#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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What is a FHIR Profile?

A FHIR profile is a collection of rules and constraints used to customize and refine a base Fast Healthcare Interoperability Resources (FHIR) resource. Profiling is a vital process that adapts the base FHIR resource standard to satisfy the unique requirements of a specific use case, geographic region, medical institution, or clinical workflow.

While the base FHIR specification provides generic, flexible definitions for resources (such as Patient, Observation, or Medication), profiles transform these generic resources into more precise ones. This ensures consistent and interoperable data exchange tailored for a particular community or implementation.

FHIR is designed to cover various healthcare scenarios globally. Profiles allow implementers to adapt this general platform without losing the benefits of standardization.

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InterSystems IRIS is built on an architecture that separates the logical organization of data (namespaces) from its physical storage location (databases). Understanding this separation and the distinction between Namespaces and Databases is crucial for effective data management, security, and especially, high-performance data sharing.

In this article, I will discuss these foundational components and provide a practical guide on leveraging global mappings to share native data structures (globals) across different logical environments.

Databases: Physical Reality

A database represents the physical reality of where the data is stored on the disk. First and foremost, it’s a file in a file system called IRIS.dat (e.g., <Install folder>\mgr\user\IRIS.DAT). The maximum size of this file is 32TB. It is the container for all the actual data and the code. Databases are managed by the IRIS kernel, which handles caching, journaling, and transaction logging at the physical file level.

When you install InterSystems IRIS DBMS, the following databases are installed automatically:

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Embeddedpy-bridge: A Toolkit for Embedded Python

Overview

Embedded Python is a game-changer for InterSystems IRIS, offering access to the vast Python ecosystem directly within the database. However, bridging the gap between ObjectScript and Python can sometimes feel like translating between two different worlds.

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Sometimes it is more convenient, more efficient, and more secure, to limit FHIR Searches per pre-defined "Lists" of Resources.

Since v2025.1 we support several List-related features in our FHIR Server.

I will highlight these here, and provide some samples.

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The Power of Indexing in Database Tables

When working with databases, most developers understand the concept of an index and why it's used: to speed up data retrieval. But the real impact of indexing often becomes clear only when you compare scenarios with and without it.

Do you Know what Happens Without an Index?
Imagine a table with three columns: Name, Age, and MobileNumber.

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In this article, we will discuss all the debugging tools included in the Microsoft Visual Studio Code IDE.

What will be covered:

  • Breakpoints
  • Watch window
  • Call Stack

Let's start by learning about debugging requirements!

Prerequisites

There are two plugins (extensions) for debugging ObjectScript:

The first is part of the InterSystems ObjectScript Extension Pack. The second is Serenji, a standalone plugin that provides an editor, file manager, and debugging functionality. Both plugins can be installed from the plugin store. To activate key functionality, Serenji requires a license. For this article, we'll use the InterSystems ObjectScript Extension Pack to reduce the learning curve. After you've mastered the basics, you can consider purchasing a paid license for Serenji.

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Article
· Nov 16, 2025 2m read
Network Debugging for Beginners - 2

In my previous article, I structured network communications
in these 3 possible layers, and covered the last

  • Client <---> Transport
  • Server <---> Transport
  • Client <---> Server

In fact, you have the most control over the last one.
The IRIS side as a server is yours and under your full control.
Up to now, the Transport layer was assumed to be as passive as a bare wire.

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FastJsonSchema: High-Performance JSON Validation in IRIS

Validating JSON data against JSON Schema is a common requirement for modern applications. FastJsonSchema brings this capability natively to InterSystems IRIS, combining speed, simplicity, and full schema compliance.

Unlike traditional validation approaches, FastJsonSchema generates native ObjectScript code from your JSON Schemas and compiles it directly to iris object code, enabling idiomatic performance without relying on external libraries or runtimes.

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Article
· Oct 22, 2025 2m read
Tips on handling Large data

Hello community,

I wanted to share my experience about working on Large Data projects. Over the years, I have had the opportunity to handle massive patient data, payor data and transactional logs while working in an hospital industry. I have had the chance to build huge reports which had to be written using advanced logics fetching data across multiple tables whose indexing was not helping me write efficient code.

Here is what I have learned about managing large data efficiently.

Choosing the right data access method.

As we all here in the community are aware of, IRIS provides multiple ways to access data. Choosing the right method, depends on the requirement.

  • Direct Global Access: Fastest for bulk read/write operations. For example, if i have to traverse through indexes and fetch patient data, I can loop through the globals to process millions of records. This will save a lot of time.
Set ToDate=+H
Set FromDate=+$H-1 For  Set FromDate=$O(^PatientD("Date",FromDate)) Quit:FromDate>ToDate  Do
. Set PatId="" For  Set PatId=$Order(^PatientD("Date",FromDate,PatID)) Quit:PatId=""  Do
. . Write $Get(^PatientD("Date",FromDate,PatID)),!
  • Using SQL: Useful for reporting or analytical requirements, though slower for huge data sets.

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Hello!!!

