In the context of HL7 FHIR (Fast Healthcare Interoperability Resources), the terms "id" and "identifier" refer to specific elements used for identifying resources within the FHIR data model. For a newbie, these terms can be confusingly similar, but they serve distinct purposes.

Look at the below Patient resource for August T. Faulkner:

The resource has an id of “1” — generated by the FHIR server when the resource was created.
Patient August T. Faulkner also has a identifier (Medical Record Number) — possibly provided by the hospital — of 78510398960

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InterSystems FAQ rubric

This error occurs when an instance of the class is already open at compile time.

There are two ways to deal with this issue:

  1. Terminate the process or application that has the instance open
  2. Compile options in the studio build menu: Check the compile flag “Compile classes in use” and compile.

If you want to determine which process is using the class, try the sample routine below.

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Hi, Community!

Since this article is an overview of Flask Login, let's begin with Flask Introduction!

What is Flask?

In the realm of web development, Python has emerged as a formidable force, offering its versatility and robustness to create dynamic and scalable applications. For that reason, tools and services compatible with this language are in demand these days. Flask is a lightweight and easy-to-use web framework for Python. It stands out as a lightweight and user-friendly option. Its simplicity and flexibility have made it a popular choice for developers, particularly for creating smaller-scale applications. It is based on the Werkzeug toolkit and provides a simple but powerful API for building web applications.
Unlike its full-stack counterparts, Flask provides a core set of features, focusing on URL routing, template rendering, and request handling. This minimalist approach makes Flask lightweight and easy to learn, allowing developers to build web applications quickly and without the burden of unnecessary complexity.

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It seems like yesterday when we did a small project in Java to test the performance of IRIS, PostgreSQL and MySQL (you can review the article we wrote back in June at the end of this article). If you remember, IRIS was superior to PostgreSQL and clearly superior to MySQL in insertions, with no big difference in queries.

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InterSystems FAQ rubric

If a relationship is set and there is a large number of n in a 1:n ratio, a large amount of memory may be consumed due to sequential processing of the relationship.

After referencing a many-sided object in a program and internally swizzling it, simply releasing the variable containing the OREF (deleting it, setting another value, etc.) will not free the many-sided object and the relationship object. This is the cause.

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InterSystems FAQ rubric

There is no need to recompile the routines after the version upgrade, but since the version update overwrites %SYS, user-created INT and OBJ format routines (*.INT,*.OBJ) in %SYS will be deleted. Therefore, you need to be careful.

MAC, INT and OBJ routines with the following names are not deleted.

%Z*.INT, %z*.INT, Z*.INT,z*.INT
%Z*.OBJ, %z*.OBJ, Z*.OBJ,z*.OBJ

Please note that classes/CSPs need to be compiled after upgrading.

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Article
· Dec 23, 2023 1m read
Reviews on Open Exchange - #37

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.

I also placed a bunch of Pull Requests on GitHub when I found a problem I could fix.
Some were accepted and merged, and some were just ignored.
So if you made a major change and expect a changed review just let me know.

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1. IRIS RAG Demo

IRIS RAG Demo

This demo showcases the powerful synergy between IRIS Vector Search and RAG (Retrieval Augmented Generation), providing a cutting-edge approach to interacting with documents through a conversational interface. Utilizing InterSystems IRIS's newly introduced Vector Search capabilities, this application sets a new standard for retrieving and generating information based on a knowledge base.
The backend, crafted in Python and leveraging the prowess of IRIS and IoP, the LLM model is orca-mini and served by the ollama server.
The frontend is an chatbot written with Streamlit.

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InterSystems FAQ rubric

If multiple InterSystems products are installed on the same system, the latest version of the InterSystems ODBC driver among the installed products will remain registered in the driver manager.

You can change to any driver by changing the registry entry below.

Please note that running RegFiles.bat does not change the ODBC driver.

The registry entry is as follows.

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If Iris does propose to create keys following a sequence, how can we obtain a sequential number in another context?

In my case, I automatically create care centers, and I want to set them a number like:

APP-DD-999

APP = Name of the application used by the center
DD = center department number
999: sequential number in the department
It is of course possible that centers will be created in competition, so this possible competition must be managed.

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image

This article will cover turning over control of provisioning the InterSystems Kubernetes Operator, and starting your journey managing your own "Cloud" of InterSystems Solutions through Git Ops practices. This deployment pattern is also the fulfillment path for the PID^TOO||| FHIR Breathing Identity Resolution Engine.

