#Health Connect

Sometimes we need to convert FHIR message to HL7 V2, e.g. to register a patient to the PACS system.
In this article, I will explain the steps to achieve the desired by using IRIS FHIR Server production.

Below are the steps we need to follow:

1. Make sure FHIRServer production is started.
2. Register Business Service with FHIRServer endpoint.
3. Define Business Processes to convert FHIR message to SDA and then Convert SDA to HL7 v2.
4. Post JSON resource to FHIRServer endpoint and get HL7 V2 response.

Let's review the steps in detail.
 

Step 1. Make sure FHIRServer production is started

Open the production page and make sure Production is started. In the next step, we need to make sure business service HS.FHIRServer.Interop.Service is registered with FHIRServer

We are excited to announce a new part of InterSystems documentation that makes it easier to upgrade InterSystems IRIS® data platform, InterSystems IRIS® for Health™, or HealthShare® Health Connect. The Upgrade Impact Checklist at https://docs.intersystems.com/upgrade shows you all the things you need to consider – and only the things you need to consider – in an upgrade between any two versions.

A customer contacted me with a problem trying to install Health Connect 2023.1 in a server with Red Hat 8 (no idea what 8.? it is). After review the logs the only error received are:

/tmp/HealthConnect-2023.1.0.235.1-lnxrh8x64/package/healthshare_databases/parameters returned 1.
	
	doParameters /tmp/isc_package_tmp_pid_21033/parameters.isc /tmp/isc_package_tmp_pid_21033 /var/log/isc/IRISInstall_202401191303.log healthshare_databases

...failed CallCommand healthshare_databases.package ...
...skipped databases.package for lack of healthshare_databases.

Lately my group has been seeing issues when signing in through the Management Portal or VS Code we are getting "Service Unavailable" errors returned to us. We recently migrated away from using the PWS to using Apache/InterSystems Web Gateway and using LDAP instead of Delegated Authentication. 

I have been on the hunt to find out where the problem might lie. When I run the "Test LDAP Authentication" from within the Management Portal, eventually I receive a response after getting a couple of timeouts while waiting for the response.

Authenticated user roth16 10 times in 26.177111 seconds - 0.

Hi Developers,

We have exciting news! The new InterSystems online programming contest dedicated to all things health-related will start very soon! 

🏆 InterSystems FHIR and Digital Health Interoperability Contest 🏆

Duration: January 15 - February 4, 2024

Prize pool: $14,000

We recently went through an Audit of our Security Policies and Procedures when it comes to IRIS. As a result of that Audit, we need to make adjustments to the way that Security is setup within IRIS. I have already done my changes on our TEST and DEVELOPMENT environments, but now I am trying to plan out how do we make these changes in Production.

These changes include moving away from the PWS, setting up Apache/Web Gateway, moving to LDAP instead of using Delegated Authentication, updating Web Applications, updating Resources, updating Services, etc.

InterSystems announces its first preview, as part of the developer preview program for the 2024.1 release.  This release will include InterSystems IRIS^®,  InterSystems IRIS^® for Health^TM, and HealthShare^® Health Connect.

Highlights

Many updates and enhancements have been added in 2024.1 and there are also brand-new capabilities, such as Using vectors in ObjectScript,  Vector Search (experimental), Multi-Volume Database, the ability to use Fast Online Backup (experimental),and the introduction of Multiple Super Server Ports

Ran into an issue this morning, that I am having a hard time trying to track down what might have caused the issue. We have a Business Rule that sends HL7 ADT to a Business Process that inserts the data into a MS SQL Server using a Custom Business Operation (SQL Outbound Adapter).

Early yesterday morning the Custom Business Operation reset its connection through the Java Gateway Server to the MS SQL Database, when it reconnected to the Java Gateway/MS SQL Database it stopped processing. So, the Business Rule had over 40,000 queued up to process.

The 2023.1.3 extended maintenance releases of InterSystems IRIS, InterSystems IRIS for Health, and HealthShare Health Connect is now available. It provides bug fixes for any of the previous 2023.1.x releases.

You can find the detailed change lists / upgrade checklists on these pages:

• InterSystems IRIS
• InterSystems IRIS for Health
• HealthShare Health Connect

How to get the software

The software is available as both classic installation packages and container images.  For the complete list of available installers and container images, please refer to the Supported Platforms webpage.

I am trying to work on a ZMIRROR that will execute a shell script to failover our VIP at the hardware level when NotifyBecomePrimary occurs.

ZMIRROR ; Custom logic for specific mirroring events
 q
 ;
NotifyBecomePrimary() PUBLIC {
 #;This procedure is called as a notification when this system becomes Primary.
 #;It does not return any value.
 #; invoke the command to select this host for running the crontab
 try {
	Set cmd = "/usr/local/sbin/failover-intengtest-vip_SR"
	d $ZF(-100,"/SHELL /LOGCMD /STDOUT=/archive/logs/failover-intengtest-vip.

Within a DTL is it possible to access and update the Message Header properties of an EnsLib.HL7.Message?

Currently we have multiple EMR Services for each environment sending to 1 Business Process to Normalize the data, then it is sent to another Business Process to route the data. 

Since the SourceConfigName changes with every send to a Business Process, I am looking for a way to maintain the SourceConfigName of the SessionID so I know how to direct the message.

I am trying to write a ZMIRROR routine that makes a shell script call using $ZF

     Set cmd = "/usr/local/sbin/failover-intengtest-vip"
     Do $ZF(-100,"/ASYNC /SHELL",cmd)

The script I am calling is returning an output to the screen, how do I get around this using $ZF without having to rewrite the scripts?

