Article
Iryna Mykhailova · Nov 29, 2022 6m read
What's HL7v2?!

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:

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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.

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Introduction

InterSystems IRIS 2020.1 includes PEX (Production EXtension Framework) to facilitate the development of IRIS Interoperability productions with components written in Java or .NET.

Thanks to PEX, an integration developer with knowledge of Java or .NET can benefit from the power, scalability, and robustness of the InterSystems IRIS Interoperability framework and be productive in no time.

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Updated Jan 19th, 2023.

Hi all,

I want to share a quick little method you can use to enable ssl with a self signed certificate on your local development instance of IRIS/HealthShare. This enables you to test https-specific features such as OAuth without a huge lift.

1. Install OpenSSL

Windows     : Download from https://www.openssl.org or other built OpenSSL Binary. 

Debian Linux: $ sudo apt-get -y install openssl

RHEL        : $ sudo yum install openssl
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Article
Piyush Adhikari · Oct 19, 2022 3m read
Ingestion and Querying Speed Test

The capacity of taking numerous records every second while also facilitating real-time queries simultaneously in real time is called Hybrid Transactional Analytical Processing (HTAP). It is also called Transactional analytics or Transanalytics or Translytics and is a very useful element in scenarios where there is constant flow of real time data coming from IIOT sensors or data on fluctuations in stock market, and supporting the need for querying these data sets in real-time or near real-time.

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Article
Robert Cemper · Dec 4, 2022 2m read
Reviews on Open Exchange - #22

If one of your packages on OEX receives a review you get notified by OEX only own YOUR 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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Hi, I would like to tell you how easy it is to spin up IRIS for Health docker container in compute engine(VPS) in google cloud.

I know that to run IRIS for Health in AWS is pretty simple and straightforward, but I wanted to tried if its same easy in GCP environment.

Create vm instance. 2GB RAM is more than enough.

I used Debian 11 as Linux distro.

Standart persistent disk is cheaper.

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Article
Oliver Wilms · Dec 1, 2022 1m read
My First FHIR app

I participated in InterSystems Women’s Health FHIR contest, because I loved the challenge to learn a new-to-me technology. I wanted to develop an app that receives data from a mobile device like my Fitbit or a Smart Watch. I did not get access to such data except when I downloaded a spreadsheet (CSV file) showing my daily steps and sleep data. I saw in iris-fhir-template it imported some patient data to a FHIR server.

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Article
Henrique Dias · Apr 20, 2021 2m read
ZPM Explorer

Hi Community,

@José Roberto Pereira and I want to introduce ZPM Explorer, our graphic interface to explorer the greats applications that we have inside InterSystems Package Manager.

The idea

ZPM Explorer's idea is to make it easier for people to find out what ZPM offers. Every week, every day, a new app joins the ZPM world, so why not help developers and non-developers take advantage of this incredible world?!

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Hi Developers!

Often when we develop some library, tool, package, whatever on InterSystems ObjectScript we have a question, how we deploy this package on the target machine?

Also, we often expect that some other libraries already installed, so our package depends on them, and often on some particular version of it.

When you code on javascript, python, etc the role of packages deployment with dependency management takes package manager.

So, I'm pleased to announce that InterSystems ObjectScript Package Manager available!

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Article
Jimmy Xu · Nov 28, 2022 1m read
Use IntegratedML to 'predit' diseases

Hi Developers,

IntegratedML is a feature helps us and our teams easily implement machine learning (ML) without dedicated ML experts and data scientists. If you do not need particularly complex ML function, integratedML is a good choice and convenient that only requires executing 3 SQL queries to build predictive models directly from InterSystems IRIS to ML engine.

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Article
Yuri Marx · Nov 30, 2022 14m read
Creating FHIR questionnaires

Intersystems IRIS for Health has excellent support for the FHIR industry standard. The main features are:
1. FHIR Server
2. FHIR Database
3. REST and ObjectScript API for CRUD operations on FHIR resources (patient, questionnaire, vaccines, etc.)

This article demonstrates how to use each of these features, as well as presenting an angular frontend for creating and viewing Quiz-like FHIR resources.

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I've been working for 19 years in the technology field, and on this journey, I was able to be part of several projects on numerous fronts; however, the health area is one of the areas that attract me the most.

So whenever we get a chance to create something focused on health, using the FHIR protocol is exciting.

