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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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Article
· Mar 2 4m read
Tutorial - Streams in Pieces

This tutorial is a follow on to Working with %Query
It was displaying the content of the input stream chopped in fixed-size chunks.
But often those streams are structured and have well-defined separators (e.g HL7)
So as a side subject of this tutorial, this chapter shows how to break a stream into PIECES.

It is exactly the same idea as the $PIECE() function for strings with some add-ons.

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Article
· Nov 29, 2022 6m read
What's HL7v2?!

HL7 (Health Level 7) is a set of technical specifications for computerized exchanges of clinical, financial and administrative data between hospital information systems (HIS). These specifications are variously integrated into the corpus of formal American (ANSI) and international (ISO) standards.

The L7 of HL7 indicates that it is a standard that operates at layer 7, in other words at the application layer, of the OSI model. This means that HL7 does not have to take into account exchange security considerations, or those of message transport (this being ensured by lower-level layers such as SSL/TLS for security or TCP for the transport of data for example). To be more precise, layer 7 supports communications for end-user processes and applications and the presentation of data for user-facing software applications. As the highest layer of the OSI model, and the closest to the end user, layer 7 provides application-specific functions such as identifying communication partners and the quality of service between them, determining resource availability, considering privacy and user authentication, and synchronizing communication, as well as connecting the application to the lower levels of the OSI model.

Returning to the HL7 standard, the HL7 version 2 standard (also known as Pipehat) was originally created in 1989 but is still being used and updated regularly, resulting in versions 2.1, 2.2, 2.3, 2.3.1, 2.4, 2.5, 2.5.1, 2.6, 2.7, 2.7.1, 2.8, 2.8.1, 2.8.2 and 2.9. The v2.x standards are backward compatible (e.g., a message based on version 2.3 will be understood by an application that supports version 2.6) and in higher versions, you will see some fields are left just for it.

Despite it being more than 30 years old, HL7v2 remains the most widely used healthcare interface standard by a large margin according to the HL7.org portal that tells that:

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Updated Jan 19th, 2023.

Hi all,

I want to share a quick little method you can use to enable ssl with a self signed certificate on your local development instance of IRIS/HealthShare. This enables you to test https-specific features such as OAuth without a huge lift.

1. Install OpenSSL

Windows     : Download from https://www.openssl.org or other built OpenSSL Binary. 

Debian Linux: $ sudo apt-get -y install openssl

RHEL        : $ sudo yum install openssl
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Article
· Sep 11, 2021 2m read
Successful Troubleshooting

During the last weeks, I was working on various issues and problems related to SW development.
I found that quite often problem analysis was mostly chasing issues just on the surface
but not really attacking the deeper reasons of the problem and follow the consequences.
It's like the doc that stops your leg bleeding but doesn't see that it is broken.

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In the previous article, we've discussed the origin of the standard HL7v2, the structure and the types of messages. Let's now look at one of the most used types of messages and an example of its structure. I'm talking about ADT.

HL7 ADT messages (Admit, Discharge, Transfer) are used to communicate basic patient information, visit information and patient state at a healthcare facility. ADT messages are one of the most widely-used and high volume HL7 message types, as it provides information for many trigger events including patient admissions, registrations, cancellations, updates, discharges, patient data merges, etc.

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The title of the contest subject is not quite precise but addresses the %Library.classes involved.
What is meant is officially named Class Query and is dating back to the early days of Caché.
CLASS is used because it is embedded in a COS class.
Though there is a precise description in the official documentation it remains rather abstract.
My tutorial should guide you step-by-step through a simple example in COS to make it tangible to you

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My previous article introduced you to SQL based Basic Class Query
where a clever wizard created all the required code for you and your essential
contribution was an SQL statement.

Now we enter the real Custom Class Query that provides more freedom but
requires a deeper understanding of the mechanic behind the scene.
The full code example is again on GitHub

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Because I had no idea how to build an integration solution for HL7 and didn't know where to start, I decided to follow the course Building Basic HL7 Integrations with InterSystems on Learning portal to get at least the idea of where to begin. After I studied all of it, I decided it might be a good idea to share my thoughts and reflections about it with everyone.

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When creating custom Business Hosts, it's often necessary to add properties to the class for additional settings that will be used in the initialization or operation of the host. The property name itself isn't always very descriptive, so it's an advantage to have a custom caption display with the field.

In Caché, it was fairly straightforward:

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The new production component driver for Deltanji enables highly granular management of InterSystems Interoperability Productions with tight integration into the management portal. We presented it at the InterSystems UK&I summit this week and it received a great reception. 

It solves the current pain-point of Interoperability Productions being defined in a single monolithic class definition. Deltanji source control increases the granularity with which items can be managed. Instead of versioning a single class definition containing all the configuration items, this new component driver allows individual configuration items to be managed separately. Each configuration item has its own versioning and revision history and can be checked-out, checked-in, and deployed independently of any other items in the same Production.

Because each configuration item within a production class is managed by Deltanji as a first-class component in its own right, Deltanji provides all the source control, versioning, and workflow capabilities that it provides for any other component.

Watch the below clip to see it in action. 

 

We'll be talking about this new feature in more detail at our User Group Session on November 3rd at 3pm (GMT). Register your attendance on Eventbrite here - https://bit.ly/3yqzfvS

To find out more about Deltanji, visit our website georgejames.com or drop us an email info@georgejames.com 

Open Exchange app
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Good morning, evening, night,... wink

A small reflection/question for today... it's true that new IRIS for Health (I4H) releases are more and more powerful each time regarding FHIR capabilities. Nowadays it allows us to consume FHIR resources with extrem easiness, we can connect with end-points in external FHIR servers very easily and make I4H act as passthrough or consume their resources... or, even more, we can define, configure and run a FHIR repository in, literally, less than 5 minutes.

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With the world (as well as our own technology) moving to the cloud at such a fast pace it is easy (at least for myself) to get caught up in the little details. One thing I, and some clients of ours, had run into a couple of times was the necessity to specify the version of the images one plans to use with the IKO.

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This is more for my memory that anything else but I thought I'd share it because it often comes up in comments, but is not in the InterSystems documentation.

There is a wonderful utility called ^REDEBUG that increases the level of logging going into mgr\cconsole.log.

You activate it by

a) start terminal/login

b) zn "%SYS"

c) do ^REDEBUG

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I already talked about GraphQL and the ways of using it in this article. Now I am going to tell you about the tasks I was facing and the results that I managed to achieve in the process of implementing GraphQL for InterSystems platforms.

What this article is about

  • Generation of an AST for a GraphQL request and its validation
  • Generation of documentation
  • Generation of a response in the JSON format
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Hello CCR Community,

InterSystems Certification is developing a certification exam for CCR and, if you match the exam candidate description given below, we would like you to beta test the exam. We anticipate the exam being available for beta testing on February 7, 2022, but interested beta testers should sign up now by emailing certification@intersystems.com. The beta testing must be completed by March 31, 2022.

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Overview

We often run into connectivity problems with HealthShare (HS) deployments in Microsoft Azure that have multiple HealthShare components (instances or namespaces) installed on the same VM, especially when needing to communicate to other HS components while using the Azure Load Balancer (ILB) to provide mirror VIP functionality. Details on how and why a load balancer is used with database mirroring can be found this community article.

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