We resume our series of articles on the FHIR Adapter tool available to HealthShare HealthConnect and InterSystems IRIS users.

In the previous articles we have presented the small application on which we set up our workshop and showed the architecture deployed in our IRIS instance after installing the FHIR Adapter. In today's article we will see an example of how we can perform one of the most common CRUD (Create - Read - Update - Delete) operations, the reading operation, and we will do it by recovering a Resource.

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Loading your IRIS Data to your Google Cloud Big Query Data Warehouse and keeping it current can be a hassle with bulky Commercial Third Party Off The Shelf ETL platforms, but made dead simple using the iris2bq utility.

Let's say IRIS is contributing to workload for a Hospital system, routing DICOM images, ingesting HL7 messages, posting FHIR resources, or pushing CCDA's to next provider in a transition of care. Natively, IRIS persists these objects in various stages of the pipeline via the nature of the business processes and anything you included along the way. Lets send that up to Google Big Query to augment and compliment the rest of our Data Warehouse data and ETL (Extract Transform Load) or ELT (Extract Load Transform) to our hearts desire.

A reference architecture diagram may be worth a thousand words, but 3 bullet points may work out a little bit better:

  • It exports the data from IRIS into DataFrames
  • It saves them into GCS as .avro to keep the schema along the data: this will avoid to specify/create the BigQuery table schema beforehands.
  • It starts BigQuery jobs to import those .avro into the respective BigQuery tables you specify.

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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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Article
· Jan 26, 2024 8m read
PrivateGPT exploring the Documentation

Considering new business interest in applying Generative-AI to local commercially sensitive private data and information, without exposure to public clouds. Like a match needs the energy of striking to ignite, the Tech lead new "activation energy" challenge is to reveal how investing in GPU hardware could support novel competitive capabilities. The capability can reveal the use-cases that provide new value and savings.

Sharpening this axe begins with a functional protocol for running LLMs on a local laptop.

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Article
· Jan 2, 2022 3m read
DB Migration using SQLgateway

Thanks to @Yuri Marx we have seen a very nice example for DB migration from Postgres to IRIS.
My personal problem is the use of DBeaver as a migration tool.
Especially as one of the strengths of IRIS ( and also Caché) before is the availability of the
SQLgateways that allow access to any external Db as long as for them an access usinig
JDBC or ODBC is available. So I extended the package to demonstrate this.

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We have a yummy dataset with recipes written by multiple Reddit users, however most of the information is free text as the title or description of a post. Let's find out how we can very easily load the dataset, extract some features and analyze it using features from OpenAI large language model within Embedded Python and the Langchain framework.

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Article
· Apr 26, 2017 2m read
How to install and use TFS in Atelier

Hi,

This is a quick tutorial how to install and use TFS in Atelier. It is based on my self experience and some tricks that I 've noted.

If you are used to using visual studio maybe you feel that is a bit slow and heavy, but you have the same TFS panel as you have in Visual Studio, so don't need any special "training" to use it smiley

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Article
· Oct 18, 2016 7m read
Macros in the InterSystems Caché

In this article I would like to tell you about macros in InterSystems Caché. A macro is a symbolic name that is replaced with a set of instructions during compilation. A macro can “unfold” in various instruction sets each time it is called, depending on the parameters passed to it and activated scenarios. This can be both static code and the result of ObjectScript execution. Let's take a look at how you can use them in your application.

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In this article, I would show how you can upload and download files from InterSystems products via http.

The questions about working with files over http arise fairly often on community and I'm usually linking to my FileServer project which demonstrates file upload/download but I'd like to talk a bit more on how we can serve and receive files from InterSystems products.

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Hi, developers!

Currently, I'm working on a project that requires highly dynamic event management. In the context of the Java programming language, my first instinct should be to opt for the "Observer Pattern", which is an approach to managing interactions between objects by establishing a notification mechanism. It allows multiple observers to react to changes in the state of a subject autonomously, promoting code flexibility and modularity. If you are not familiar with this design pattern, check out Wikipedia to find more information about it.


While it's natural and commonly used in certain programming languages as Java and C++, in ObjectScript, it's quite a different story.

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Article
· May 24, 2024 15m read
VIP in GCP

If you're running IRIS in a mirrored configuration for HA in GCP, 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.

The main issue, when deploying to GCP, is that an IRIS VIP has a requirement of IRIS being essentially a network admin, per the docs.

To get HA, IRIS mirror members must be deployed to different availability zones in one subnet (which is possible in GCP as subnets always span the entire region). One of the solutions might be load balancers, but they, of course, cost extra, and you need to administrate them.

In this article, I would like to provide a way to configure a Mirror VIP without using Load Balancers suggested in most other GCP reference architectures.

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Article
· Jan 11, 2019 4m read
SQL Performance Resources

There are three things most important to any SQL performance conversation: Indices, TuneTable, and Show Plan. The attached PDFs includes historical presentations on these topics that cover the basics of these 3 things in one place. Our documentation provides more detail on these and other SQL Performance topics in the links below. The eLearning options reinforces several of these topics. In addition, there are several Developer Community articles which touch on SQL performance, and those relevant links are also listed.

