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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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Hello!

This article is a small overview of a tool that helps to understand classes and their structure inside the InterSystems products: from IRIS to Caché, Ensemble, HealthShare.

In short, it visualizes a class or an entire package, shows the relations between classes and provides all the possible information to developers and team leads without making them go to Studio and examine the code there.

If you are learning InterSystems products, reviewing projects a lot or just interested in something new in InterSystems Technology solutions — you are more than welcome to read the overview of ObjectScript Class Explorer!

Open Exchange app
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I wanted to share a little tidbit which is in the Studio documentation (http://docs.intersystems.com/cache20152/csp/docbook/DocBook.UI.Page.cls?...) but many people who have been using the InterSystems Studio for a long time missed the addition of this *very* useful feature, and every time I mention this to an audience I see at least one face light up because of how excited they are to learn about it!

Within Studio, the Output pane (View -> Output) is actually misnamed. It is actually an Input/Output window which can be used to run Caché ObjectScript commands!

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In this posting I want to raise the profile of a feature that arrived in 2009.1 but is perhaps not very well known.

It is sometimes useful to make certain packages, globals or routines available to all of your namespaces. Of course you can add the necessary mappings whenever you create a new namespace, but here's a simpler way.

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++Update: August 2, 2018

This article provides a reference architecture as a sample for providing robust performing and highly available applications based on InterSystems Technologies that are applicable to Caché, Ensemble, HealthShare, TrakCare, and associated embedded technologies such as DeepSee, iKnow, Zen and Zen Mojo.

Azure has two different deployment models for creating and working with resources: Azure Classic and Azure Resource Manager. The information detailed in this article is based on the Azure Resource Manager model (ARM).

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For Global Summit 2016, I set out to showcase a Reference Architecture I had been working on for a National Provider Directory solution with State Level Instances and a National Instance all running HealthShare Provider Directory and all running on AWS Infrastructure.

In short, I wanted to highlight:

  • The implementation of Amazon Web Services to provision the infrastructure, including the auto-creation of the state level instances through Cloud Formation.
  • The use of the HSPD Broadcast functionality to Notify Upstream Systems Changes in Master Provider Data.
  • The implementation of a transformation of the standard Broadcast Object to HL7 MFN for interoperability.
  • The principals of Master Data Management applied to the Provider Directory.

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Article
· Mar 24, 2016 3m read
HealthShare 2 Slack Business Operation

This will be a stretch to be useful, but it was sorta fun. If you just so happen to have a use case to make your HealthShare productions talk to a Slack channel, this is the Business Operation for you.

In Slack, it is a dead simple process to enable an incoming web hook:

  • Name It
  • Give it an Icon or Emoji
  • Declare a Channel to Interact With

One you supplies those, it spits out a URL that you can go to town posting to your channel using that endpoint.

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Article
· Aug 5, 2016 8m read
HealthShare's new SDA extensions

Creating and working with the new SDA extensions for storage of custom data elements

In HSCore 15.01, there is a new way to store custom data elements. HealthShare now had the ability to use custom extensions on many SDA elements.

This article will:

  1. Show how to set up your system to use SDA extensions
  2. Create a new SDA extension property
  3. Use the new SDA extension property in HL7 transactions
  4. Interact with the new data
  5. Show new SDA extension used in a customization of Patient Summary Report

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Article
· Aug 26, 2016 8m read
Enterprise Monitor and HealthShare

Enterprise Monitor is a component of Ensemble and can help organizations monitor multiple productions running on different namespaces within the same instance or namespaces running on multiple instances.

Documentation can be found at:

http://docs.intersystems.com/ens20161/csp/docbook/DocBook.UI.Page.cls?KEY=EMONITOR_all#EMONITOR_enterprise

In Ensemble 2016.1 there were changes made to make this utility work with HealthShare environments.

