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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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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.

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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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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.

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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.

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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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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.

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InterSystems FAQ rubric

There is no need to recompile the routines after the version upgrade, but since the version update overwrites %SYS, user-created INT and OBJ format routines (*.INT,*.OBJ) in %SYS will be deleted. Therefore, you need to be careful.

MAC, INT and OBJ routines with the following names are not deleted.

%Z*.INT, %z*.INT, Z*.INT,z*.INT
%Z*.OBJ, %z*.OBJ, Z*.OBJ,z*.OBJ

Please note that classes/CSPs need to be compiled after upgrading.

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Goals of the project

North Shore-LIJ is a health system serving the needs of over seven million people through 17 hospitals, 400 ambulatory practices, and three skilled nursing facilities as well as home and hospice care. Our healthcare system, including its CareConnect insurance company, is at the forefront of payment reform and population health management.

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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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Strategic interoperability —The key to connected care

Introduction

The aging population and increasing incidence of chronic diseases are putting unmanageable pressures on healthcare services, not just in Europe, but worldwide. The current models of healthcare are unsustainable in the face of increased demand for services and rising costs. This was evident even before the financial crisis led to severe cuts in healthcare budgets in many countries.

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Introduction

In healthcare, information accessibility can impact the outcome of a medical decision, or the success of a bundled payment initiative. To ensure that the right information is available at the right place and time, healthcare organizations typically have used HL7® interface engines to share data among clinical applications. But the demands on healthcare information technology are changing so rapidly that these simple engines are no longer sufficient.

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Strategic Interoperability

Executive Overview

This white paper discusses the critical requirements for the U.S. Departments of Defense (DoD) and Veterans Affairs (VA) to share Service members’ medical records – including real-time access to a complete composite health record – and it proposes an immediate solution via implementation of a health informatics platform. This approach will provide significant and clearly visible results in a matter of months, while positioning the Departments for strategic improvements in the years ahead.

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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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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.

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Article
· Jan 21 1m read
Debugging a crashing container

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:

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Introduction

As healthcare providers face increasing pressures to lower costs and reduce readmissions, they're rapidly shifting towards accountable?care organizations (ACOs) and other coordinated, quality-based reimbursement systems. However, most providers have historically?organized their data and workflows in ways that best fi t the fee-for-service payment model. Now that so many providers are sharing?risks and rewards, they must also share and coordinate information by adopting more streamlined health information technology?solutions.

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