Information Sharing Enables Health Plans to Leverage Data and Analytical Assets to Deliver Sustained Value

Executive Summary

The shared-risk payment models that are central to health reform all require tight coordination among payers, providers, and patients if they are to succeed. As payers and providers enter into more and more such agreements, they need to enhance success by communicating and collaborating more effectively with their partners and actively engaging, supporting, and empowering their members.

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Introduction

Australia's recent launch of the Personally Controlled Electronic Health Record (PCEHR) - a significant step towards establishing a national e-Health infrastructure - has simultaneously provided a boost to shared Electronic Patient Record (EPR) projects and delivered a wake-up call to healthcare providers about their readiness for connected care initiatives. In countries around the world, the era of connected care is here.

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Providing a reliable infrastructure for rapid, unattended, automated failover

Technology Overview

Traditional availability and replication solutions often require substantial capital investments in infrastructure, deployment, configuration, software licensing, and planning. Caché Database Mirroring (Mirroring) is designed to provide an economical solution for rapid, reliable, robust, automatic failover between two Caché systems, making mirroring the ideal automatic failover high-availability solution for the enterprise.

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Presenter: Jeff Semmens
Task: Model and access data as objects in .NET without designing the database first
Approach: Use InterSystems Entity Framework

Description: Come and experience how you can design your database model in .NET and evolve it over time by leveraging the Entity Framework.

Problem: Current bindings require database-first design. I cannot design my model in .NET.

Solution: The Entity Framework is an object-relational mapping framework that allows data-oriented applications to model and access their data as objects in .NET. Database- first is still supported but will fade away in future releases.

Content related to this session, including slides, video and additional learning content can be found here.

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Presenter: Randy Pallotta
Task: Automatically create cohorts of high-risk patients. Send them critical action alerts
Approach: Use the new HealthShare features: “Smart Programs” and “Advanced Clinical Notifications”

In this session, we will cover HealthShare "Smart Programs" and "Advanced Clinical Notifications" which allow you to automatically create cohorts of high risk patients in Health Insight and Information Exchange and to send critical actionable alerts. After this session, you should understand this new feature and how to configure a new program or alert.

Content related to this session, including slides, video and additional learning content can be found here. Please note that this content is available only to HealthShare customers and attendees of the Global Summit. On the learning web site you will be prompted for your Global Summit credentials to access this content.

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NewBie's Corner Session 25 Globals, Variables, and Arrays Part 1

Welcome to NewBie's Corner, a weekly or biweekly post covering basic Caché Material.

Globals, Arrays, and Variables

A thorough understanding of Globals, Arrays, and Variables is foundational for every Caché developer.

A Global may be:

Scalar (a single element), as in a Global Variable

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Article
· Feb 14, 2017 1m read
Portal tip: Feel at home on the Home page

Until recently I didn't pay much attention to Portal's home page:

If it's not showing when you initially launch Portal you can easily jump to it using the button / tab at the top of the left-hand column of options. And later during your session, get there via the Home link that will be visible at the top of every page.

On the Home page the "Recent" section is automatically maintained for you.

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Recently I was conducting a remote support session with a site. The desktop they were sharing with me was on a PC configured with German as the native language. Since my German is rather rusty, and virtually non-existent when it comes to computing terms, I was glad to be able to switch the Portal session into English.

This is done from the page that appears when you use the About link:

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Article
· Jul 26, 2017 3m read
What is APM?

What is APM?

I am talking about Application Performance Management at global summit, and several people have asked what that means so it is time for a bit of an explanation.

APM or Application Performance Management (sometimes referred to as Application Performance Monitoring) has a very good (if complicated) explanation on Wikipedia but to me it just means looking at performance from the users’ point of view and the level of service provided to them.

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We just faced an issue of the Atelier main menubar being disabled (greyed out) after upgrading the macOS development machine to High Sierra. I would like to share my findings about the issue and how to fix it.

This seems to be a known problem affecting several Java applications including Eclipse if the macOS user's primary language is not English: https://www.eclipse.org/org/press-release/20170925criticalbug.php

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Where did the RemoteSystemsTempFiles project come from?

If you're using Atelier, you may have noticed a project called "RemoteSystemsTempFiles" in the Atelier Explorer and Project Explorer views. This project is automatically created by the Eclipse Remote Systems Explorer (RSE) on start-up. The RSE allows you to connect to and work with a variety of remote systems.

You can either hide this project within your views, or remove it completely by following the steps below.

