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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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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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Hey everyone!

I recently learnt something new while working with WRC on an issue, and I wanted to share with everyone on the off chance it could help someone else.

Scenario:

Files are being inexplicably written to a folder on your server and, due to the number of files in the folder and general system throughput, it is not possible to work through the files to track down the source.

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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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When creating custom Business Hosts, it's often necessary to add properties to the class for additional settings that will be used in the initialization or operation of the host. The property name itself isn't always very descriptive, so it's an advantage to have a custom caption display with the field.

In Caché, it was fairly straightforward:

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When using InterSystems IRIS as an interoperability engine, we all know and love how easy it is to use the Message Viewer to review message traces and see exactly what's going on in your production. When a system is handling millions of messages per day, you may not know exactly where to begin your investigation though.

Over my years supporting IRIS productions, I often find myself investigating things like...

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InterSystems FAQ rubric

To remove InterSystems products installed on your Windows system, use Add or Remove Programs in Control Panel (in Windows 10, select Apps from Windows Settings).

Since we will be making changes to the system, you will need to log in as a user with administrator privileges.

1) Log in to the system as an administrator.

2) From the system tray, exit the launcher of the InterSystems product instance you want to uninstall (click launcher → exit).

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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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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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According to Databricks Apache Parquet is an open source, column-oriented data file format designed for efficient data storage and retrieval. It provides efficient data compression and encoding schemes with enhanced performance to handle complex data in bulk. Apache Parquet is designed to be a common interchange format for both batch and interactive workloads. It is similar to other columnar-storage file formats available in Hadoop, namely RCFile and ORC. (source: https://www.databricks.com/glossary/what-is-parquet).

Open Exchange app
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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

If multiple InterSystems products are installed on the same system, the latest version of the InterSystems ODBC driver among the installed products will remain registered in the driver manager.

You can change to any driver by changing the registry entry below.

Please note that running RegFiles.bat does not change the ODBC driver.

The registry entry is as follows.

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Introduction

This document is intended to provide a survey of various High Availability (HA) strategies that can be used in conjunction with InterSystems Caché, Ensemble, and HealthShare Foundation. This document also provides an overview of the various types of system outages that can occur, as well as how each strategy would handle a given outage, with the goal of helping you choose the right strategy for your specific deployment.

The strategies surveyed in this document are based on three different HA technologies:

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InterSystems FAQ rubric

You can use the system routine ^DBSIZE to estimate the backup file size (see also Note 1).

^DBSIZE estimates the file size of full, cumulative, and differential backups of the databases selected in the database backup list.

The database backup list is created from [System Administration] > [Configuration] > [Database Backup] > [Database Backup List] in the Management Portal.

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My team is working on redesigning an Interoperability solution that currently runs on a HealthShare server that is part of a mirror. Most of the messages are delimited records processed using Complex Record Mapping. We were told to utilize cloud services available in AWS, use containers, autoscaling…

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InterSystems FAQ rubric

If the system does not stop for 24 hours, old journal files will be deleted at 0:30 according to the "Journal file deletion settings".

A possible cause of journal files remaining that are older than the "Journal file deletion settings" is that there are transactions that remain open.

In that case, you will be able to delete the journal file by searching for processes executing transactions and finalizing the transactions.

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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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Hi community! I would like to show you how to install and configure one of the HealthShare products, the Enterprise Master Patient Index or EMPI.

The EMPI provides to any organization a master patient index to identify each patient of the organization univocally. You can find more information about the EMPI in the following URL: https://www.intersystems.com/interoperability-platform/patient-index/

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Executive Summary

An accountable care organization (ACO) is a group of providers that are collectively responsible for the total cost and quality of care provided to a specific population of patients. Together, the group assumes risk and shares rewards. As with high-performing organizations in other industries, the hallmarks of ACOs are quality measurement and continuous improvement.

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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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As we said yesterday... our EMPI can receive data from multiple sources, REST, HL7 messaging, etc. But it is possible that the standard fields are not enough and we want to expand the patient information to help discriminate and uniquely identify them. How could we customize patient data? Modifying the standard classes to our liking? NOOOOO!!!! Well, a little yes, but not like crazy, because if we modify standard classes carelessly we may find that in a future update we lose all these modifications.

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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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