InterSystems HealthShare Health Connectis 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:
The Interoperability user interface now includes modernized user experiences for the DTL Editor and Production Configuration applications that are available for opt-in in all interoperability products. You can switch between the modernized and standard views. All other Interoperability screens remain in the Standard user interface. Please note that changes are limited to these two applications and we identify below the functionality that is currently available.
The first developer previews of InterSystems IRIS® data platform,InterSystems IRIS® for Health, and HealthShare® Health Connect 2025.1 have been posted to the WRC developer preview site. Containers can be found on our
JSON (JavaScript Object Notation) is a lightweight, text-based format designed for structured data interchange. It represents data objects consisting of key–value pairs and arrays, and it is entirely language-independent.
I was working on a DTL but kept getting ERROR #5002... MAXSTRING errors. The problem was that most of the DTL GUI action steps only support the string data type when working with the segments. A %String has a limit of 3,641,144 characters and my OBX5.1 was 5,242,952 characters long as the example provided. Of course PACS admin stated ultra high quality up to and including 4K resolution files were needed, so we could not get the vendor to compress or reformat these files to compressed jpg or something similar.
Using embedded Python while building your InterSystems-based solution can add very powerful and deep capabilities to your toolbox.
I'd like to share one sample use-case I encountered - enabling a CDC (Change Data Capture) for a mongoDB Collection - capturing those changes, digesting them through an Interoperability flow, and eventually updating an EMR via a REST API.
Not sure there are many that connect to MS SQL to execute queries, stored procedures, etc, but our Healthsystem has many different MS SQL based databases we use within the Interoperability environment for various reasons.
With the push to moving from on-prem to the Cloud we ran into some difficulties with our SQL Gateway connections and knowing how to config them to use Microsoft Entra for Active Directory Authentication.
TLS, the successor to SSL, stands for Transport Layer Security and provides security (i.e. encryption and authentication) over a TCP/IP connection. If you have ever noticed the "s" on "https" URLs, you have recognized an HTTP connection "secured" by SSL/TLS. In the past, only login/authorization pages on the web would use TLS, but in today's hostile internet environment, best practice indicates that we should secure all connections with TLS.
Let's pretend for a moment that you're an international action spy who's dedicated your life to keeping the people of the world safe from danger. You recieve the following mission:
Good day, Agent IRIS,
We're sorry for interrupting your vacation in the Bahamas, but we just received word from our London agent that a "time bomb" is set to detonate in a highly populated area in Los Angeles. Our sources say that the "time bomb" is set to trigger at 3:14 PM this afternoon.
I'm attempting to streamline a process for renaming PDF documents received from multiple vendors to conform to a specification provided by an EMR vendor for ingestion. Things like Document ID, Document Type, Date of Service, Account Number, MRN, etc. all must be included in the filename at defined offsets and lengths. Most of the required values can be extracted from the inbound file's name and the few remaining are static values that would be the same (or handled via a lookup table based on source) for all documents.
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 "?".
The FHIR standard establishes a powerful but flexible data model that can smoothly adapt to the complexities of operational healthcare data management. This flexibility comes at the cost of a data model with many tables and relationships, even for simple data such as the patient's record of telephone numbers, addresses, and emails. It would easily require querying 4 different tables. However, FHIR SQL Builder eliminates this problem, allowing you to create visual projections (mappings) in web wizards.
The IRIS Management Portal is localized (translated) for some (many?) languages and the language used by the Management Portal interface is determined by the browser settings, often derived from the OS settings (can be changed).
This means that if a user, like me, want to use ONLY the English version of the Management Portal, each and every time you login you need to change the language. VERY annoying.
I know I can change the language configured in Browser, BUT, I want to use English for the IRIS management portal non for all my internet activity!
You may encounter errors during any point of program execution, and there are several ways to raise and handle these exceptions. In this article, we'll explore how exceptions are handled efficiently in IRIS.
One of the most commonly used return types is %Status, which is used by methods to indicate success or failure. Let's begin by discussing %Status values.
An extension “extends” or enhances a FHIR resource or a data element in a custom way. The extension can be added to the root of a resource, such as “Patient.ethnicity” in US Core profile, and they can be added to individual elements such as HumanName, Address or Identifier.
Did you know that you can also add an extension to a primitive data type?
Primitives usually store a single item and are the most basic element in FHIR. For example: "Keren", false, 1234, 12/08/2024 etc.
For example, the patient resources might look like this:
I am still trying to understand and come up with a use case to use FHIR as an enhancement to our existing HL7 messages. Does anyone have an example of taking a FHIR response and transforming it into a SDA?
How does the workflow go? Does it go through 1 BP?
I need to make changes to OBX 5 which shows as immutable
I have tried ConstructClone, ThrowOnError, and Streams but I can't get the syntax correct
Example
OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|142|REASON FOR REQUEST: Total Cost: 0.00||||||O ^^^^ remove "REASON FOR REQUEST" ^^ add cr/lf so down stream reports can be formatted more easily
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.
I have a theory that I could use an HL7 Data Transformer in a rule without specifying a specific DocType. I want to use the same DTL for a variety of different DocTypes. Here is my very simplistic DTL so far:
I'm hoping that someone may be able to point me in the right direction to get started with working with files in Intersystems. I am currently trying to build an interface that will consume a text file containing a list of IDs (one per line) and then write those IDs to an external database. I am comfortable working with the database end but have not worked with files/Stream containers etc yet.
For one of our customers I had to integrate with the AFAS imageconnector endpoint /imageconnector/{imageId}?format={format}.
This endpoint returns in a json message with the image as a base64-encoded string property, in addition to the mimetype for the image:
Is it possible to use one IIS server to configure Webgateway and external Webserver for management portal when implementing synchronous mirroring with VIP i.e Is it necessary to have two mirror servers(primary and Backup) , one Arbiter server, one Webserver for Webgateway and a sperate webserver for management portal?
If anyone can please point to any documentation on Mirroring with Webgateway and external webserver for management portal will be really helpful.
I am trying to track down a problem we saw this morning with our TEST environment. We had a momentary issue where InterSystems HealthShare Health Connect could not connect correctly to LDAP. When we tried to login and could not connect to LDAP, the system would Delete our users.
the Test LDAP function would return a "Can't contact LDAP server". I went through the Certificates, made sure they had the correct permissions and were not expired.
Monitor incremental changes in the database through scheduled tasks, display change trends through charts, set alarm thresholds, and write information to messages.log
How to use it
You can install it through Docker or ZPM
Deploying with Docker Prerequisites
Make sure you have git and Docker desktop installed.
Auditing is a critical capability ensuring the security of your server, and for quite a while ago we have included the ability to audit SQL statements run on the server.
With v2024.3 out already we're providing finer-grained options for defining these events to audit.
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