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In part I of this article, we have already learned more about HL7, its messages, structure, segments, and fields. In this part II, we will show you how to transform proprietary/custom data into HL7 using IRIS for Health. For our sample, we used the data generated by the SYNTHEA bulk data generation project (https://synthea.mitre.org/downloads). So, we will show you how to convert 1000 patients from a CSV file to HL7 v2, using the Interoperability features of IRIS for Health.

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EHR (Electronic Health Record) systems are designed in a proprietary format/structure and are not based on such market models as FHIR or HL7. Whereas some of those systems can interoperate data in a proprietary format for FHIR and further market models, others cannot. InterSystems has two platforms that can interoperate proprietary formats for market standards: InterSystems HealthShare Connect and InterSystems IRIS for Health.

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Article
· Nov 20, 2023 3m read
Parquet files and InterSystems IRIS

In the world of Big Data, selecting the right file format is crucial for efficient data storage, processing, and analysis. With the massive amount of data generated every day, choosing the appropriate format can greatly impact the speed, cost, and accuracy of data processing tasks. There are several file formats available, each with its own set of advantages and disadvantages, making the decision of which one to use complex. Some of the popular Big Data file formats include CSV, JSON, Avro, ORC, and Parquet.

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Introduction

This article aims to explore how the FHIR-PEX system operates and was developed, leveraging the capabilities of InterSystems IRIS.

Streamlining the identification and processing of medical examinations in clinical diagnostic centers, our system aims to enhance the efficiency and accuracy of healthcare workflows. By integrating FHIR standards with InterSystems IRIS database Java-PEX, the system help healthcare professionals with validation and routing capabilities, ultimately contributing to improved decision-making and patient care.

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InterSystems FAQ rubric

To resolve the error <PROTECT>, remove the read-only attribute of the system-wide library database (IRISLIB for InterSystems IRIS, CACHELIB for Caché/Ensemble/HealthShare (Caché-based))

Once you have finished importing the routine, remember to change it back to read-only.

[Version 2013.1 and above]
[Management Portal] > [System Administration] > [Configuration] > [System Configuration] > [Local Database] Uncheck "Mount read-only" from the database name link.

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Article
· Aug 16, 2023 11m read
Http request response time monitoring

Hi developers!

Today I would like to address a subject that has given me a hard time. I am sure this must have been the case for quite a number of you already (so-called “the bottleneck”). Since this is a broad topic, this article will only focus on identifying incoming HTTP requests that could be causing slowness issues. I will also provide you with a small tool I have developed to help identify them.

Our software is becoming more and more complex, processing a large number of requests from different sources, be it front-end or third-party back-end applications. To ensure optimal performance, it is essential to have a logging system capable of taking a few key measurements, such as the response time, the number of global references and the number of lines of code executed for each HTTP response. As part of my work, I get involved in the development of EMR software as well as incident analysis. Since user load comes mostly from HTTP requests (REST API or CSP application), the need to have this type of measurement when generalized slowness issues occur has become obvious.

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Scenario

IRIS has the likes of SQL inbound adapters for use with SQL gateways such as EnsLib.SQL.InboundAdapter to repeatedly query SQL Gateway connections. A scenario appeared as that we wanted to query an Internal database for some data but did not see an out of the box service for this.

Desired Approach

Have a Generic service that can poll internal SQL to work with downstream components.

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Artificial intelligence is not limited only to generating images through text with instructions or creating narratives with simple directions.

You can also make variations of a picture or include a special background to an already existing one.

Additionally, you can obtain the transcription of audio regardless of its language and the speed of the speaker.

So, let's analyze how the file management works.

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Windows Subsystem for Linux (WSL) is a feature of Windows that allows you to run a Linux environment on your Windows machine, without the need for a separate virtual machine or dual booting.

WSL is designed to provide a seamless and productive experience for developers who want to use both Windows and Linux at the same time**.

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Article
· May 22, 2023 6m read
Recovering a Mirror after crash

Here we are again with an article related to the Mirror!

In the previous article we saw how we could configure a Mirror between two IRIS instances, one acting as an active node and the other as a passive one. This mirroring system works on the transfer of a journal file that keeps the instance that works as a passive node continuously updated, but what happens if due to some communication failure or permissions of the journal file it is not transferred correctly?

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