Article
· Apr 25, 2023 12m read
Configuring Mirror in Docker

A common need for our customers is to configure both HealthShare HealthConnect and IRIS in high availability mode.

It's common for other integration engines on the market to be advertised as having "high availability" configurations, but that's not really true. In general, these solutions work with external databases and therefore, if these are not configured in high availability, when a database crash occurs or the connection to it is lost, the entire integration tool it becomes unusable.

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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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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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Artificial intelligence has solved countless human challenges – and medical coding might be next.
As organizations prepare for ICD-11, medical coding is about to become more complicated. Healthcare organizations in the United States already manage 140,000+ codes in ICD-10. With ICD-11, that number will rise.
Some propose artificial intelligence as a solution. AI could aid computer-based medical coding systems, identifying errors, enhancing patient care, and optimizing revenue cycles, among other benefits.

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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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Keywords: Jupyter Notebook, Tensorflow GPU, Keras, Deep Learning, MLP, and HealthShare

1. Purpose and Objectives

In previous"Part I" we have set up a deep learning demo environment. In this "Part II" we will test what we could do with it.

Many people at my age had started with the classic MLP (Multi-Layer Perceptron) model. It is intuitive hence conceptually easier to start with.

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Schematron is a rule-based validation language for making assertions about the presence or absence of certain patterns in XML documents. A schematron refers to a collection of one or more rules containing tests. Schematrons are written in a form of XML, making them relatively easy for everyone, even non-programmers, to inspect, understand, and write

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Article
· Aug 31, 2023 5m read
PDF Compression Using Ghostscript

Introduction.

Have you ever felt like your PDF files take up too much space on your server? As you collect more and more of these files, you might run into storage issues that can be costly to solve. But what if there was a way to shrink the size of these PDFs by 50% to 70% without compromising the document's visual clarity.

Today, we're going to explore a solution for this problem that I really like: GhostScript.

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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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I was searching for the most simple way to connect from visual studio code to my local instance via terminal without having to change any window.

I know this can also be achieved via telnet but seems a bit overhead if you're in your local machine.

For me the simplest sollution is to open a terminal window in VS Code, navigate to the /bin folder of your instance installation and run .\csession.exe INSTANCENAME

For simplicity you can just include your /bin folder in your path so you don't even need to navigate there

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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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I needed to pass through a file with Ensemble but the operation wasn't writing some filenames as given because the EnsLib.File.PassthroughOperation 'sanitizes' filenames removing characters that are not valid on some operating
systems;
09000655_AEDC_C3344059_A/E_Martin Browne_09000655_201706221018.pdf
09000655_AEDC_C3344059_A#47E_Martin_Browne_09000655_201706221018.pdf

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After upgrading an Information Exchange/HealthShare instance that has a registry namespace, you may notice that the Caché audit log gets filled with frequent login failures by the HS_Services user (check this by going to Management Portal > System Administration > Security > Auditing > View Audit Database). Clicking the “details” shows event data like:

Error message: Access Denied
CSP Application: /csp/healthshare/hsregistry
Authentication: Delegated
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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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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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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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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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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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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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Information Sharing Enables Health Plans to Leverage Data and Analytical Assets to Deliver Sustained Value

Executive Summary

The shared-risk payment models that are central to health reform all require tight coordination among payers, providers, and patients if they are to succeed. As payers and providers enter into more and more such agreements, they need to enhance success by communicating and collaborating more effectively with their partners and actively engaging, supporting, and empowering their members.

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