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This code snippet sends an XML request to a server and saves the response to a file. The class method "test" runs the code:


Class objectscript.postXML
{
    classmethod test() {
        Set HTTPRequest = ##class(%Net.HttpRequest).%New()
        Set HTTPRequest.ContentType = "text/xml"
        Set HTTPRequest.NoDefaultContentCharset = 1
        Set HTTPRequest.Location = "ITOMCZ"
        Set HTTPRequest.Server = "wph.foactive.com"
        Do HTTPRequest.RemoveHeader("User-Agent")  
        Do HTTPRequest.RemoveHeader("Accept-Encoding") 
        Do HTTPRequest.RemoveHeader("Connection")
        Do HTTPRequest.SetHeader("Expect","100-continue")
     
        Set RequestXML = ##class(%Library.File).%New("c:\test.xml")
        Do RequestXML.Open("RS")
        Do HTTPRequest.EntityBody.CopyFrom(RequestXML)
        Do RequestXML.%Close()
     
        Do HTTPRequest.Post(HTTPRequest.Location)
     
        Do $System.OBJ.Dump(HTTPRequest)
        Do $System.OBJ.Dump(HTTPRequest.HttpResponse)
     
        Write HTTPRequest.HttpResponse.Data.Size
        Write HTTPRequest.ContentLength
     
        Set ResponseStream = ##class(%Stream.FileBinary).%New()
        // Second part is typically the file extension, i.e.: application/pdf -> pdf
        Set FileType = $Piece(HTTPRequest.HttpResponse.GetHeader("CONTENT-TYPE"),"/",2)
        Set ResponseStream.Filename = "C:\test."_FileType
     
        Write ResponseStream.CopyFrom(HTTPRequest.HttpResponse.Data)
     
        Write ResponseStream.%Save()
        Do ResponseStream.%Close()
    }
}

Here's a link to the code on GitHub

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Article
· Feb 8, 2019 2m read
Client Websockets based on Node.js

It will demonstrate the wide range that is openend by making use
of the power embedded in Node.js and its adapter to Caché, Ensemble, Health,..*
Node / JavaScript have wide reputation to work as a WebSocket client.
By using the Caché adapter it becomes easy to control it and to consume the results as a
Client for WebSocket Servers and to collect the replies in Caché, Ensemble, ..

I used node-v6.16.0-x64.msi and cache610.node as cache.node

You provide a Global for input:

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I am just recently announced my project isc-tar. But sometimes it is not less interesting what’s behind the scene: how it was built, how it works and what happens around the project. Here is the story:

  • How to develop this project
  • How to test it
  • How to release new versions for publishing
  • And finally how to automate all above
  • Continuous integration

So, I would like to tell all about it.

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Hi Developers!

Another way to start using InterSystems ObjectScript Package Manager is to use prebuilt container images of InterSystems IRIS Community Edition and InterSystems IRIS for Health Community Edition.

We deploy this IRIS images on DockerHub and you can run it with the following command:

docker run --rm -p 52773:52773 --init --name my-iris -d intersystemsdc/iris-community:2019.4.0.383.0-zpm

Launch a terminal with:

docker exec -it my-iris iris session IRIS

And install zpm-module as:

USER>zpm 

zpm: USER>install objectscript-math

[objectscript-math] Reload START

[objectscript-math] Reload SUCCESS

[objectscript-math] Module object refreshed.

[objectscript-math] Validate START

[objectscript-math] Validate SUCCESS

[objectscript-math] Compile START

[objectscript-math] Compile SUCCESS

[objectscript-math] Activate START

[objectscript-math] Configure START

[objectscript-math] Configure SUCCESS

[objectscript-math] Activate SUCCESS

zpm: USER>

And use same commands for InterSystems IRIS for Health using the tag: intersystemsdc/irishealth-community:2019.4.0.383.0-zpm

The images are being published on IRIS Community Edition and IRIS Community Edition for Health repositories of Docker Hub.

We will update tags with every new release of IRIS and ZPM.

Happy coding!

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Article
· Jul 19, 2020 1m read
Organize ZLANG

The guide “Extending Languages with %ZLANG Routines”
Tells you all details you need to know to extend your programming language.
EXCEPT: How to do it in a clean way.

This example of a %ZLANGC00.mac may show a possible approach
to get an easy to overview and to manage setup.
With less than 50 lines of code you might not be affected.
But if your Studio shows close to 1000 rows or more you may get in troubles.

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Article
· Aug 3, 2020 3m read
Global Scanning & Slicing

In most cases, a global used by default storage has just 1 subscript level that represents the IDKEY.
For an index-globals we may see 2 or more subscript levels.
Arrays, or parent-child relationships or persistent classes extending a base data class
are examples where we see more levels. Though all these globals are quite uniform.

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Hi community, I used website-analyzer - an app that uses InterSystems NLP and Crawler4J to extract all website content and do NLP on it. I limited to 200 pages and discovered this:

Top 10 Concepts - business and content topics in the InterSystems site:

Other frequency concepts, see the focus in the iris speed, scale and data value:

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Hello, developers!

I would like to share the history of the project - the ZAPM shell.

As soon as ZPM was implemented, I immediately began to think about how best to use it.

And immediately faced with the desire to move more quickly between namespaces, especially when there are more than 20 of them.
I had to leave the ZPM, move to the desired namespace and re-enter the shell.
I suggested an improvement - a new "namespace" command for easier navigation.
I didn’t wait - I did it myself. And so it went. If you need it, get ready to do it yourself.

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Hey everyone!

I recently learnt something new while working with WRC on an issue, and I wanted to share with everyone on the off chance it could help someone else.

Scenario:

Files are being inexplicably written to a folder on your server and, due to the number of files in the folder and general system throughput, it is not possible to work through the files to track down the source.

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