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#HealthShare

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InterSystems HealthShare is a healthcare informatics platform for hospitals, integrated delivery networks (IDNs) and regional and national health information exchanges (HIE). HealthShare includes health information exchange, data aggregation, workflow, text analysis, and analytics technology.

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Suppose I have an image and need to convert that image into a PDF for inclusion in an HL7.

I know that Zen Reports can display an image in a PDF but I do not want to view the image in a web page. I just need to convert the image to PDF in a Process and then include that PDF in an HL7. The workflow would be like this:

Get image -> Convert image into PDF -> Include PDF in HL7 OBX.

I know how to do the last part to include PDF in HL7 OBX. Just need ideas on the first part.

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Hi,

I can't work out how to use the Cache CA Server to process certificate request from external clients!

We are setting up an interface where we use SSL/TLS 'Mutual Authentication' to allow a client system to securely transmit document to our server. (they are off-site and hosting a service for us)

I am not a security expert, but my understanding of setting up mutual authentication where my instance of ensemble is the server, and it is receiving messages from a client is as follows

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Hey all! I'd like to collect some feedback regarding searching for messages using the Message Viewer. I'd like to find out what things regarding the Message Viewer you all in the community have found difficult/confusing/poorly documented. This can of course include things that you don’t know how to do yet, but would like to learn about.

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We are using an F5 load balancer to route public traffic to our IS server. My goal is to block public access to the Management Portal, and only allow what we want to expose, such as REST/SOAP services. At the F5, they can block URL wildcards or specific ports, so those are our options.

Since the URLs for the web services are in the same path ([host]/csp/healthshare/[namespace]/*), I can't see any URL wildcards happening. That leads me to ports; is there a way to put services on a specific port for all services, and everything else stay on a standard web port?

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Question
· Apr 12, 2017
Message Profiling

Hi all,

I was wondering if InterSystems offers any message profiling capabilities. What I mean by "message profiling" is essentially stats or metrics gathered from a collection of data submissions of a particular type. For instance, average number of segments <XYZ> in a specific HL7 V2 message type. Or the number of sections found in a HL7 V3 CDA documents.

Curious if there is anything like this provided "out-of-box".

Thanks!

James

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Hi,

We have a mixture of legacy and new systems, and are grappling with the issue of moving documents between systems.

At the moment we are mostly using file drops and encoding metadata in filenames, but a new supplier (letter transcription) is going to provide a Hl7v2 feed sending MDM^T02 messages with PDF's of letters base64 encoded in the message itself.

We are thinking of asking all our suppliers to go with MDM (or ORU) for sending documents.

I'm interested in the pros and cons of the options; and if there are options I haven't thought of.

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I am looking for a general overview of how you would attach a document to a patient record in healthshare. For instance, an Advance Directive or Living Will.

Here are some starter questions:

  1. What format is required, if any? Can it be a PDF or DOC?
  2. How can/should it be submitted? HL7? XDS.b? Embedded in a CCD?

Sorry for the open endedness. Any info would be helpful while I research this.

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Question
· Mar 2, 2017
TLS Cipher Suite selection

Our client is a test out of 2016.1 (Build 656U) Healthshare that wants to do a one way SSL connection to our Java 1.7/Tomcat 8.0 server. We have yet to come up with a secure cipher set that Healthshare and Java agree on for the handshake. So far we've had to use these ciphers identified which are not recommended (though it does do a handshake properly).

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If your Ensemble environment is actually a HealthShare one, here's a snippet of information that I wasn't able to find in the documentation.

When a namespace is HealthShare-enabled it gets some mappings added to it in order to fetch stuff from the HSLIB database. The most obvious mapping is a package mapping that gives your namespace all the HS.* classes.

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Hello. New to the forum and was hoping I could get some expert help here. I have one data set that is using CHD Logic to combine Procedure and Diagnosis codes to define Sensitive data and flag the record for additional protected filtering. The files coming in define what is flagged and the Clinical Info Rule and Clinical Info Type are tied to the flag in the file which identifies it as a additional protected record.

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I use the HS_IHE_ATNA_Repository.Aggregation table a lot. Someone just referred me to the HS_IHE_ATNA_Repository.Document table, which has an AggregationId column.

I assume that column references the ID column in the .Aggregation table. If so, does this mean that if the same document was requested 1,000 times that there will be 1,000 entries for it in the .Document table? This seems inefficient to me. Why not have one record in the document table and have a DocumentId column in the Aggregation table?

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Hi,

I have Healthshare/Ensemble version 2015.2.1.

I created Business Operation in my ENSDEMO namespace that will connect to an external REST endpoint to send data to this external REST Service.

I also created an http service in Home>Healthshare>Service Registry, under the Service Type: http. I entered the REST endpoint Name, Host, SSL Configuration, and URL.

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I have the following query which tells me how many documents were retrieved for each customer, but it only works for the "on-demand" customers:

SELECT PatientFacility, LEFT(LocalDateTime,7) as Mnth, Count(*)
FROM HS_IHE_ATNA_Repository.Aggregation
WHERE EventType IN ('RecordRequest','RecordRequestBreakGlass')
AND LocalDateTime >= '2016-01-01'
AND LocalDateTime < '2017-01-01'
GROUP BY PatientFacility, LEFT(LocalDateTime,7)
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Hello guys,

I've got this piece of code which runs the method "WebMethod", that belongs to %SOAP.WebBase.cls.

It grabs the outcome from an internal webservice we have and after that, it writes into a file.

The thing is, when I browse the file contents, I realize that in the place where a special character should be, I see a question mark.

By querying the same webservice from a special soap tool called "SoapSonar" (I've been using this for years), the outcome shows up this special character (shows it properly).

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Question
· Jan 20, 2017
MPI Question

Hello experts,

Good afternoon. I am a new member here and was wondering if any of you can help me with creating my own instance of Healthshare with MPI. This will serve as a sandbox and a learning environment for me. What is the minimum requirement to have such an environment setup, meaning will I only need to setup HSBUS, HSREGISTRY(HUB), MPI, HSACCESS, and EDGE Gateway(s)? If so, how do I properly set them up without just installing an environment with ENSDEMO?

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In the table/class HS_Registry.document there is a column/property named RepositoryUniqueId. There are about 14 unique values, which pretty much lines up with the number of our "Push" (Provide & Register) participants and thus unique document repositories. However, these values just look like OIDs. I've been searching for over an hour and I can't find anywhere that will provide me some context to these "Repository IDs".

Anyone have ideas or suggestions where I could find this info?

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Internally we use splunk for monitoring applications and network.

Does Ensemble have a way of exposing internal metrics and/or a way of exposing custom built metrics?

I've used Deepsee dashboards in the past to monitor Apache Tomcat/Apache Camel/hawtio using JMX rest calls. This is the other way around and ideally I'd like to expose metrics on:

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For testing purposes, I would like to create an EnsLib.HL7.Message from either a %String or a file on disk and pass it into a function in a unit test (outside of an Ensemble context). EnsLib.HL7.Parser appears to do the necessary parsing, but it also sends the message via Ensemble service rather than returning it as a value. Is there a way to leverage the parsing outside of a Ensemble service? Alternatively, is there another way to create an EnsLib.HL7.Message?

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