#Health Connect

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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
Question
· Dec 21, 2025
XDBC memory leaks

I have a business service that actively reads data from a remote Postgres database. OnProcessInput opens a XDBC (actually JDBC) connection, executes an SQL query, fetches several thousand rows, iterates the resultset, and closes the connection. On each iteration I also need to update each source row in the remote database using PreparedStatement.

In other words, in every OnProcessInput call I have a long running SELECT statement and several thousands small UPDATE statements.

The problems I'm facing are:

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Sometimes it is more convenient, more efficient, and more secure, to limit FHIR Searches per pre-defined "Lists" of Resources.

Since v2025.1 we support several List-related features in our FHIR Server.

I will highlight these here, and provide some samples.

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Embeddedpy-bridge: A Toolkit for Embedded Python

Overview

Embedded Python is a game-changer for InterSystems IRIS, offering access to the vast Python ecosystem directly within the database. However, bridging the gap between ObjectScript and Python can sometimes feel like translating between two different worlds.

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What is a FHIR Profile?

A FHIR profile is a collection of rules and constraints used to customize and refine a base Fast Healthcare Interoperability Resources (FHIR) resource. Profiling is a vital process that adapts the base FHIR resource standard to satisfy the unique requirements of a specific use case, geographic region, medical institution, or clinical workflow.

While the base FHIR specification provides generic, flexible definitions for resources (such as Patient, Observation, or Medication), profiles transform these generic resources into more precise ones. This ensures consistent and interoperable data exchange tailored for a particular community or implementation.

FHIR is designed to cover various healthcare scenarios globally. Profiles allow implementers to adapt this general platform without losing the benefits of standardization.

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When working with InterSystems Interoperability (Iris / Health Connect / Ensemble), configuration data is often spread across many production items: services, processes, operations, adapters, and their settings.

A common operational or security need is to answer questions like:

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Article
· Dec 24, 2025 2m read
"The Hidden HTTP Errors" (Behind IIS)

You send an HTTP request and get back an HTTP error but with an HTML error page which you didn't expect... what's happening?... 🤔

Specifically for example, perhaps you tried to READ a FHIR Resource (e.g. /Patient/123) and you get back a 404 error page, even though with other Patient IDs, you get back the Resource payload, so "the page" definitely does exist... why should you be getting a 404 error page? 🙄

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Looking at my database I see I have a very big ^rINDEXSQL global? Why is that? 😬

In the Management Portal SQL page, under "SQL Statements" I see a 'Clean stale' button - what does this do? 🤔

In the list of Statements some have a 'Location' value and some don't? How is that? 🤨

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Here is what is currently used.

..CurrentDateTime("%Y%m%d%H%M%S")

The format is not the issue.

I need to make it our current time as it is five hours ahead.

How can I access the header property of either of these.

Or, if I can't do that, subtract five hours or the equivalent time in seconds.

example, if I receive 20201224161922, how can I make it 20201224111922?

Thanks,

Jonathan

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InterSystems IRIS is built on an architecture that separates the logical organization of data (namespaces) from its physical storage location (databases). Understanding this separation and the distinction between Namespaces and Databases is crucial for effective data management, security, and especially, high-performance data sharing.

In this article, I will discuss these foundational components and provide a practical guide on leveraging global mappings to share native data structures (globals) across different logical environments.

Databases: Physical Reality

A database represents the physical reality of where the data is stored on the disk. First and foremost, it’s a file in a file system called IRIS.dat (e.g., <Install folder>\mgr\user\IRIS.DAT). The maximum size of this file is 32TB. It is the container for all the actual data and the code. Databases are managed by the IRIS kernel, which handles caching, journaling, and transaction logging at the physical file level.

When you install InterSystems IRIS DBMS, the following databases are installed automatically:

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Needs some help with FHIR return code 200 or 201 when processing HL7 messages in HealthConnect.

Issue:

1. If FHIR code is 200 or 201, HealthConnect keep processing HL7 messages

2. If FHIR code is NOT 200 or 201, HealthConnect keep suspend the HL7 messages in the messages queue, then keep processing NEXT subsequent HL7 messages in the TEXT file if the FHIR code is 200 or 201

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