This article will:

  • Show how to set up Enterprise Monitor for HealthShare sites
  • Show some features of Enterprise Monitor
  • Show some features of Enterprise Message Viewer

For this article, I used the following version of HealthShare:

Cache for Windows (x86-64) 2016.1 (Build 656U) Fri Mar 11 2016 17:42:42 EST [HealthShare Modules:Core:14.02.2415 + Linkage Engine:14.02.2415 + Patient Index:14.02.2415 + Clinical Viewer:14.02.2415 + Active Analytics:14.02.2415]

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I've asked a lot of questions leading up to this, so I wanted to share some of my progress.

The blue line represents the number of messages processed. The background color represents the average response time. You can see ticks for each hour (and bigger ticks for each day). Hovering over any point in the graph will show you the numbers for that period in time.

This is super useful for "at a glance" performance monitoring as well as establishing patterns in our utilization.

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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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Presenter: Russell Leftwich
Task: Understand the concepts of the Fast Healthcare Interoperability Resources (FHIR) standard
Approach: Discuss what FHIR is, and what it’s for

This session will introduce the concepts of FHIR - Fast Healthcare Interoperability Resources.

Content related to this session, including slides, video and additional learning content can be found here.

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Presenter: Alex MacLeod
Task: Use Personal Community to build fully responsive and mobile-compatible portals
Approach: Demonstrate the new release of Personal Community. Provide a behind-the-scenes look at the new application development framework used to build it.

The new release of Personal Community v11 is now fully responsive and mobile compatible. It uses a new framework for development. In this session, we will give a functional overview of Personal Community, demo the new release and give a look behind the scenes into the application development framework used.

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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Presenter: Randy Pallotta
Task: Automatically create cohorts of high-risk patients. Send them critical action alerts
Approach: Use the new HealthShare features: “Smart Programs” and “Advanced Clinical Notifications”

In this session, we will cover HealthShare "Smart Programs" and "Advanced Clinical Notifications" which allow you to automatically create cohorts of high risk patients in Health Insight and Information Exchange and to send critical actionable alerts. After this session, you should understand this new feature and how to configure a new program or alert.

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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After upgrading an Information Exchange/HealthShare instance that has a registry namespace, you may notice that the Caché audit log gets filled with frequent login failures by the HS_Services user (check this by going to Management Portal > System Administration > Security > Auditing > View Audit Database). Clicking the “details” shows event data like:

Error message: Access Denied
CSP Application: /csp/healthshare/hsregistry
Authentication: Delegated
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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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Article
· Dec 15, 2016 1m read
Version history for the production class

Last week I was onsite with a new customer of ours, implementing Deltanji to give them control of their development and deployment cycle. One particularly satisfying part of the visit was seeing their pleasure at how their production class now records its changes over time, allowing them to quickly diff the versions and see what configuration items have been added or what settings altered. ​

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Presenters: Pete Greskoff, Sebastian Musielak
Task: Ensure high availability of your HealthShare deployments
Approach: Discuss high-availability options and focus on HealthShare’s new support for database mirroring

With the new release of HealthShare, Mirroring is now support for high availability. This session will describe high availability options and focus on mirroring your HealthShare deployments.

Content related to this session, including slides, video and additional learning content can be found here.

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Presenter: Matt Spielman
Task: Use the FHIR standard with HealthShare-based solutions
Approach: Provide an overview of how HealthShare will support the evolving FHIR

The next major release of HealthShare will be the first version to support the emerging HL7 FHIR standard. This presentation will discuss InterSystems’ involvement with the FHIR standard, detail the new FHIR functionality, and review our long term plans for FHIR in the HealthShare platform.

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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Presenter: Alex MacLeod
Task: Understand and use IHE in HealthShare
Approach: Provide a real-world example of a successful IHE implementation

In this session, we will discuss the basics of IHE in HealthShare, as well as share a real world example of a successful IHE implementation.

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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Presenter: Boris Mamkin
Task: Understand and use CDA in HealthShare
Approach: Provide a real-world example of how the Clinical Document Architecture standard is being used in a clinical integration

In this session, we will discuss the basics of using CDA in HealthShare, as well as a real world example of how CDA is being used in a clinical integration.

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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