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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++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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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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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!

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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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GraphQL is a standard for declaring data structures and methods of data access that serves as a middleware layer between the client and the server. If you’ve never heard about GraphQL, here is a couple of useful online resources: here, here and here.

In this article, I will tell you how you can use GraphQL in your projects based on InterSystems technologies.

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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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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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Article
· Aug 31, 2023 5m read
PDF Compression Using Ghostscript

Introduction.

Have you ever felt like your PDF files take up too much space on your server? As you collect more and more of these files, you might run into storage issues that can be costly to solve. But what if there was a way to shrink the size of these PDFs by 50% to 70% without compromising the document's visual clarity.

Today, we're going to explore a solution for this problem that I really like: GhostScript.

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Updated Jan 19th, 2023.

Hi all,

I want to share a quick little method you can use to enable ssl with a self signed certificate on your local development instance of IRIS/HealthShare. This enables you to test https-specific features such as OAuth without a huge lift.

1. Install OpenSSL

Windows     : Download from https://www.openssl.org or other built OpenSSL Binary. 

Debian Linux: $ sudo apt-get -y install openssl

RHEL        : $ sudo yum install openssl
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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
· 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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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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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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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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1. Scope and Objective:

Recently we supported a few NHS cases that required TIE (Trust Integration Engine) integration with the PKB service. Hence this article is meant to be a 10-minute quick guide to describe a demo solution (simple configurations and end-2-end implementation steps) for Health Connect (Ensemble) Integration with PKB (Patient-Knows-Best) service.

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In the previous article, we talked about the flow of data to request the test and receive the results of the requested test. Now let's talk about one of the most important messages of HL7v2 standard.

Every time a receiving application accepts a message and consumes the message data, it is expected to send an ACKnowledgement (ACK) message back to the sending application. The sending application is expected to keep on sending a message until it has received an ACK message. It is done to inform the sending application that its message was successfully received, that it is (not) valid in accordance with HL7 rules and, if it is compliant, that it will be processed at some point.

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Article
· Nov 29, 2022 6m read
What's HL7v2?!

HL7 (Health Level 7) is a set of technical specifications for computerized exchanges of clinical, financial and administrative data between hospital information systems (HIS). These specifications are variously integrated into the corpus of formal American (ANSI) and international (ISO) standards.

The L7 of HL7 indicates that it is a standard that operates at layer 7, in other words at the application layer, of the OSI model. This means that HL7 does not have to take into account exchange security considerations, or those of message transport (this being ensured by lower-level layers such as SSL/TLS for security or TCP for the transport of data for example). To be more precise, layer 7 supports communications for end-user processes and applications and the presentation of data for user-facing software applications. As the highest layer of the OSI model, and the closest to the end user, layer 7 provides application-specific functions such as identifying communication partners and the quality of service between them, determining resource availability, considering privacy and user authentication, and synchronizing communication, as well as connecting the application to the lower levels of the OSI model.

Returning to the HL7 standard, the HL7 version 2 standard (also known as Pipehat) was originally created in 1989 but is still being used and updated regularly, resulting in versions 2.1, 2.2, 2.3, 2.3.1, 2.4, 2.5, 2.5.1, 2.6, 2.7, 2.7.1, 2.8, 2.8.1, 2.8.2 and 2.9. The v2.x standards are backward compatible (e.g., a message based on version 2.3 will be understood by an application that supports version 2.6) and in higher versions, you will see some fields are left just for it.

Despite it being more than 30 years old, HL7v2 remains the most widely used healthcare interface standard by a large margin according to the HL7.org portal that tells that:

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This is more for my memory that anything else but I thought I'd share it because it often comes up in comments, but is not in the InterSystems documentation.

There is a wonderful utility called ^REDEBUG that increases the level of logging going into mgr\cconsole.log.

You activate it by

a) start terminal/login

b) zn "%SYS"

c) do ^REDEBUG

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HealthShare HealthConnect and Information Exchange version 15.03 support import transformations from C-CDA 2.1 to SDA. You can find these transforms in your installation's csp/xslt/SDA3 directory. For general information about import transforms, see "CDA Documents and XSL Transforms in HealthShare" in Overview of Health Connect.

Among the enhancements to import functionality added in connection with C-CDA 2.1 support is the ability to preprocess your C-CDA input files prior to the transformation done for import.

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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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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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While reviewing our documentation for our ^pButtons (in IRIS renamed as ^SystemPerformance) performance monitoring utility, a customer told me: "I understand all of this, but I wish it could be simpler… easier to define profiles, manage them etc.".

After this session I thought it would be a nice exercise to try and provide some easier human interface for this.

The first step in this was to wrap a class-based API to the existing pButtons routine.

I was also able to add some more "features" like showing what profiles are currently running, their time remaining to run, previously running processes and more.

The next step was to add on top of this API, a REST API class.

With this artifact (a pButtons REST API) in hand, one can go ahead and build a modern UI on top of that.

For example -

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I already talked about GraphQL and the ways of using it in this article. Now I am going to tell you about the tasks I was facing and the results that I managed to achieve in the process of implementing GraphQL for InterSystems platforms.

What this article is about

  • Generation of an AST for a GraphQL request and its validation
  • Generation of documentation
  • Generation of a response in the JSON format
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