#HealthShare

Hello again everyone.

In our previous article we saw how to configure our EMPI to receive FHIR messages. To do this we installed the FHIR Adapter that InterSystems made available to us that configured a REST endpoint to which we could send our FHIR message. We would then get the message and transform it to a %String that we would send via TCP to the output of our EMPI configured in our HSPIDATA namespace.

Alright, it's time to see how we retrieve the message, transform it back to a %DynamicObject and parse it to the class used by the EMPI to store the information.

Watch the session here: HealthShare Health Connect: Tips & Tricks

Enhanced HL7 V2 Productions

1. Review of Interface Settings: Ensure these are set purposefully! (Documentation linked)

In this article, I am demonstrating how to create a table column(formerly known as properties) with your custom datatype classes by using User defined DDL. Properties are the crucial member of the persistent class definition. Datatypes are essential to define types of values that are stored in a table column. In general, the datatype names of SQL different from Intersystems datatypes, such as VARCHAR = %String.

IRIS can use a KMS (Key Managment Service) as of release 2023.3. Intersystems documentation is a good resource on KMS implementation but does not go into details of the KMS set up on the system, nor provide an easily followable example of how one might set this up for basic testing.

The purpose of this article is to supplement the docs with a brief explanation of KMS, an example of its use in IRIS, and notes for setup of a testing system on AWS EC2 RedHat Linux system using the AWS KMS. It is assumed in this document that the reader/implementor already has access/knowledge to set up an AWS EC2 Linux system running IRIS (2023.3 or later), and that they have proper authority to access the AWS KMS and AWS IAM (for creating roles and polices), or that they will be able to get this access either on their own or via their organizations Security contact in charge of their AWS access.

Not sure there are many that connect to MS SQL to execute queries, stored procedures, etc, but our Healthsystem has many different MS SQL based databases we use within the Interoperability environment for various reasons.

With the push to moving from on-prem to the Cloud we ran into some difficulties with our SQL Gateway connections and knowing how to config them to use Microsoft Entra for Active Directory Authentication.

InterSystems FAQ rubric

For naming conventions, please check the respective document pages below.

About table name (class name): Identifier rules and guidelines - classes

Executive Overview

The healthcare software market offers exciting and significant growth opportunities. Yet, while some healthcare software companies enjoy incredible growth, others under-perform, languish, or even fail. There are many criteria for success in this market, but two are particularly critical:

I have been struggling with a docker run command that kept crashing, the error message was too generic to point me to the right direction.

Since the container is shut down after the failure, I was unable to login to it in order to figure out the problem.

I had to run the container in a way that I'll be able to log into it before it crashed, so I found the adding -u false prevents the docker run command to run the iris session IRIS and the container stayed up and running. then I was able to log into it using:

FHIR repositories, applications and servers typically serve clinical data in small quantities, whether to return data about a patient, their medications, vaccines, allergies, among other information. However, it is common for a large amount of data in FHIR/JSON format to be requested to be used to load into Data Lakes, identifying study cohorts, population health, or transferring data from one EHR to another. To meet these business scenarios that require large extractions and loads of data, it is recommended to use the FHIR Bulk Data Access feature provided by HL7 institution.

Reviewing the different articles that I have published, I realized that I needed to explain a very practical functionality within our EMPI (Enterprise Master Patient Index) and it is none other than the notification of registrations and links to systems external to the EMPI.

In this article, exceptions are covered.

Working with Exceptions

Instead of returning a %Status response, you can raise and throw an Exception. You are then responsible for catching the exception and validating it. IRIS provides five main classes to handle exceptions effectively. Additionally, you can create custom exception class definition based on your needs.

Comprehensive patient view, communication and data sharing, and population health management are key components

Federal agencies have been incenting healthcare providers to leverage their electronic health records (EHRs) to get patients involved in the management of their care. Most organizations, however, haven’t moved beyond patient engagement as an item to be checked off in order to receive meaningful use incentive funding.

Introduction

Australia's recent launch of the Personally Controlled Electronic Health Record (PCEHR) - a significant step towards establishing a national e-Health infrastructure - has simultaneously provided a boost to shared Electronic Patient Record (EPR) projects and delivered a wake-up call to healthcare providers about their readiness for connected care initiatives. In countries around the world, the era of connected care is here.

Improved Access to Clinical Data Across Hospitals and Systems Helps Pharmaceutical Companies Reduce Delays and the Costs Associated With Bringing New Treatments to Market

Executive Summary