#HealthShare

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".  

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

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.

CSP for the web piece I assume?  How would I access the data, for instance all P&R requests on the BUS?  Any other tips or starting points?  Maybe examples of a similar project?

We do not have a DeepSee license

Hi,

I am looking for a mapping from SDA collections to the HS Analytics (HSAA) data model. Specifically HS.SDA3.Container.Observations to the tables (Couldn't find all the fields in HSAA.Observation). Can someone help? Thanks

Regards

Joseph Thottungal

Learn about the creation and configuration of the HealthShare Business Services and Business Operations used to support the receipt and re-transmission of HL7 messages.

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

I was planning to fully map out all the transforms that incoming CCDs go through before they are displayed in the Clinical Viewer or sent back to another facility.  When I opened the XSL files, I see some very good comments like the following:

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.

I have a tool I absolutely love for HL7 v2 analysis and manipulation. It's called 7edit.  I'm wondering if there is anything similar for HL7v3/CDA/CCD.  I know it is considerably more complex, but I still have hope.

So far the best resource I've found is http://www.cdapro.com/.  I'd love to hear anyone else's tips for tools or resources.

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?

Learn the basics about HealthShare Information Exchange, the architecture and common ways it is used.

During the Unconfernce and Sessions during the Global Summit several folks had questions and wanted to see how Ohio State setup our Managed Alerts.  Attached is an export I did along with Documentation I had given to our group here at OSU for Managed Alerts.

Getting around to wrapping up a short tour in Professional Playtime, I wanted to share my experience at the HIMSS FHIR Connectathon I participated in out in Indy in April.

A quick note about the venue, aside from the sponsors, and those who put this thing on... great job.  The venue was amazing, hosted by/at the beautiful campus of Eskenazi Health and in a city that really gave a damn about innovations in our space.  The food was great, the caffeine was continual, and was even rescued by the great host Brian Norris

Learn how to start troubleshooting productions.

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.

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.

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.

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.

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.

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.

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.

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.

This will be a stretch to be useful, but it was sorta fun.  If you just so happen to have a use case to make your HealthShare productions talk to a Slack channel, this is the Business Operation for you.

In Slack, it is a dead simple process to enable an incoming web hook:

• Name It
• Give it an Icon or Emoji
• Declare a Channel to Interact With

One you supplies those, it spits out a URL that you can go to town posting to your channel using that endpoint.

Have you ever needed to find a record for a particular person in your inbound data stream?  

Searching messages will enable you to find messages using an array of search capabilities.

We have a situation where we want to detect and ignore documents/records at the earliest possible point based on certain criteria.  We have an existing "CDA Preprocessor" in the workflow which is an XSL transform.  This is what our contractors are planning to utilize to "filter" these documents.  This doesn't really make sense to me.  I see XSLT as a way to manipulate the contents of a document and filter certain peices of data.  In my brain, I would use an Ensemble business rule to detect the criteria and route the document as necessary.

Does anyone have any input on this?

Hi all,

I was wondering, what is your favourite public cloud provider?

What is your level of engagement with the cloud provider? Are you testing their infrastructure? In which case I'd expect you being progressing a parallel test with at least a second provider ;-) Or, are you already running a production environment?

--

OK, so, let me be the first one to share my experience with one specific cloud provider.

Are you going to be building an integration with Ensemble or HealthShare? Take the following course to learn about the core architecture in building an integration, the parts and pieces involved and the most common ways that data flows through that architecture.

Executive Summary

InterSystems HealthShareÆ and InterSystems EnsembleÆ both provide a rapid integration and development platform with built-in capabilities for the high-speed processing of HL7 messages. For the purposes of HL7 v2 message routing the two products are equivalent in performance. For brevity, this document will just say Ensemble in many places but it should be taken to apply equally to both products.

We have recently completed a performance and scalability benchmark of Ensemble version 2015.1, focusing on HL7 version 2 messaging.

Featuring the results of the HIMSS Analytics Interoperability Study

Introduction

Interoperability - the ability of health information systems to exchange, transform and interpret shared data across multiple systems and devices, and across organizational boundaries, in order to advance the health status of, and the effective delivery of healthcare for, individuals and communities - gained widespread attention in the United States when President Bush called for interoperable electronic health records (EHRs) in his 2004 State of the Union Address.