Because I had no idea how to build an integration solution for HL7 and didn't know where to start, I decided to follow the course Building Basic HL7 Integrations with InterSystems on Learning portal to get at least the idea of where to begin. After I studied all of it, I decided it might be a good idea to share my thoughts and reflections about it with everyone.

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Article
· Jul 27, 2021 2m read
IRIS Interoperability Message Bank

I heard about Message Bank when we started redesigning a Health Connect production to run in containers in the cloud. Since there will be multiple IRIS containers, we were directed to utilize Message Bank as one place to view messages and logs from all containers.

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The Istio Service Mesh is commonly used to monitor communication between services in applications. The "battle-tested" sidecar mode is its most common implementation. It will add a sidecar container to each pod you have in your namespace that has Istio sidecar injection enabled.

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Deploying InterSystems HealthShare code, supporting lookups and artifacts like ssl certs, keys etc is relatively straight forward using Gitlab Runners. Not only does this approach enable managing the code base and deploying with git type workflows, but it also lends to a speedy recovery and repeatable environments for some implementations.

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Article
· Apr 24, 2017 1m read
Diagnosing the cause of <PROTECT> errors

If your application is raising <PROTECT> errors and you're finding it hard to work out why, here's a way to get additional information.

First, if auditing is not already enabled, turn it on:

Then use "Configure System Events" (highlighted above) and locate the event named %System/%Security/Protect. In the screenshot below I used the Filter field to do this (type "protect" - highlighted below - and press TAB):

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I was searching for the most simple way to connect from visual studio code to my local instance via terminal without having to change any window.

I know this can also be achieved via telnet but seems a bit overhead if you're in your local machine.

For me the simplest sollution is to open a terminal window in VS Code, navigate to the /bin folder of your instance installation and run .\csession.exe INSTANCENAME

For simplicity you can just include your /bin folder in your path so you don't even need to navigate there

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In the previous article we have reviewed how to install our EMPI in standalone, so we are ready to start the basic configuration of our EMPI.

First of all we have to do an initial basic configuration, we can access to the configuration from the Configuration menu of our Registry.

Selecting that option will allow to us to edit the basic configuration table of the Registry:

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Overview

We often run into connectivity problems with HealthShare (HS) deployments in Microsoft Azure that have multiple HealthShare components (instances or namespaces) installed on the same VM, especially when needing to communicate to other HS components while using the Azure Load Balancer (ILB) to provide mirror VIP functionality. Details on how and why a load balancer is used with database mirroring can be found this community article.

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Article
· Sep 7, 2016 5m read
Running HealthShare XSLTs from Terminal

HealthShare uses a lot of XSLTs. These are used to convert IHE medical documents to SDA (internal HealthShare format) and back to IHE formats, to create summary reports, and to deal with IHE profiles (e.g., patient information query, document provide and register). Customers may customize the XSLTs to customize reports or for other reasons.

For debugging and development, it is very convenient to be able to run an XSLT from Terminal.

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Article
· Oct 24, 2022 10m read
PerfTools IO Test Suite

Purpose

This set of tools (RanRead, RanWrite, and the combined RanIO) is used to generate random read and write events within a database (or pair of databases) to test the IO speed of IRIS running on a specified hardware setup. While Read operations can be measured in the usual Input/Output operations per second (IOPS) since they're direct disk reads, write events are sent to the database and thus their physical writes are managed by IRIS's write daemon.

Results gathered from the IO tests will vary from configuration to configuration based on the IO sub-system. Before running these tests, ensure corresponding operating system and storage level monitoring are configured to capture IO performance metrics for later analysis. The suggested method is by running the System Performance tool that comes bundled within IRIS. Please note that this is an update to a previous release, which can be found here.

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The class %Compiler.UDL.TextServices arrived in 2015.1, bringing us methods for exporting a class in UDL format (i.e. looking just like we're used to seeing it in Studio), and importing a UDL format definition back into a namespace. Some source control tools including our Deltanji are now able to use UDL format, resulting in diffs that are easier to understand.

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InterSystems FAQ rubric

ObjectScript allows you to pass any number of arguments using arrays. Do it by adding ... after the argument name.

An example is as follows. In the example statement, the argument information is set in a global variable (a variable stored in the database) so that it can be easily checked after the method is executed.

