#HealthShare

Rather than doing a PnR I can register documents in the XDS.b Registry and store the data elsewhere, such as in the file system.  Upon retrieval, however, how can I fetch it from a non-standard location? For example, a progress note whose body is stored in a SDA3 streamlet?

Keywords: Deep Learning, Grad-CAM, X-Ray, Covid-19, HealthShare, IRIS

Purpose

Over the Easter Weekend I touched on some deep learning classifier for Covid-19 Lungs.  The demo result seems fine, seemingly matching some academic research publications around that time on this topic. But is it really "fine "? 

Recently I happened to listen to an online lunch webinar on "Explainability  in Machine Learning", and Don talked about this classification result at the end of his talk:

The above figure is also presented in this research paper: “Why Should I Trust You?” Explaining the Predictions of

Hi -- at a customer site we have 8 Access Gateways, with a couple of different load balancers that decide which projects go to which subset of AGs.

We're about to go live with a project that uses a subscription, and we have that subscription pointing to one of the AGs.  What if that AG goes down?  The project is dead until the AG is back up.  The subscription forces us to pick an AG that's registered in the Gateway Registry -- I don't see a way to get a cluster or load balancer address in there.

Has anyone found a way around this?  This is a critical interface, and soon we'll be going live w

Does anyone use EnsLib.ITK.DTS.Framework.Operation.DTSTransferFile ? and how id you manage the transition to MESH?

I just noticed this PR from 2011

https://www.intersystems.com/news-events/news/news-item/itk-2-0-0-compliance-for-intersystems-ensemble-makes-it-easier-and-cheaper-for-nhs-trusts-to-exchange-information/

which led me to this class EnsLib.ITK.DTS.Framework.Operation.DTSTransferFile 

Given this was 2011, and DTS (now called MESH) is widely used by GP practices , I'm hoping someone in the community used this class?

If so - how did you manage the transition to MESH in Jan-2017?

Hi,

I am looking foi an API to retrieve one namespace´s default web application name. We have use some code to setup links to event log/mesage trace for monitoring emails. In perticular we did this with ensemble where the default csp webapplication name always is something like csp/<namespace/. Anyway when it comes to a healthshare installation the default path seems to be csp/healthshare/<namespace>.

To have an easy solution working for an ensemble and healthshare environment I rather like to use an API instead of evaluationg the kind of installation and then hardcoding the links to use. Is the

HealthShare 2020.1 is now Generally Available!

The 2020.1 release has many exciting features including:

• Support for HL7® FHIR® Release 4, including mapping of InterSystems SDA to FHIR R4
• North American customers can access to the CommonWell® health data network, including integration with the HealthShare Unified Care Record and Clinical Viewer
• New Clinical Viewer enhancements, including configurations to display icons and specific filtered views for COVID-19 testing status
• Clinical Viewer audits showing when a user accessed a patient’s information
• Separate kits for Unified Care Record

I am developing a BPL with a delay process. 

The problem I have is when a message is delayed I cannot see a job id so whilst a job is in halt status I cannot see how i can then cancel the message? It obviously doesn't show up in queues as it isn't active either. 

Am i missing something?

I want to check the SDA to see if a patient had two diagnosis on the same day using a Detail Filter in Push. What is the best way to approach this?

On one HealthShare servers (RH Linux, 2017.1.1), I am not able to login to Studio for this server. When I select the server connection from the notification tray icon, choosing Remote System Access, Studio, then the server, the error I getting is:

Unable to log on to server {Server Name}

Communication link failure

I've tried using both DNS name and IP address, same result. Using Atelier, I am able to connect to the server using the same DNS name and Web Server Port that I'm trying in Studio.

I'm looking for any codes that match my parameter that we have received since 1/01/2020 based on the FromTime, EnteredOn or Status (if both are empty).

