net.SMTP).%New()