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In the previous article, we've discussed the origin of the standard HL7v2, the structure and the types of messages. Let's now look at one of the most used types of messages and an example of its structure. I'm talking about ADT.

HL7 ADT messages (Admit, Discharge, Transfer) are used to communicate basic patient information, visit information and patient state at a healthcare facility. ADT messages are one of the most widely-used and high volume HL7 message types, as it provides information for many trigger events including patient admissions, registrations, cancellations, updates, discharges, patient data merges, etc.

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Article
· Feb 14, 2017 1m read
Portal tip: The inconspicuous Menu button

Amongst the large fonts and chunky icons of Portal's pages, the Menu button in the top left corner is easily overlooked:

When clicked, it often produces the following menu:

When I remember it's there, I find the "View Console Log" option particularly handy.

I wrote "often" above because I've also noticed that the Menu contents change when I'm on a page within the Ensemble section of Portal:

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There are often questions surrounding the ideal Apache HTTPD Web Server configuration for HealthShare. The contents of this article will outline the initial recommended web server configuration for any HealthShare product.

As a starting point, Apache HTTPD version 2.4.x (64-bit) is recommended. Earlier versions such as 2.2.x are available, however version 2.2 is not recommended for performance and scalability of HealthShare.

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Article
· Nov 2, 2023 3m read
How to hide the source program

InterSystems FAQ rubric

For routines (*.mac)

You can hide the source by exporting/importing only the *.obj that is generated after compiling the source program.

The command execution example specifies EX1Sample.obj and EX2Sample.obj, which are generated by compiling EX1Sample.mac and EX2Sample.mac, as export targets and exports them to the second argument file.

After moving to another namespace, I am using the exported XML file to perform the import.

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I have been walking through this with a few team members and as such I thought there might be others out there who could use it, especially if you work with HL7 & Ensemble/HealthConnect/HealthShare and never venture out past the Interoperability section.

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Strategic interoperability —The key to connected care

Introduction

The aging population and increasing incidence of chronic diseases are putting unmanageable pressures on healthcare services, not just in Europe, but worldwide. The current models of healthcare are unsustainable in the face of increased demand for services and rising costs. This was evident even before the financial crisis led to severe cuts in healthcare budgets in many countries.

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Presenter: Tom Spencer
Task: Add extra data to HealthShare’s data model and make it available to all HealthShare components
Approach: Use new extensions within HealthShare to add custom data

When deploying a HealthShare solution, you may need to add extra data to our SDA data model. In this session, we will present the new extension mechanism for adding data to HealthShare and to ensuring that data is available in Health Insight and Patient Index.

Content related to this session, including slides, video and additional learning content can be found here. Please note that this content is available only to HealthShare customers and attendees of the Global Summit. On the learning web site you will be prompted for your Global Summit credentials to access this content.

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Keywords: Anaconda, Jupyter Notebook, Tensorflow GPU, Deep Learning, Python 3 and HealthShare

1. Purpose and Objectives

This "Part I" is a quick record on how to set up a "simple" but popular deep learning demo environment step-by-step with a Python 3 binding to a HealthShare 2017.2.1 instance . I used a Win10 laptop at hand, but the approach works the same on MacOS and Linux.

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Artificial intelligence has solved countless human challenges – and medical coding might be next.
As organizations prepare for ICD-11, medical coding is about to become more complicated. Healthcare organizations in the United States already manage 140,000+ codes in ICD-10. With ICD-11, that number will rise.
Some propose artificial intelligence as a solution. AI could aid computer-based medical coding systems, identifying errors, enhancing patient care, and optimizing revenue cycles, among other benefits.

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In the previous article, we've seen the structure of one of the most used types of HL7 message - ADT (Admit, Discharge, Transfer) and an example of ADT^A04 with the description of all its fields. Now let's look at another flow of data having to do with ordering and fulfilling the orders of tests. I'm talking about ORM (as of version 2.5 you should use specific messages to order tests, like OMG, OML, OMD, OMS, OMN, OMI, and OMP), ORL and ORU messages. In a very simplified case, the exchange of data may look like this.

Let's look at these messages in more detail.

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We return to the attack with our EMPI!

In previous articles we have seen how to configure and customize our EMPI, we have seen how we can include new patients in our system through HL7 messaging, but of course, not everything is HL7 v.2 in this life! How could we configure our EMPI instance to work with FHIR messaging?

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