(Problem[Problem/Code='%1' and FromTime>"2020-01-01"]) | (Problem[Problem/Code='%1' and (count(FromTime)=0 or FromTime="") and EnteredOn>"2020-01-01"]) 
| (Problem[Problem/Code='%1' and (count(FromTime)=0 or FromTime="") and (count(EnteredOn)=0 or EnteredOn="") and Status/Description="Active"])

This works like a charm with standard XPATH query tools but HS does not like it.

Dear HealthShare Customer:

This post is part of the HealthShare HS2020-04 Alert communications process.  The same information is also distributed:

• By Email
• On the Product Alerts & Advisories page
• On the WRC Distribution Page InterSystems Documents

There are 3 alerts in the HealthShare HS2020-04 Alert communication, including the previously posted "Alert: Possible Data Integrity Issues after Adding Mirrored Database"  The Alert Summary is in the table below, and the detail is contained in the attached document: HS2020-04-Communication

Hi,

I'm using Operating System authentication and I need to give permission on Healthshare to allow a user to run only this two commands 

##Class(Backup.General).ExternalFreeze()

and

##Class(Backup.General).ExternalThaw()

This user is gonna be use to backup only.

There are any role on HealthShare for this?

InterSystems has corrected a defect that can result in data integrity issues on systems using mirroring.

This defect affects:

• All currently released versions of InterSystems IRIS and IRIS for Health, except 2020.1
• Caché and Ensemble versions beginning with 2011.1.1
• All HealthShare products based on the above Data Platforms versions

This defect is more likely to be encountered in IRIS and IRIS for Health 2019.4. It is highly unlikely to have occurred on deployed systems running any other version.

The issue can only occur in a situation that meets all of the following conditions:

1. A database

A releases are now published for the 2020.1 version of HealthShare Health Connect!

Kits and Container images are available via the WRC's WRC Software Distribution site.

The build number for these releases is 2020.1.0.215.0.

HealthShare Health Connect 2020.1  has many new capabilities including:

• Healthcare Interoperability
  
  • FHIR R4 Support
  • HL7 Productivity Tools
• API Management
  
  • InterSystems API Manager
  • Open API/Swagger Specification-First REST Development
• New Look in the Management Portal
• SQL Enhancements
  
  • Universal Query Cache
• Interoperability Production Enhancements

Here's what I'm trying to accomplish

I have a directory of CCDAs and files with basic demographic info.

I'd like to generate an outbound Provide and Register request by building the SOAP envelope (using the demographics data) and adding the CCDA as the document.

Which Operations / Components can I utilize for this?

Is there is a good starting point in the documentation I can use?

If anyone knows which specific Operations/Components I should use please let me know.

Thanks

Starting in March 2020, Microsoft plans to release a series of security updates that will cause Windows Active Directory (AD) servers to reject unencrypted simple binds. For more details on the changes to Active Directory, see Microsoft’s Security Advisory ADV190023.

Instances of all InterSystems products using LDAP with Windows AD servers for user login can be impacted if they are not already properly configured to use TLS/SSL. The impact is not limited to instances running on Windows versions. The potential impact exists whether instances perform LDAP authentication directly or via the Dele

Dear HealthShare Customer:

This post is part of the HealthShare HS2020-03 Alert communications process.  The same information is also distributed:

• By Email
• On the Product Alerts & Advisories page
• On the WRC Distribution Page InterSystems Documents

There are 7 alerts in the HealthShare HS2020-03 Alert communication, including the previously posted "March 25, 2020 Alert: Possible Data Integrity Issues after Compaction or Defragmentation."  The summary is in the table below, and the detail is contained in the attached document: HealthShare HS2020-03.

InterSystems has corrected two defects that, in rare circumstances, can result in data integrity corruption after running global compaction, database compaction, or database defragmentation. InterSystems recommends avoiding these utilities until after applying the corrections listed below.

1. The first defect is caused by database compaction, defragmentation, or global compaction, and can result in database corruption. If you have used one of these utilities on a database, InterSystems recommends that you perform an integrity check on it. This will identify any data corruption that has occurre

This message contains three recent HealthShare Advisories, which are available below.

