Over the past couple of months, I have been working on the SMART on FHIR EHR Launch to test the capabilities of IRIS for Health using two open-source apps from CSIRO: SMART-EHR-Launcher and SMART Forms App. This journey has been incredibly interesting, and I’m truly grateful for the opportunity to work on this task and explore more of IRIS for Health’s potential.

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In the previous article we have reviewed how to install our EMPI in standalone, so we are ready to start the basic configuration of our EMPI.

First of all we have to do an initial basic configuration, we can access to the configuration from the Configuration menu of our Registry.

Selecting that option will allow to us to edit the basic configuration table of the Registry:

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Article
· Mar 3, 2024 5m read
How to send messages to Microsoft Teams

Hi community,

The aim of this article is to explain how to create messaging between IRIS and Microsoft Teams.

In my company, we wanted to monitor error messages, and we used the Ens.Alert class to redirect those error messages through a Business Operation that sent an email.
The problem was that we sent those error messages to a support account where there were many emails. We wanted something specific for a specific team.

So we investigated how to make these messages reach the development team directly and they could have, in real time, a notification of an error in our production.
In our company we use Microsoft Teams as a corporate tool, so we asked ourselves: How could we make these messages reach the IRIS development team?

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This article presents a potential solution for semantic code search in TrakCare using IRIS Vector Search.

Here's a brief overview of results from the TrakCare Semantic code search for the query: "Validation before database object save".

  • Code Embedding model

There are numerous embedding models designed for sentences and paragraphs, but they are not ideal for code specific embeddings.

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I'm sure most of you are familiar with utility %SYS.MONLBL that is crucial when analysing code performance bottlenecks. It allows you to select a number of routines that you want to monitor at runtime and also specify what process(es) you want to watch. BUT, what if you do not know exactly, what process would execute your code? This is true with many web based (CSP/REST) applications today. You want to minimize the resource utilization on your production system that needs analysis. So, how about doing a small tweak?

1. Define an INC file with these macros:

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Article
· May 12 7m read
An Overview of Database Degrade

Introduction

Hello! In this article, I will be discussing database degrade, a type of data integrity issue one can face when using IRIS. First, I will be going over a review of the structure of IRIS databases. I'll then discuss how database degrade can manifest and common causes of degrade issues. I'll then conclude with general tips we give our customers about how to prevent or prepare for database degrade issues.

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Introducing Smart Clinical Sidechick — the intelligent, no-drama partner your EHR wishes it could be. She reads FHIR data in real time, interprets lab results without ghosting, and explains clinical alerts like she actually cares. Built with GPT-4 brains and YAML sass, she’s not here to replace your main EHR—just to make it look bad. Tired of irrelevant alerts and cryptic warnings? Sidechick serves up real, explainable insights, not vague “elevated risk” vibes. And when your backend crashes, she doesn’t panic—she self-heals.

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Article
· Aug 16, 2024 1m read
First "vector search" on IRIS

There are a lot of great community articles regarding "vector search on IRIS", and samples in OpenExchange. Everytime I see these, I'm so excited to know that so many developers already try vectors on IRIS!

But if you've not tried "Vector Search on IRIS" yet, please give me one minute 😄 I create one IRIS class - and with only one IRIS class you can see how you put vector data in your IRIS database and how you compare these in your application.

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If you are a customer of the new InterSystems IRIS® Cloud SQL and InterSystems IRIS® Cloud IntegratedML® cloud offerings and want access to the metrics of your deployments and send them to your own Observability platform, here is a quick and dirty way to get it done by sending the metrics to Google Cloud Platform Monitoring (formerly StackDriver).

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Hi developers!

Observing the avalanche of AI-driven and vibe-coding developer tools that have been appearing lately almost every month with more and more exciting dev features, I was puzzled whether it is possible to leverage it with InterSystems IRIS. At least to build a frontend. And the answer - yes! At least with the approach I followed.

Here is my recipe to prompt the UI vs InterSystems IRIS Backend:

  1. Have the REST API on the IRIS side, which reflects some Open API (swagger) spec.
  2. Generate the UI with any vibe-coding tool (e.g., Lovable) and point the UI to the REST API endpoint.
  3. Profit!

Here is the result of my own exercise - a 100% prompted UI vs IRIS REST API that allows to list, create, update delete entries of a persistent class (Open Exchange, frontend source, video):

What is the recipe in detail?

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Regardless of whether an instance of IRIS is in the cloud or not, high availability and disaster recovery are always important considerations. While IKO already allows for the use of NodeSelectors to enforce the scheduling of IRISCluster nodes across multiple zones, multi-region k8s clusters are generally not recommended or even supported in the major CSP's managed Kubernetes solutions. However, when discussing HA and DR for IRIS, we may want to have an async member in a completely separate region, or even in a different cloud provider altogether.

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It helps to remove special characters, such as non-utf-8 characters either control characters or unicode characters from text that is not printable or can't be parsed by downstream systems.

There is also $C(32) in this condition; sometimes NBSP appears in the text and it will not be recognized by TIE, but downstream it displays as "?".

