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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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Hello,

I am wondering if there any mechanism available in the Healhtshare where send a request from the service to the operation without storing the Data on CACHE.DAT?

My company going to receive ADT's and CCDA's from an external source (Hospital), The incoming data will have two kinds of patients, our patients, and not our patients. We do not want to keep the data on our servers of those patients that do not belongs to our company due to HIPPA complaint

Looking forward to hearing great ideas from this community.

Thank you

Raghu

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Hi All -

Our environment has multiple instances of HealthShare installed and most are on separate VMs/servers. Does anyone have any ideas on how to efficiently manage user accounts across all of these multiple instances of HealthShare? As you can imagine, creating 10 separate Cache accounts on each instance during onboarding of new associates is cumbersome and tedious as is disabling them. We have yet to integrate with AD but we do have a Cyberark initiative under way but it is in the very early stages.

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Hello,

I am interested in working with a third-party API in my instance of the Community Portal. I was curious as to how you all work with third-party apis. Do you typically connect directly from within a ZEN Mojo Page or do you route the request through an operation in the management portal? Are there any sort of best practices I should be aware of?

Thanks,

Bob

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Suppose I have an image and need to convert that image into a PDF for inclusion in an HL7.

I know that Zen Reports can display an image in a PDF but I do not want to view the image in a web page. I just need to convert the image to PDF in a Process and then include that PDF in an HL7. The workflow would be like this:

Get image -> Convert image into PDF -> Include PDF in HL7 OBX.

I know how to do the last part to include PDF in HL7 OBX. Just need ideas on the first part.

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Hi,

I can't work out how to use the Cache CA Server to process certificate request from external clients!

We are setting up an interface where we use SSL/TLS 'Mutual Authentication' to allow a client system to securely transmit document to our server. (they are off-site and hosting a service for us)

I am not a security expert, but my understanding of setting up mutual authentication where my instance of ensemble is the server, and it is receiving messages from a client is as follows

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Hey all! I'd like to collect some feedback regarding searching for messages using the Message Viewer. I'd like to find out what things regarding the Message Viewer you all in the community have found difficult/confusing/poorly documented. This can of course include things that you don’t know how to do yet, but would like to learn about.

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We are using an F5 load balancer to route public traffic to our IS server. My goal is to block public access to the Management Portal, and only allow what we want to expose, such as REST/SOAP services. At the F5, they can block URL wildcards or specific ports, so those are our options.

Since the URLs for the web services are in the same path ([host]/csp/healthshare/[namespace]/*), I can't see any URL wildcards happening. That leads me to ports; is there a way to put services on a specific port for all services, and everything else stay on a standard web port?

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Question
· Apr 12, 2017
Message Profiling

Hi all,

I was wondering if InterSystems offers any message profiling capabilities. What I mean by "message profiling" is essentially stats or metrics gathered from a collection of data submissions of a particular type. For instance, average number of segments <XYZ> in a specific HL7 V2 message type. Or the number of sections found in a HL7 V3 CDA documents.

Curious if there is anything like this provided "out-of-box".

Thanks!

James

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Hi,

We have a mixture of legacy and new systems, and are grappling with the issue of moving documents between systems.

At the moment we are mostly using file drops and encoding metadata in filenames, but a new supplier (letter transcription) is going to provide a Hl7v2 feed sending MDM^T02 messages with PDF's of letters base64 encoded in the message itself.

We are thinking of asking all our suppliers to go with MDM (or ORU) for sending documents.

I'm interested in the pros and cons of the options; and if there are options I haven't thought of.

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I am looking for a general overview of how you would attach a document to a patient record in healthshare. For instance, an Advance Directive or Living Will.

Here are some starter questions:

  1. What format is required, if any? Can it be a PDF or DOC?
  2. How can/should it be submitted? HL7? XDS.b? Embedded in a CCD?

Sorry for the open endedness. Any info would be helpful while I research this.

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Question
· Mar 2, 2017
TLS Cipher Suite selection

Our client is a test out of 2016.1 (Build 656U) Healthshare that wants to do a one way SSL connection to our Java 1.7/Tomcat 8.0 server. We have yet to come up with a secure cipher set that Healthshare and Java agree on for the handshake. So far we've had to use these ciphers identified which are not recommended (though it does do a handshake properly).

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If your Ensemble environment is actually a HealthShare one, here's a snippet of information that I wasn't able to find in the documentation.

When a namespace is HealthShare-enabled it gets some mappings added to it in order to fetch stuff from the HSLIB database. The most obvious mapping is a package mapping that gives your namespace all the HS.* classes.

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Hello. New to the forum and was hoping I could get some expert help here. I have one data set that is using CHD Logic to combine Procedure and Diagnosis codes to define Sensitive data and flag the record for additional protected filtering. The files coming in define what is flagged and the Clinical Info Rule and Clinical Info Type are tied to the flag in the file which identifies it as a additional protected record.

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I use the HS_IHE_ATNA_Repository.Aggregation table a lot. Someone just referred me to the HS_IHE_ATNA_Repository.Document table, which has an AggregationId column.

I assume that column references the ID column in the .Aggregation table. If so, does this mean that if the same document was requested 1,000 times that there will be 1,000 entries for it in the .Document table? This seems inefficient to me. Why not have one record in the document table and have a DocumentId column in the Aggregation table?

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Hi,

I have Healthshare/Ensemble version 2015.2.1.

I created Business Operation in my ENSDEMO namespace that will connect to an external REST endpoint to send data to this external REST Service.

I also created an http service in Home>Healthshare>Service Registry, under the Service Type: http. I entered the REST endpoint Name, Host, SSL Configuration, and URL.

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I have the following query which tells me how many documents were retrieved for each customer, but it only works for the "on-demand" customers:

SELECT PatientFacility, LEFT(LocalDateTime,7) as Mnth, Count(*)
FROM HS_IHE_ATNA_Repository.Aggregation
WHERE EventType IN ('RecordRequest','RecordRequestBreakGlass')
AND LocalDateTime >= '2016-01-01'
AND LocalDateTime < '2017-01-01'
GROUP BY PatientFacility, LEFT(LocalDateTime,7)
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