#Health Connect

1 Follower · 687 Posts

InterSystems HealthShare Health Connect is a healthcare integration engine that delivers high-volume transaction support, process management, and monitoring to support mission-critical applications. 

At the heart of Health Connect is a high-performance, multi-model data engine that seamlessly handles multiple forms of data at high speed. Health Connect easily scales from serving small clinics to handling the transaction volumes of the largest and most complex healthcare delivery systems in the world. Capabilities include:

  • Interoperability by design
  • Mirroring with fast failover recovery
  • Source control for HL7 schemas
  • Intuitive drag-and-drop HL7 schema editing
  • A flexible, adaptable security model and more
InterSystems Official Daniel Palevski · May 21, 2025

We’re issuing a point release for InterSystems IRIS, IRIS for Health, and Health Connect 2025.1 — version 2025.1.0.225.1 — to address a critical interoperability issue affecting users who leverage System Default Setting enabled business hosts.

What’s the issue?
In certain configurations where a Business Host is marked as System Default Setting enabled, applying new settings via the UI may incorrectly indicate that changes were applied, even though the necessary restart did not occur.

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Question Ryan Hulslander · May 21, 2025

WSDL for a CDC vendor was provided with a URL using a custom socket (non 443). Everything generated fine, but when making calls to their https:// URL that has their custom port in the URL - no response comes back. The assumption is, their server isn't even processing the request, as Postman does using the custom https://path.to.server:NNNN port in the URL.

I see with a normal web operation that uses %Net.HttpRequest overriding the port property is easily done - but no animal seems to exist for any generated SOAP Operation class.

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Question Gary Lusso · Apr 10, 2025

Business Process is adding control characters.

Input HL7 shows no control characters in Notepad ++

Output

Code:

Method FromCerner(pRequest As EnsLib.HL7.Message) As %Status
{
    #dim tStatus As %Status = $$$OK
    #dim eException As %Exception.AbstractException
    #dim tOBXText As %String
    #dim tItemNumberCount As %Integer = 0
    #dim tItemNumberProcessed As %Integer = 0
    #dim tTotalCostSegment As %Integer = 0
    #dim tOrderType As %String
    #dim As %Interger = 0
    #dim tOBXKey As %Integer = 0
    #dim tOBXTextChanged As %String
       ////
       Set pOutput = pRequest.

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Question Scott Roth · May 13, 2025

We are attempting to send HL7 messages over to CBOARD NetMenu over HTTP using SSL. We set this up using the EnsLib.HL7.Operation.HTTPOperation adapter. When we attempt to send the message we are receiving 

MSH|^~\&|||DIETOE|A6M0|202505131437||ACK^HTTP^415|00|P|2.1 MSA|AE|9165602|HTTP (N)ACK 'HTTP/1.1 415 Unsupported Media Type'

The vendor mentioned something about putting a SOAP/XML wrapper around the HL7 message but isn't that what the HTTPOperation adapter does? Why would we be getting Unsupported Media Type. How would we go about setting the Media Type for the HTTP HL7 message?

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Question Scott Roth · May 9, 2025

I am running into an issue where a JSON response is missing keys...

{
    "count": 0,
    "pageInformation": {
        "offset": 0,
        "size": 10
    },
    "items": []
}

Within the JSON response I am only looking for two fields portalUrl and portalId. I have tried using $LENGTH and %IsDefined to check if they are valued but neither work. 

  If ((tHttpResponseIsObject) && ($ZCONVERT(tHttpResponseContentType,"L") [ "application/json"))
  {
    set responseData = {}.%FromJSON(tHTTPResponse.Data)
    set pResponse = ##class(osuwmc.COM.Response.
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Question Scott Roth · May 6, 2025

I am trying to replicate a REST call that I am able to make via a Postman call within a EnsLib.REST.GenericOperation.

It's been a while since I have messed around with trying to make external REST calls. When I execute my REST call, tSC is coming back with an error and I am trying to pinpoint why. I tried turning on ISCLOG = 5 but when calling the REST Operation from the Testing tool it is not logging anything to the ISC log.

How do we see the RAW request being sent out to verify that my request is formatted properly?

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Article Padmaja Konduru · May 6, 2025 3m read

It helps to remove special characters, such as non-utf-8 characters either control characters or unicode characters from text that is not printable or can't be parsed by downstream systems.

