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:

Open Exchange app
6 1
1 175

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 ?

8 2
4 147

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.

Open Exchange app
4 0
2 101

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:

8 3
3 203

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.

1 0
0 44
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.

3 3
1 73

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.

Open Exchange app
7 0
0 158

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?

Open Exchange app
13 6
4 526

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?

6 1
0 136

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:

Open Exchange app
18 0
1 134

Hi developers!

This will be a very short article as in April 2025 with Lovable and other Prompt-to-UI tools it becomes possible to build the frontend with prompting. Even to the folks like me who is not familiar with modern UI techics at all.

Well, I know at least the words javascript, typescript and ReactJS, so in this very short article we will be building the ReactJS UI to InterSystems FHIR server with Lovable.ai.

Let's go!

Open Exchange app
4 2
1 99

When working with InterSystems IRIS, database developers and architects often face a critical decision: whether to use Dynamic SQL or Embedded SQL for querying and updating data. Both methods have their unique strengths and use cases, but understanding their performance implications is essential to making the right choice. Response time, a key metric in evaluating application performance, can vary significantly depending on the SQL approach used. Dynamic SQL offers flexibility, as queries can be constructed and executed at runtime, making it ideal for scenarios with unpredictable or highly variable query needs. Conversely, Embedded SQL emphasizes stability and efficiency by integrating SQL code directly into application logic, offering optimized response times for predefined query patterns.

In this article, I will explore the response times when using these two types of SQL and how they depend on different class structures and usage of parameters. So to do this, I'm going to use the following classes from the diagram:

6 3
0 150

As we all know, InterSystems is a great company.

Their products can be just as useful as they are complex.

Yet, our pride sometimes prevents us from admitting that we might not understand some concepts or products that InterSystems offers for us.

Today we are beginning a series of articles explaining how some of the intricate InterSystems products work, obviously simply and clearly.

In this essay, I will clarify what Machine Learning is and how to take advantage of it.... because this time, you WILL KNOW for sure what I am talking about.

Open Exchange app
19 1
7 240

Thirteen years ago, I attained dual undergraduate degrees in electrical engineering and math, then promptly started full-time at InterSystems using neither. One of my most memorable and stomach-churning academic experiences was in Stats II. On an exam, I was solving a moderately difficult confidence interval problem. I was running out of time, so (being an engineer) I wrote out the definite integral on the exam paper, punched it into my graphing calculator, wrote an arrow with “calculator” over it, then wrote the result.

15 9
0 215

The first part of this article provides all the background information. It also includes links to the DATATYPE_SAMPLE database, which you can use to follow along with the examples.

In that section, we explored an error type ("Access Failure") that is easy to detect, as it immediately triggers a clear error message when attempting to read the data via the database driver.

Open Exchange app
0 0
0 57
Article
· Jun 12, 2017 1m read
Setting the Windows service account

I recently helped a site investigate a problem that appeared after they upgraded their Windows instance of Caché from 2015.1 to 2017.1. A terminal session launched from the server's desktop cube was unable to run OS-level commands using the $ZF(-1) function. For instance, using the no-op command "REM" as follows:

write $zf(-1,"rem")

was returning -1, indicating that the Windows command could not be issued.

8 7
1 1.8K

Prefer not to read? Check out the demo video I created:

https://www.youtube.com/embed/-OwOAHC5b3s
[This is an embedded link, but you cannot view embedded content directly on the site because you have declined the cookies necessary to access it. To view embedded content, you would need to accept all cookies in your Cookies Settings]

Open Exchange app
2 3
1 150

When using standard SQL or the object layer in InterSystems IRIS, metadata consistency is usually maintained through built-in validation and type enforcement. However, legacy systems that bypass these layers—directly accessing globals—can introduce subtle and serious inconsistencies.

Open Exchange app
1 0
0 65

Who hasn't been developing a beautiful example using a Docker IRIS image and had the image generation process fail in the Dockerfile because the license under which the image was created doesn't contain certain privileges?

In my case, what I was deploying in Docker is a small application that uses the Vector data type. With the Community version, this isn't a problem because it already includes Vector Search and vector storage. However, when I changed the IRIS image to a conventional IRIS (the latest-cd), I found that when I built the image, including the classes it had generated, it returned this error:

9 2
1 118

For my hundredth article on the Developer Community, I wanted to present something practical, so here's a comprehensive implementation of the GPG Interoperability Adapter for InterSystems IRIS.

Every so often, I would encounter a request for some GPG support, so I had several code samples written for a while, and I thought to combine all of them and add missing GPG functionality for a fairly complete coverage. That said, this Business Operation primarily covers data actions, skipping management actions such as key generation, export, and retrieval as they are usually one-off and performed manually anyways. However, this implementation does support key imports for obvious reasons. Well, let's get into it.

Open Exchange app
7 0
0 98
Article
· Mar 7, 2023 3m read
_spec for swagger-ui from spec class

Surely you wanted to use the OpenAPI Specification (OAS) JSON you used for your spec class on the iris-web-swagger-ui iris package. The generated OAS from the ##class(%REST.API).GetWebRESTApplication(...) method is very crude, with no description on the parameters or the expected response structure.

So after creating your REST application from an OAS you should have:

3 2
1 326

I know that people who are completely new to VS Code, Git, Docker, FHIR, and other tools can sometimes struggle with setting up the environment. So I decided to write an article that walks through the entire setup process step by step to make it easier to get started.

I’d really appreciate it if you could leave a comment at the end - let me know if the instructions were clear, if anything was missing, or if there’s anything else you'd find helpful.

The setup includes:

✅ VS Code – Code editor
✅ Git – Version control system
✅ Docker – Runs an instance of IRIS for Health Community
✅ VS Code REST Client Extension – For running FHIR API queries
✅ Python – For writing FHIR-based scripts
✅ Jupyter Notebooks – For AI and FHIR assignments

Before you begin: Ensure you have administrator privileges on your system.

In addition to reading the guide, you can also follow the steps in the videos:

For Windows

https://www.youtube.com/embed/IyvuHbxCwCY
[This is an embedded link, but you cannot view embedded content directly on the site because you have declined the cookies necessary to access it. To view embedded content, you would need to accept all cookies in your Cookies Settings]

6 2
2 238
Article
· Jul 8, 2020 7m read
Tips for debugging with %Status

Introduction

If you're solving complex problems in ObjectScript, you probably have a lot of code that works with %Status values. If you have interacted with persistent classes from an object perspective (%Save, %OpenId, etc.), you have almost certainly seen them. A %Status provides a wrapper around a localizable error message in InterSystems' platforms. An OK status ($$$OK) is just equal to 1, whereas a bad status ($$$ERROR(errorcode,arguments...)) is represented as a 0 followed by a space followed by a $ListBuild list with structured information about the error. $System.Status (see class reference) provides several handy APIs for working with %Status values; the class reference is helpful and I won't bother duplicating it here. There have been a few other useful articles/questions on the topic as well (see links at the end). My focus in this article will be on a few debugging tricks techniques rather than coding best practices (again, if you're looking for those, see links at the end).

15 8
12 2.3K