Thanks

Scott

Hello

We are in the process of upgrading to 2023.1 for InterSystems Health Connect, and the Business Rule Engine editor is very difficult to use compared to 2022.1. It's difficult to scan over the rules as it all looks the same style with barely any distinction between rules, constraints, conditions, whens etc. There's also tonnes of whitespace, and searching on the page is hit and miss (using Ctrl + F) . I can see the previous editor is still available when you modify the URL, but I'm wondering if we can set it to be the default editor, and if this is something supported.

Thanks

Lewis

Hi Community,

Play the new video on InterSystems Developers YouTube:

⏯ Using Code Based Source Control for Health Connect Cloud

Hi Developers,

Start watching our latest video on InterSystems Developers YouTube:

⏯ North West London Integrated Care System Go Live with Health Connect Cloud @ Global Summit 2023

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.

I am attempting to setup my first OAuth2 client, as we are adventuring into the realm of making FHIR API calls to our EMR from HealthShare Health Connect. 

I have gone through and set up the Issuer Endpoint, and Client Configuration but now I want to test it and verify that the setup is correct. When I setup the Client Configuration, it would not allow me to use Discovery as it was saying I needed a "Client secret" but was not given one. So I set it up manually, thinking I hit all the information correctly.

Trying to setup my first OAuth 2 client to authenticate against Epic's Interconnect instance that is hosting FHIR/Web Service API's. Epic's documentation says the JWT request has to be sent as a POST request..

Does 

GetAuthorizationCodeEndpoint

and 

GetImplicitEndpoint

automatically put the request into a POST request, or do I need to format a %Net.HttpRequest to POST?

Thanks

Scott

Hi All

I'm having a problem with cleaning user inputted text from a HealthCare system my HealthConnect system interfaces with.

The input can be anything posted into an RTF box on an app which stored in oracle, and extracted by HealthConnect from oracle via an XML based API.

When the XML is returned, various values are read out of it using %XML.XPATH.Document and it is the presence certain characters entered into the RTF fields cause XPATH to throw an error.

Hi Community,

Watch this video to learn how to use the GitUI plugin in the HealthShare Health Connect Cloud user interface to make changes to your interfaces in the Management Portal and commit them directly to your source control workflow.

⏯ Using UI Based Source Control for Health Connect Cloud

Hi Community,

Watch this video to learn how to use source control for your Health Connect Cloud interface development via the GitLab repository that comes with your deployment.

⏯ Understanding Source Control with Health Connect Cloud

This is probably not the right place, but I don't know who I can reach out to... I am trying to configure an Apache/Web Gateway to our instance of IRIS so we are no longer using the built-in PWS. Can anyone point me in the right direction to configure Apache/Web Gateway to repoint

http://<server name>:52773/... to the https://<server name>/...

gateway so our users will not notice? How do I do this in Apache, do I need to modify httpd.conf or the ssl.conf file? What is the correct syntax...

This is what I tried to do in the httpd.conf file

We are moving away from Delegated Authentication in which I stored a username and password for our LDAP in a GLOBAL to be called by ZAUTHENTICATE.

Is there a way to pull in that GLOBAL into the LDAP Configuration within the Managment Portal instead of having to manually enter it? There seems to be an issue with Copy/Paste that the password isn't being set correctly when I use Copy/Paste.

Else I just export/import the LDAP Configuration from 1 server to another and manually update the Certificate to point to the correct file.

Thanks

Scott

Hey Community,

Enjoy watching the new video on InterSystems Developers YouTube:

⏯ Configuring Secure File Transfer in Health Connect Cloud

Does the Version of the Web Gateway have to match the version of IRIS that is currently running? Or are they independent of each other since they are different components? I am looking to install the Web Gateway (non-PWS) as we move forward with securing our Management Portal and VS Code connections using TLS.

Thanks

Scott

Two extended maintenance releases of InterSystems IRIS, InterSystems IRIS for Health, and HealthShare Health Connect are now available.

✅ 2022.1.4

Release 2022.1.4 provides bug fixes for any of the previous 2022.1.x releases.

You can find the detailed change lists / upgrade checklists on these pages:

• InterSystems IRIS
• InterSystems IRIS for Health
• HealthShare Health Connect

✅ 2023.1.2

Release 2023.1.2 provides bug fixes for any of the previous 2023.1.x releases.

Will it hurt anything if I disable the user that installed IRIS, within IRIS? Does this cause a problem with background processes running or with the restart? I know the _Ensemble user is used to start/stop/restart objects within IRIS, just didn't see anything in the documentation about the user that installed IRIS.

Thanks

Scott

I am trying to move us to Securing the Management Portal using Apache and the Web Gateway.

Our Development environment/namespace only has 1 server, but both Test and Production have failover/DR mirroring containing 3 servers for Test, and 3 additional servers for Production. 

• Development - 1 server
• Test -2 server's setup for Failover, and 1 Async DR Mirror
• Production - 2 servers' setup for Failover, and 1 Async DR Mirror

In Test and Production, the mirroring is setup using an Arbiter and the VIP address is controlled at the Hardware level.

Hello,

I have a problem attempting to store a base 64 encode stream into the OBX:5 field of a HL7 message, by using the StoreFieldStreamBase64 method.

I'm using a transformer to input the contents of a pdf within a stream container (Ens.StreamContainer). The output is a HL7 message (EnsLib.HL7.Message 2.5:ORU_R01).

The transformer is being used in a business process.

This is the code used in the transformer to encode the stream to base 64:

Try {
     Set pdfStreamObj = source.StreamGet()
   } Catch {
      Quit
   }

 //Set PDF stream object into OBX:5
   Set status = target.