Data migration often sounds like a simple "move data from A to B task" until you actually do it. In reality, it is a complex process that blends planning, validation, testing, and technical precision.

Over several projects where I handled data migration into a HIS which runs on IRIS (TrakCare), I realized that success comes from a mix of discipline and automation.

Here are a few points which I want to highlight.

1. Start with a Defined Data Format.

Before you even open your first file, make sure everyone, especially data providers, clearly understands the exact data format you expect. Defining templates early avoids unnecessary bank-and-forth and rework later.

While Excel or CSV formats are common, I personally feel using a tab-delimited text file (.txt) for data upload is best. It's lightweight, consistent, and avoids issues with commas inside text fields. 

PatID   DOB Gender  AdmDate
10001   2000-01-02  M   2025-10-01
10002   1998-01-05  F   2025-10-05
10005   1980-08-23  M   2025-10-15

Make sure that the date formats given in the file is correct and constant throughout the file because all these files are usually converted from an Excel file and an Basic excel user might make mistakes while giving you the date formats wrong. Wrong date formats can irritate you while converting into horolog.

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Overview

This web interface is designed to facilitate the management of Data Lookup Tables via a user-friendly web page. It is particularly useful when your lookup table values are large, dynamic, and frequently changing. By granting end-users controlled access to this web interface (read, write, and delete permissions limited to this page), they can efficiently manage lookup table data according to their needs.

The data managed through this interface can be seamlessly utilized in HealthConnect rules or data transformations, eliminating the need for constant manual monitoring and management of the lookup tables and thereby saving significant time.

Note:
If the standard Data Lookup Table does not meet your mapping requirements, you can create a custom table and adapt this web interface along with its supporting class with minimal modifications. Sample class code is available upon request.

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Article
· Oct 10, 2025 9m read
IRIS install automation using Ansible

Deploying new IRIS instances can be a time-consuming task, especially when setting up multiple environments with mirrored configurations.

I’ve encountered this issue many times and want to share my experience and recommendations for using Ansible to streamline the IRIS installation process. My approach also includes handling additional tasks typically performed before and after installing IRIS.

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gj :: configExplorer is a new VS Code extension integrating with Server Manager and leveraging Structurizr to produce configuration diagrams of your servers.

Here's a short introductory video.

https://www.youtube.com/embed/WHkoZsg6P-A
[This is an embedded link, but you cannot view embedded content directly on the site because you have declined the cookies necessary to access it. To view embedded content, you would need to accept all cookies in your Cookies Settings]

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Introduction

HL7 messages often contain multiple repeating segments such as NTE, AL1, OBX, ZTX, DG1, and others. These segments sometimes require individual processing and routing to different downstream systems. This technical paper introduces a configurable template designed to automate the splitting of these repeating HL7 segments, improving message handling and integration efficiency.

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Article
· Sep 16, 2025 14m read
High Availability IAM

One of the recommendations when deploying InterSystems Technologies for production is to set up High Availability. The recommended API Manager for these InterSystems Technologies is the InterSystems API Manager (IAM). IAM (essentially Kong Gateway) has multiple deployment topologies.

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Starting out with ObjectScript, it is really exciting, but it can also feel a little unusual if you're used to other languages. Many beginners trip over the same hurdles, so here are a few "gotchas" you'll want to watch out for. (Also few friendly tips to avoid them)

NAMING THINGS RANDOMLY

We have all been guilty of naming something Test1 or MyClass just to move on quickly. But once your project grows, these names become a nightmare.

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I joined InterSystems less than a year ago. Diving into ObjectScript and IRIS was exciting, but also full of small surprises that tripped me up at the beginning. In this article I collect the most common mistakes I, and many new colleagues, make, explain why they happen, and show concrete examples and practical fixes. My goal is to help other new developers save time and avoid the same bumps in the road.

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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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I am regularly contacted by customers about memory sizing when they get alerts that free memory is below a threshold, or they observe that free memory has dropped suddenly. Is there a problem? Will their application stop working because it has run out of memory for running system and application processes? Nearly always, the answer is no, there is nothing to worry about. But that simple answer is usually not enough. What's going on?

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While starting with Intersystems IRIS or Cache, developers often encounter three core concepts: Dynamic Objects, Globals & Relational Table. Each has its role in building scalable and maintainable solutions. In this article, we'll walk through practical code examples, highlight best practices, and show how these concepts tie together.

1. Working with Dynamic Objects:

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Are you curious about how to run Python scripts directly in your InterSystems IRIS or Caché terminal? 🤔 Good news it's easy! 😆 IRIS supports Embedded Python, allowing you to use Python interactively within its terminal environment.

How to access the Python Shell?

To launch the Python shell from the IRIS terminal, simply run the following command:

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IRIS supports CCDA and FHIR transformations out-of-the-box, yet the ability to access and view those features requires considerable setup time and product knowledge. The IRIS Interop DevTools application was designed to bridge that gap, allowing implementers to immediately jump in and view the built-in transformation capabilities of the product.

In addition to the IRIS XML, XPath, and CCDA Transformation environment, the Interop DevTools package now provides:

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