There is a fair amount of repetition in the information listed below. The most important aspects of SQL performance to consider are:

  1. The types of indices available
  2. Using one index type over another
  3. The information TuneTable gathers for a table and what it means to the Optimizer
  4. How to read a Show Plan to better understand if a query is good or bad
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The last time that I created a playground for experimenting with machine learning using Apache Spark and an InterSystems data platform, see Machine Learning with Spark and Caché, I installed and configured everything directly on my laptop: Caché, Python, Apache Spark, Java, some Hadoop libraries, to name a few. It required some effort, but eventually it worked.

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InterSystems SAM is a great tool to monitor your InterSystems IRIS and InterSystems IRIS For Health clusters on prem or in a cloud environment. This article describes how you can implement a customized alert handler. This is currently an undocumented and most likely an unknown feature of InterSystems SAM. With future releases it will be probably made easier to leverage this useful concept.

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We are ridiculously good at mastering data. The data is clean, multi-sourced, related and we only publish it with resulting levels of decay that guarantee the data is current. We chose the HL7 Reference Information Model (RIM) to land the data, and enable exchange of the data through Fast Healthcare Interoperability Resources (FHIR®).

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[Background]

InterSystems IRIS family has a nice utility ^SystemPerformance (as known as ^pButtons in Caché and Ensemble) which outputs the database performance information into a readable HTML file. When you run ^SystemPerformance on IRIS for Windows, a HTML file is created where both our own performance log mgstat and Windows performance log are included.

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When using InterSystems IRIS as an interoperability engine, we all know and love how easy it is to use the Message Viewer to review message traces and see exactly what's going on in your production. When a system is handling millions of messages per day, you may not know exactly where to begin your investigation though.

Over my years supporting IRIS productions, I often find myself investigating things like...

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Article
· Aug 26, 2016 8m read
Enterprise Monitor and HealthShare

Enterprise Monitor is a component of Ensemble and can help organizations monitor multiple productions running on different namespaces within the same instance or namespaces running on multiple instances.

Documentation can be found at:

http://docs.intersystems.com/ens20161/csp/docbook/DocBook.UI.Page.cls?KEY=EMONITOR_all#EMONITOR_enterprise

In Ensemble 2016.1 there were changes made to make this utility work with HealthShare environments.

This article will:

  • Show how to set up Enterprise Monitor for HealthShare sites
  • Show some features of Enterprise Monitor
  • Show some features of Enterprise Message Viewer

For this article, I used the following version of HealthShare:

Cache for Windows (x86-64) 2016.1 (Build 656U) Fri Mar 11 2016 17:42:42 EST [HealthShare Modules:Core:14.02.2415 + Linkage Engine:14.02.2415 + Patient Index:14.02.2415 + Clinical Viewer:14.02.2415 + Active Analytics:14.02.2415]

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Article
· Nov 14, 2016 14m read
Mastering the JDBC SQL Gateway

As we all know, Caché is a great database that accomplishes lots of tasks within itself. However, what do you do when you need to access an external database? One way is to use the Caché SQL Gateway via JDBC. In this article, my goal is to answer the following questions to help you familiarize yourself with the technology and debug some common problems.

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If you've worked with iKnow domain definitions, you know they allow you to easily define multiple data locations iKnow needs to fetch its data from when building a domain. If you've worked with DeepSee cube definitions, you'll know how they tie your cube to a source table and allow you to not just build your cube, but also synchronize it, only updating the facts that actually changed since the last time you built or synced the cube. As iKnow also supports loading from non-table data sources like files, globals and RSS feeds, the same tight synchronization link doesn't come out of the box. In this article, we'll explore two approaches for modelling DeepSee-like synchronization from table data locations using callbacks and other features of the iKnow domain definition infrastructure.

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Over the last couple of weeks the Solution Architecture team has been working to finish off our 2019 workload: this included open-sourcing the Readmission Demo that was brought to HIMSS last year, so we could make it available to anyone looking for an interactive-way of exploring the tooling provided by IRIS.

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Article
· Feb 23, 2024 5m read
Using an Azure bot to access IRIS

I have challenged to create a bot application using Azure Bot that can retrieve and post data to IRIS for Health.

A patient's data has already been registered in the FHIR repository of IRIS for Health.

The patient's MRN is 1001. His name is Taro Yamada. (in Japanese :山田 太郎)

This bot can post new pulse oximeter readings as an observation resource linked to the patient.

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As a developer, you have probably spent at least some time writing repetetive code. You may have even found yourself wishing you could generate the code programmatically. If this sounds familiar, this article is for you!

We'll start with an example. Note: the following examples use the %DynamicObject interface, which requires Caché 2016.2 or later. If you are unfamiliar with this class, check out the documentation here: Using JSON in Caché. It's really cool!

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Article
· Jul 27, 2018 4m read
Load a ML model into InterSystems IRIS

Hi all. Today we are going to upload a ML model into IRIS Manager and test it.

Note: I have done the following on Ubuntu 18.04, Apache Zeppelin 0.8.0, Python 3.6.5.

Introduction

These days many available different tools for Data Mining enable you to develop predictive models and analyze the data you have with unprecedented ease. InterSystems IRIS Data Platform provide a stable foundation for your big data and fast data applications, providing interoperability with modern DataMining tools.

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In today's data landscape, businesses encounter a number of different challenges. One of them is to do analytics on top of unified and harmonized data layer available to all the consumers. A layer that can deliver the same answers to the same questions irrelative to the dialect or tool being used.

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