#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
InterSystems Official
· Mar 27 4m read
2025.1 Modernizing Interoperability User Experience

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.

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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.

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What is TLS?

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.

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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.

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Article
· Feb 7 4m read
IRIS %Status and Exceptions

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.

Working with %Status

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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 "?".

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Article
· Mar 10 5m read
FHIR SQL Builder: step by step

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.

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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:

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FHIR Server

A FHIR Server is a software application that implements the FHIR (Fast Healthcare Interoperability Resources) standard, enabling healthcare systems to store, access, exchange, and manage healthcare data in a standardized manner.

Intersystems IRIS can store and retrieve the following FHIR resources:

  • Resource Repository – IRIS Native FHIR server can effortlessly store the FHIR bundles/resources directly in the FHIR repository.
  • FHIR Facade - the FHIR facade layer is a software architecture pattern used to expose a FHIR-compliant API on top of an existing one (often non-FHIR). It also streamlines the healthcare data system, including an electronic health record (EHR), legacy database, or HL7 v2 message store, without requiring the migration of all data into a FHIR-native system.

What is FHIR?

Fast Healthcare Interoperability Resources (FHIR) is a standardized framework created by HL7 International to facilitate the exchange of healthcare data in a flexible, developer-friendly, and modern way. It leverages contemporary web technologies to ensure seamless integration and communication across various healthcare systems.

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Hi community!

I am excited to say that since the beginning of this year we have published many of the client SDKs for InterSystems IRIS, InterSystems IRIS for Health and Health Connect to the corresponding external repositories (Maven, NuGet, npm and PyPI). This provides many benefits to you such as:

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High-Performance Message Searching in Health Connect

The Problem

Have you ever tried to do a search in Message Viewer on a busy interface and had the query time out? This can become quite a problem as the amount of data increases. For context, the instance of Health Connect I am working with does roughly 155 million Message Headers per day with 21 day message retention. To try and help with search performance, we extended the built-in SearchTable with commonly used fields in hopes that indexing these fields would result in faster query times. Despite this, we still couldn't get some of these queries to finish at all.

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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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Hi noble devs!

Just building a simple frontend->JSON->IRIS backend story, and figured that IRIS while importing via %JSON.Adaptor wants JSON fields to match property names, meaning even should match the case. Like:

{ name: "John", 

surname: "Doe"}

will have issues while saving the dynamic object to a class Sample.Person with:

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This article outlines the process of utilizing the renowned Jaeger solution for tracing InterSystems IRIS applications. Jaeger is an open-source product for tracking and identifying issues, especially in distributed and microservices environments. This tracing backend that emerged at Uber in 2015 was inspired by Google's Dapper and Twitter's OpenZipkin. It later joined the Cloud Native Computing Foundation (CNCF) as an incubating project in 2017, achieving graduated status in 2019. This guide will demonstrate how to operate the containerized Jaeger solution integrated with IRIS.

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We are receiving the report in text format and it has special characters like ', - like that in the text. Source system is using the UTF8 encoding format hence the text is showing as ' � ' . Is there a way to convert the utf8 to actual character in the DTL.

Thank you,

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Template engines are essential for producing customizable dynamic content, without the need for compilation and opening up great possibilities of extensibility for the template user. Especially if the template engine supports Python. A popular solution for template engine is Mko. It is is a template library written in Python. It provides a familiar, non-XML syntax which compiles into Python modules for maximum performance. Mako's syntax and API borrows from the best ideas of many others, including Django and Jinja2 templates, Cheetah, Myghty, and Genshi.

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