There is also $C(32) in this condition; sometimes NBSP appears in the text and it will not be recognized by TIE, but downstream it displays as "?".

In order to avoid the NBSP issue, the if condition is replaced with a space in order to prevent the error.

Unicode characters only Remove:

Class Test.Utility.

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Question Scott Roth · Jan 28, 2025

Epic had changed some of their logic on their Incoming Radiology Results which now require an Ordering Provider even though it is supposed to account for it within the Epic Interface settings.

I was wondering if we are using a custom schema if there was a way to default a value into OBR:16 if it was not valued without having to modify all the DTL's for these Results.

Is there a way to set this via the schema editor or in the background so we don't have to create/update DTL's or create a custom TCP Operation Class??

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Article Keren Skubach · May 2, 2025 3m read

One of the challenges of creating a DICOM message is how to implement putting data in the correct place. Part of it is by inserting the data in the specific DICOM tags, while the other is to insert binary data such as a picture - In this article I will explain both.

To create a DICOM message, you can either use the  EnsLib.DICOM.File class (to create a DICOM file) or the  EnsLib.DICOM.Document class (to create a message that can be sent to PACS directly). In either case, the SetValueAt method will allow you to add your data to the DICOM tags.

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Question Jeffrey Drumm · Apr 30, 2025

I ran into a situation where VS Code consumed all available web sessions and was unable to get to the Management Console to clear them. I was able to establish a terminal session, though.

Is there a method or routine available through the IRIS terminal that allows one to clear web sessions? I've searched the administration and class documentation and haven't found a solution.

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Question Scott Roth · Apr 28, 2025

I am struggling with returning a SQL Query Result that may have multiple rows that can be searched.

 set query = "SELECT Facility FROM FROM osuwmc_EnterpriseDirDB.RelationshipMedCtrID WHERE OSUmedcenterID = ?"
 SET rset = ##class(%SQL.Statement).%New()
 SET qStatus = rset.%Prepare(query)
 SET rset = rset.%Execute($Get(ID))
 do rset.%Display()

I need to take the values that are returned and say search them for a single value. How would I go about returning the EnsLib.SQL.Snapshot into a Array or List for it to be searchable.

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InterSystems Official Daniel Palevski · Apr 22, 2025

The 2024.1.4 and 2023.1.6 maintenance releases of InterSystems IRIS® data platform,InterSystems IRIS® for HealthTM, and HealthShare® Health Connect are now Generally Available (GA). These releases include the fixes for the following alert recently issued - Alert: SQL Queries Returning Wrong Results | InterSystems. Please share your feedback through the Developer Community so we can build a better product together.

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Question Gary M Lusso · Apr 18, 2025

I need a DTL to handle this.

Any ideas appreciated.

For all Prosthetics orders:
when ORC-1(Order Control) is "NW" (New Order), need to update OBR-18(Placer Field 1) based on PV1-2 (Patient Class) value.
assumption is that the selection logic is that all prosthetics orders with OBR-18 field is always blank.
Description :
If PV1-2 is I, insert I in OBR-18
If PV1-2 is O, insert O in OBR-18
If PV1-2 is E, insert O in OBR-18
If PV1-2 is P, insert O in OBR-18
If PV1-2 is R, insert O in OBR-18
If PV1-2 is B, insert O in OBR-18

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Question Scott Roth · Apr 22, 2025

I was wondering if someone could help me. In the past I have been able to call external Stored Procedures through a SQL Outbound Connection and have them return me the EnsLib.SQL.Snapshot to use within a BPL to extract data.

But this time instead of using a SQL Outbound BO to make the Stored Procedure call, I decided to create a Linked Stored Procedure through the %JDBC_Server to point to the Stored Procedure out on MS SQL.