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An extension “extends” or enhances a FHIR resource or a data element in a custom way. The extension can be added to the root of a resource, such as “Patient.ethnicity” in US Core profile, and they can be added to individual elements such as HumanName, Address or Identifier.

Did you know that you can also add an extension to a primitive data type?

Primitives usually store a single item and are the most basic element in FHIR. For example: "Keren", false, 1234, 12/08/2024 etc.

For example, the patient resources might look like this:

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Sometimes customers need a small IRIS instance to do something in the cloud and shut it down, or they need hundreds of containers (i.e. one per end user or one per interface) with small workloads. This exercise came about to see how small an IRIS instance could be. For this exercise we focused on what is the smallest amount of memory we can configure for an IRIS instance. Do you know all the parameters that affect the memory allocated by IRIS ?

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RabbitMQ is a message broker that allows producers (those who send a data message) and consumers (those who receive a data message) to establish asynchronous, real-time, and high-performance massive data flows. RabbitMQ supports AMQP (Advanced Message Queuing Protocol), an open standard application layer protocol.
The main reasons to employ RabbitMQ include the following:

  • You can improve the performance of the applications using an asynchronous approach.
  • It lets you decouple and reduce dependencies between services, microservices, and applications with the help of a data message mediator, meaning that there is no need for producers and consumers of exchanged data to know each other.
  • It allows the long-running processing of sent data (with the results) to be delivered after utilizing a response queue.
  • It helps you migrate from monolithic to microservices, where microservices exchange data via Rabbit in a decoupled and asynchronous way.
  • It offers reliability and resilience by making it possible for messages to be stored and forwarded. A message can be delivered multiple times until it is processed.
  • Message queueing is the key to scaling your application. As the workload increases, you will only have to add more workers to handle the queues faster.
  • It works well with data streaming applications.
  • It is beneficial for IoT applications.
  • It is a must for Bots’ communication.

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The Good Old Days

The %Library.DynamicObject class has been in IRIS since before it became IRIS. If you have been using it since the Cache days, you may want to brush up on some of its changes.

In Cache 2018, the %Get method only had one argument. It was the key to retrieving from the JSON, meaning that if your JSON object called myObj, it would look like the following:

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If one of your packages on OEX receives a review you get notified by OEX only of YOUR own package.
The rating reflects the experience of the reviewer with the status found at the time of review.
It is kind of a snapshot and might have changed meanwhile.
Reviews by other members of the community are marked by * in the last column.

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Article
· May 2 3m read
Minify XML in IRIS

In a project I'm working on we need to store some arbitrary XML in the database. This XML does not have any corresponding class in IRIS, we just need to store it as a string (it's relatively small and can fit in a string).
Since there are MANY (millions!) of records in the database I decided to reduce as much as possible the size without compressing. I know that some XML to be stored is indented, some not, it varies.

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One of the challenges of creating a DICOM message is how to implement putting data in the correct place. Part of it is by inserting the data in the specific DICOM tags, while the other is to insert binary data such as a picture - In this article I will explain both.

To create a DICOM message, you can either use the EnsLib.DICOM.File class (to create a DICOM file) or the EnsLib.DICOM.Document class (to create a message that can be sent to PACS directly). In either case, the SetValueAt method will allow you to add your data to the DICOM tags.

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Artificial Intelligence (AI) is getting a lot of attention lately because it can change many areas of our lives. Better computer power and more data have helped AI do amazing things, like improving medical tests and making self-driving cars. AI can also help businesses make better decisions and work more efficiently, which is why it's becoming more popular and widely used. How can one integrate the OpenAI API calls into an existing IRIS Interoperability application?

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Migrating from Oracle, MSSQL, or other purely relational database systems to a multimodel InterSystems IRIS is a strategic decision that requires careful planning and execution. While this transition offers significant benefits, including enhanced performance, scalability, and support for modern architectures, it also comes with challenges. In this article I will highlight some of the considerations connected to coding to ensure a successful migration. I will leave everything connected to an actual migration of structures and data outside the scope of this article.


First, when you're considering migrating to a different database system, you need to understand your business logic, whether it's on the side of the application (application server) or the database server. Basically, where do you have your SQL statements that you will need to potentially rewrite?

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I recently had to refresh my knowledge of the HealthShare EMPI module and since I've been tinkering with IRIS's vector storage and search functionalities for a while I just had to add 1 + 1.

For those of you who are not familiar with EMPI functionality here's a little introduction:

Enterprise Master Patient Index

In general, all EMPIs work in a very similar way, ingesting information, normalizing it and comparing it with the data already present in their system. Well, in the case of HealthShare's EMPI, this process is known as NICE:

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InterSystems Official
· Mar 27 4m read
2025.1 Modernizing Interoperability User Experience

The Interoperability user interface now includes modernized user experiences for the DTL Editor and Production Configuration applications that are available for opt-in in all interoperability products. You can switch between the modernized and standard views. All other Interoperability screens remain in the Standard user interface. Please note that changes are limited to these two applications and we identify below the functionality that is currently available.

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