But, a team of 3 IT guys with a tech background would not be enough to deliver something really useful, and for a topic as important as women's health, we brought to the team someone who really understands the subject.

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Brainstorming the project we would build to showcase in the current female health themed InterSystems FHIR Contest, our girl band decided that we need to do something practical for the ordinary user and to solve some burning issues of the modern life. This discussion led to the idea of creating a project that will help women not to forget their health in daily grind - FemTech Reminder.

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Hello everyone, this is with great pleasure that I announce the V2 of my application 'Contest-FHIR'.

In this new version, I used new tools and techniques I discovered at the EUROPEAN HEALTHCARE HACKATHON in which I was invited by InterSystems as a guest and as a mentor to display the multiple projects I did in my intership back in April 2022.

Today I present to you the V2 of my application, it can now transform CSV to FHIR to SQL to JUPYTER notebook.

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Article
Pran Mukherjee · Oct 24, 2022 7m read
PerfTools IO Test Suite

Purpose

This pair of tools (RanRead and RanWrite) is used to generate random read and write events within a database (or pair of databases) to test Input/Output operations per second (IOPS). They can be used either in conjunction or separately to test IO hardware capacity, validate target IOPS, and ensure acceptable disk response times are sustained. Results gathered from the IO tests will vary from configuration to configuration based on the IO sub-system. Before running these tests ensure corresponding operating system and storage level monitoring are configured to capture IO performance metrics for later analysis. The suggested method is by running the System Performance tool that comes bundled within IRIS. Please note that this is an update to a previous release, which can be found here.

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Article
Robert Cemper · Nov 28, 2022 2m read
Reviews on Open Exchange - #21

If one of your packages on OEX receives a review you get notified by OEX only own YOUR 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
Lucas Enard · Nov 27, 2022 9m read
Easy CSV TO FHIR - InterSystems Contest

Hello everyone, I’m a French student in academical exchange for my fifth year of engineering school and here is my participation in the FHIR for Women's Health contest.

This project is supposed to be seen as the backend of a bigger application. It can be plugged into a Front End app and help you gather information from your patients. It will read your data in local and use a Data Transformation to make it into a FHIR object before sending it to the included local FHIR server.

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Article
Robert Cemper · Nov 25, 2022 2m read
Reviews on Open Exchange - #20

If one of your packages on OEX receives a review you get notified by OEX only own YOUR 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
Jimmy Xu · Oct 11, 2022 2m read
ZPM Simple Implementation Cookbook

ZPM is designed to work with applications and modules for InterSystems IRIS Data Platform. It consists of two components, the ZPN Client which is a CLI to manage modules, and The Registry which is a database of modules and meta-information. We can use ZPM to search, install, upgrade, remove and publish modules. With ZPM you can install ObjectScript classes, Frontend applications, Interoperability productions, IRIS BI solutions, IRIS Datasets or any files such as Embedded Python wheels.

Today this cookbook will go through 3 sections:

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Hi Developers!

As you know the concept of ObjectScript Package Manager consists of ZPM client - client application for IRIS which helps you to install packages from the registry. And the code which works "on the other side" is ZPM Registry - server which hosts packages and exposes API to submit, list and install it. Now when you install the ZPM client it installs packages from community package registry, which si hosted on pm.community.intersystems.com

But what if you want your own registry? E.g. you produce different software packages for your clients and you want to distribute it via private registry? Also, you may want to use your own registry to deploy solutions with different combinations of packages.

Is it possible? The answer is YES! You can have it if you deploy ZPM registry on your server with InterSystems IRIS.

To make it happen you would need to set up your own registry server.

How to do that?

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Article
Renan Lourenco · Nov 18, 2022 1m read
Jupyter and IRIS - The Simple Version

There are several great articles in the community showing how to use Jupyter and InterSystems IRIS together, and I encourage you to check them out in the link at the end of this article for more in depth understanding.

This is just another one, the difference is on the simplicity. Do you want to just start a container where Jupyter is already connected to an IRIS instance? Then this is for you!

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Article
Eduard Lebedyuk · Nov 4, 2022 7m read
VIP in AWS

If you're running IRIS in a mirrored configuration for HA in AWS, the question of providing a Mirror VIP (Virtual IP) becomes relevant. Virtual IP offers a way for downstream systems to interact with IRIS using one IP address. Even when a failover happens, downstream systems can reconnect to the same IP address and continue working.

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