However, I am struggling to get the code just right to return the Column value from the Linked Stored Procedure.

 set result = ##class(EnsLib.SQL.Snapshot).
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Question Gary Lusso · Apr 22, 2025

New at DTL. I need some pointers on this DTL

For all Prosthetics orders:
when ORC-1(Order Control) is "NW" (New Order), need to update OBR-18(Placer Field 1) based on PV1-2 (Patient Class) value.
assumption is that the selection logic is that all prosthetics orders with OBR-18 field is always blank.
Description :
If PV1-2 is I, insert I in OBR-18
If PV1-2 is O, insert O in OBR-18
If PV1-2 is E, insert O in OBR-18
If PV1-2 is P, insert O in OBR-18
If PV1-2 is R, insert O in OBR-18
If PV1-2 is B, insert O in OBR-18

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Discussion Benny Verhamme · Apr 11, 2025

Hello 

We are pretty new to Ensemble and we are considering on using a default setup for our production. Let me explain the situation. We have one sender that sends HL7 ADT messages to our system. We have 60+ other systems that need to recieve ADT messages. We where thinking on a few ways on how to do the setup. 

Setup1:

We create one big ADTRouter that contains a first mapping. The result is send to another big ADTRouter that contains all the filters/expressions and mappings for the recieving systems.

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Question Gary M Lusso · Mar 27, 2025

My attempts to add CR/LF between segments

// Add CR/LF after "Total Cost:" if multiple "Item Number:" exist
            //$$$LOGINFO(tItemNumberCount_" "_tTotalCostSegment_"----cr/lf")
            If (tItemNumberCount > 1) && (tTotalCostSegment > 0) {
                Set tOBXSegment = pOutput.GetSegmentAt("ORCgrp(1).OBRuniongrp.OBXgrp("_tTotalCostSegment_").OBX", .tStatus)
                //$$$LOGINFO(tOBXSegment_"----"_"tOBXSegment from cr/lf")
                Set tOBXText = tOBXSegment.GetValueAt(5) //_"||||||\X0D\\X0A\" // Append escaped CR/LF representation
                //Do tOBXSegment.

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Question Gary M Lusso · Apr 9, 2025

I need to add an extra blank OBX segment after a segment containing text, Total Cost:

I get the OBX segment but it is in incorrect location.

It should be after the line containing Total Cost:

It needs to contain:

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|

code:

    //Do pOutput.SetValueAt(tOBXText_"~~","ORCgrp(1).OBRuniongrp.OBXgrp("_i_").OBX:5","set") //
         If (tOBXText[ "Total Cost:") {
             Set tSegmentOBX = ##class(EnsLib.HL7.Segment).%New()
             Set tSegmentOBX.SegType = "2.3:OBX"
             Set tSC = tSegmentOBX.SetValueAt("OBX", 0, "set")
             Set tSC = pOutput.

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Question Scott Roth · Apr 9, 2025

I have a segment within a Group (grp) that needs to be validated that it is populated within the message. 

When you use a Foreach within a Business Rule how should you account for the counter in the group?

For example, Epic sends their MFN message in the following format.

MSH~MFI~[~{~MFE~STF~PRA~[~ZPR~]~[~ZLK~]~[~CER~]~[~ZMG~]~[~ZTF~]~[~ZGP~]~[~ZDD~]~}~]

so, the ZLK segment might not exist until the last MFEgrp that is in the message. I need to verify if there is an Employee ID associated with the Provider in the HL7 message before I run it through the translation.

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Question Scott Roth · Apr 2, 2025

Trying to start investigating an error we are seeing with multiple of the same messages getting sent to the same vendor. We receive an HL7 message with an RTF embedded from our EMR, send it through a DTL to just update the Patient Class, and then send it onto the Operation which is TCP.

We are starting to see this error message...

ERROR <Ens>ErrBPTerminated: Terminating BP DocOutRptRouting3M360 # due to error: ERROR <Ens>ErrException: <INVALID OREF>zOutputToIOStream+6^EnsLib.HL7.Message.1 -- logged as '-' number - @''
> ERROR <Ens>ErrException: <INVALID OREF>zOutputToIOStream+6^EnsLib.

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InterSystems Official Daniel Palevski · Apr 2, 2025

Summary of Alerts






Alert ID Product & Versions Affected Explicit Requirements
DP-439207 InterSystems IRIS® data platform 2024.3 (AIX) AIX installations Using JSON processing and Unicode non-Latin-1 character sets
DP-439280 InterSystems IRIS 2024.3 (containers with IntegratedML) IntegratedML Containers using TensorFlow

Detail of Alerts

DP-439207 - AIX JSON Unicode Parsing Issue

A bug has been identified in InterSystems IRIS 2024.3.0 on AIX instances that affects the parsing of JSON Unicode strings.

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