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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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Question
· Aug 9, 2016
Storage Management

We want to isolate the storage of our CCDAs from our HL7 V2 data, but keep them under the same namespace. From my understanding, I should create a new database then store those classes related to CCDAs in that database. Is this the correct approach?

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Hello guys,

One thing keeps annoying me and I'm pretty sure it does many other people (my workmates as well, lol): every time I access the 'Message Viewer' screen, the 'Time Format' come with 'Time only' as a default. Can I make 'Complete' as the default value for it?

Thanks!

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Hello,

How to get XML subtree from XPATH.DOMResult object as Stream or CacheString.

Here is my classmethod. My system receives XML message which has nested structures. The requirement is to send one message at a time to the destination. I have created the XPATH document and used EvaluateExpression method and which returns XML.XPATH.Result of type DOM. I am able to read the dom and get value of the element and its text. But I am looking to send back the subtree.

Code:

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I am trying to find the presentation for the User Group Sessions that were given at Global Summit last week. In particular the Healthshare Provider Directory presentation, so I can share the ideas with others at my organization. Does anyone know where I can find those? I am not seeing them under the Global Summit tag.

Thanks

Scott Roth

The Ohio State University Wexner Medical Center

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We have multiple implementations spanning many namespaces and edges. I would like to see if I could identify a single place, perhaps on HSREGISTRY or HSBUS, that I could capture certain events like searches (from all customers) and record transfers (with requester and provider).

The goal is to have a dashboard that would show simple stats such as searches by participant, records shared by participant and records consumed by participant. These are the 3 most important.

I appreciated the feedback on the other question of "how" but now I'm hoping to find the "Where".

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In the HL7 Annotations available in the Management Portal, at the message type and message structure levels, there are columns for 'Explicit Usage' and 'Implicit Usage'. In nearly all cases, the values in these two columns match, but at least for message types RAS and RGR, they don't.

What's the meaning of explicit and implicit in the annotations?

Thanks,
Liz

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If I wanted to build a web-based dashboard that monitored various HIE transactions where would I start?

Examples of measures would be Provide & Registers by Facility, Patient Views by facility or even PHR related data.

I have a successful POC that uses nodejs, html and SQL but I think it makes more sense to use Intersystems technology all the way around, I just don't know where to begin.

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Hi,

I am trying to use data transformation (DTL) to map a JSON to SDA. My elements in the source JSON is not one to one with SDA object. That means I have to add code to loop through these objects in order to complete the mapping. Can someone send me a sample that can look to create that? I am not very comfortable with scripting language used in Health Share. Appreciate your help.

Regards

Joseph

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Hi ,

In HSBUS we have out of box operation HS.IHE.XDSb.Repository.Operations to route CCD's from HSBUS to Edge gateway.

Earlier it was working fine, but for maintenance we have to rest the DEV environment, Now its throwing below error. I have verified all registry configuration and the CCD feed is also same, nothing is changed except reset. Can someone help me, where to look for this problem or what I am missing here.

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We are receiving XML documents and storing them. When we click to go into the clinician portal and again to view a patient, we can see the documents but none of the data is mapped to their respective buckets, i.e. allergies or medications.

I am thinking that I need to build an XSLT parser and change the format to SDA3, is this an appropriate approach? Or would using the Data Transformation (Ensemble -> Build -> Data Transformation) be a better idea? Lastly, if the XSLT idea is preferred, where would I call it within the stack?

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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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Presenter: Matt Spielman
Task: Use the FHIR standard with HealthShare-based solutions
Approach: Provide an overview of how HealthShare will support the evolving FHIR

The next major release of HealthShare will be the first version to support the emerging HL7 FHIR standard. This presentation will discuss InterSystems’ involvement with the FHIR standard, detail the new FHIR functionality, and review our long term plans for FHIR in the HealthShare platform.

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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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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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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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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Presenter: Alex MacLeod
Task: Use Personal Community to build fully responsive and mobile-compatible portals
Approach: Demonstrate the new release of Personal Community. Provide a behind-the-scenes look at the new application development framework used to build it.

The new release of Personal Community v11 is now fully responsive and mobile compatible. It uses a new framework for development. In this session, we will give a functional overview of Personal Community, demo the new release and give a look behind the scenes into the application development framework used.

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: 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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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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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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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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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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