These advisories are also on the InterSystems Product Alerts and Advisories page

• Advisory: Patient data is missing in the HSAA.PatientNumber table
• Advisory: The UpdatePlan for all cubes and cube groups is set to be Manual instead of BuildSynch
• Advisory: Slow DELETE query during Health Insight data ingestion

GraphQL is a standard for declaring data structures and methods of data access that serves as a middleware layer between the client and the server. If you’ve never heard about GraphQL, here is a couple of useful online resources: here, here and here.

In this article, I will tell you how you can use GraphQL in your projects based on InterSystems technologies.

I am using the SOAP Wizard in Studio to try to read in a WSDL file that is physically on our HealthShare server.    I keep getting the same error:

As I am not trying to connect via HTTP ( and I don't see anywhere to add an SSL connection), I am not sure what I am doing wrong.

Any suggestions & solutions gratefully accepted.

Hi,

I was wondering if there were any guides, similar to the ones for an upgrade, that walkthrough at a high/medium level the process for migrating an Ensemble Instance.

I am presuming that the general flow would be to install a fresh instance in the target environment, and migrate items over.. but any specific order? gotchas? things to avoid? Some things that should/shouldn't be im/exported (ie, must be manually migrated) ?

Doing some googling I found this page, and i have confirmed I don't need Endian xlation or DB Extent conversion.

We're going from Windows -> Windows , physical to VM (

Does anyone have an anonymize script for SDA?

Has anyone tried using the TCPKeepAlive function?  I've been reading the documentation on this and it might be what I need to use.  Any examples of how this is being used?  thanks!

Hi,

I want to know if anyone tried calling a CDS service from Healthshare/Ensemble. Will that be similar to any other API or is there anything different in constructing CDS Hooks and consuming the CDS Cards received in the response? 

This message contains five recent HealthShare Advisories, which are available below.

These advisories are also on the InterSystems Product Alerts and Advisories page

• Advisory: Gap in medications display if generic names not included
• Advisory: Updated the Clinical Viewer so that silent encounters do not display
• Advisory: Corrected gap in custom lab charts not displaying all results in Clinical Viewer
• Advisory: Residual Locks on Late Update
• Advisory: Incorrect HealthShare Mirror Upgrade Documentation could lead to Data Integrity issues

If you have any questions regarding these advisor

InterSystems and Intel recently conducted a series of benchmarks combining InterSystems IRIS with 2nd Generation Intel® Xeon® Scalable Processors, also known as “Cascade Lake”, and Intel® Optane™ DC Persistent Memory (DCPMM). The goals of these benchmarks are to demonstrate the performance and scalability capabilities of InterSystems IRIS with Intel’s latest server technologies in various workload settings and server configurations. Along with various benchmark results, three different use-cases of Intel DCPMM with InterSystems IRIS are provided in this report.

Hello,

we are trying to figure out if there's a way to create a SOAP Envelope by using SOAP classes.

Right now we use a string to define the envelope element.

The string looks like :

Hello, 

I have a class I'm working on that is extending a base class that contains the %GetComponentByID method and a section of the new code I'm writing uses %GetComponentByID but when I attempt to compile the class I'm getting an error that says the method doesn't exist. 

Am I missing something to be able to include the GetComponent method in an extended class? 

Hello All,

I am able to transmit a small batch of billing files: B/W 5 and 20 without issue- 
Put stream 11@%IO.LibraryStream to /SFTP/unmhsmcsa/OUT/TEST_021920201426.tst  

But when the size of the batch increases to over 20 the operation hangs and I receive the error below:   The file is created in the SFTP server with 0 data.

ERROR <Ens>ErrFTPPutFailed: FTP: Failed to Put file 'TEST_022020201014.tst'
(msg='Error in SFTP Put('/healthshare/db/mgr/Temp/H8XaLoZgkYFkNQ.sftp','/SFTP/unmhsmcsa/OUT/TEST_022020201014.tst') ERROR #7500: SSH Put Error '-2146430933': SSH Error [8010102B]: channel read