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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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You may have already heard that, starting with IRIS and HealthShare HealthConnect 2023.2 versions, the internal Apache Server will be removed from the default installation, so it will be necessary to have an external application server such as Apache Server or NGINX.


In this article I am going to proceed to install a HealthShare HealthConnect 2023.1 so that it works with a pre-installed Apache Server. For this I will use a virtual machine on which I have installed an Ubuntu 22.04.

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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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InterSystems FAQ rubric

It can be retrieved using the schema INFORMATION_SCHEMA.

INFORMATION_SCHEMA is a system schema and is not displayed by default in the SQL menu of the Management Portal.

The method to display it is as follows.

  1. Open Management Portal → System Explorer → SQL menu.
  2. Check "System" on the left of the schema drop-down.
  3. Select INFORMATION_SCHEMA from the schema dropdown.

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EHR (Electronic Health Record) systems are designed in a proprietary format/structure and are not based on such market models as FHIR or HL7. Whereas some of those systems can interoperate data in a proprietary format for FHIR and further market models, others cannot. InterSystems has two platforms that can interoperate proprietary formats for market standards: InterSystems HealthShare Connect and InterSystems IRIS for Health.

Open Exchange app
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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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Executive Summary

InterSystems HealthShareÆ and InterSystems EnsembleÆ both provide a rapid integration and development platform with built-in capabilities for the high-speed processing of HL7 messages. For the purposes of HL7 v2 message routing the two products are equivalent in performance. For brevity, this document will just say Ensemble in many places but it should be taken to apply equally to both products.

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InterSystems FAQ rubric

The meaning of each timeout value is as follows.

1. [Server response timeout]

If IRIS/Caché processing (routine or query execution) does not finish within this set time, the browser will return an error.

For example, if this value is 60 seconds and it takes 90 seconds to execute a routine/method/query, an error will occur.

2. [Queued request timeout]

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We start this new article refreshing what we did in the previous EMPI configuration articles:

  • Installation in Standalone mode the Patient Index on a HealthShare instance.
  • Configuration of basic parameters to start working with the EMPI.
  • Definition of indexes and weights for NICE process.

Very well, we are practically ready to start rolling our EMPI. We only have one detail left, to start the production created by the installation to be able to start working.

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Are you preparing to use VS code for the first time? Just make sure you have enough privileges.

Have you defined your Iris server in your VS Code settings, and still get the following error?

VS Code accesses Iris/HealthConnect using the web application /api/atelier. If you do not have permission (i.e. you are using an LDAP user to connect and the web application is not configured to support LDAP), this is the reason why you couldn't connect.

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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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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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Article
· Jul 25, 2019 1m read
Disabling an Ensemble Production

I'm not saying that this is in anyway "best practices," but I'm in a peculiar situation where I need to restrict users from starting a "retired" Ensemble Production in a namespace that's been renamed. It's still an "Ensemble-activated" namespace; we need to keep it available for Ensemble Message Viewer access ... fortunately, only for a little while.

It's a bit of a hack ...

Open the Production class in Studio and add the following classmethod:

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Article
· Feb 14, 2017 1m read
Portal tip: Feel at home on the Home page

Until recently I didn't pay much attention to Portal's home page:

If it's not showing when you initially launch Portal you can easily jump to it using the button / tab at the top of the left-hand column of options. And later during your session, get there via the Home link that will be visible at the top of every page.

On the Home page the "Recent" section is automatically maintained for you.

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Article
· Aug 28, 2023 3m read
IKO & The Compatibility Version Gotcha

With the world (as well as our own technology) moving to the cloud at such a fast pace it is easy (at least for myself) to get caught up in the little details. One thing I, and some clients of ours, had run into a couple of times was the necessity to specify the version of the images one plans to use with the IKO.

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Article
· Feb 23, 2024 5m read
Using an Azure bot to access IRIS

I have challenged to create a bot application using Azure Bot that can retrieve and post data to IRIS for Health.

A patient's data has already been registered in the FHIR repository of IRIS for Health.

The patient's MRN is 1001. His name is Taro Yamada. (in Japanese :山田 太郎)

This bot can post new pulse oximeter readings as an observation resource linked to the patient.

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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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