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#Interoperability

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In healthcare, interoperability is the ability of different information technology systems and software applications to communicate, exchange data, and use the information that has been exchanged.

Contestant

Using embedded Python while building your InterSystems-based solution can add very powerful and deep capabilities to your toolbox.

I'd like to share one sample use-case I encountered - enabling a CDC (Change Data Capture) for a mongoDB Collection - capturing those changes, digesting them through an Interoperability flow, and eventually updating an EMR via a REST API.

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Your Mission

Let's pretend for a moment that you're an international action spy who's dedicated your life to keeping the people of the world safe from danger. You recieve the following mission:

Good day, Agent IRIS,

We're sorry for interrupting your vacation in the Bahamas, but we just received word from our London agent that a "time bomb" is set to detonate in a highly populated area in Los Angeles. Our sources say that the "time bomb" is set to trigger at 3:14 PM this afternoon.

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Contestant

Hello everyone

For those interested, here is an implementation example I used in one of my projects to interoperate with MongoDB using the pymongo package.

iris-mongodb

Interoperates with MongoDB (via pymongo package) with InterSystems IRIS (including outbound adapter)

Remember to import pymongo package.

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image

Hi Community,

In this article, I will introduce my application iris-HL7v2Gen .

IRIS-HL7v2Gen is a CSP application that facilitates the dynamic generation of HL7 test messages. This process is essential for testing, debugging, and integrating healthcare data systems. The application allows users to generate a wide variety of HL7 message types, validate their structure against HL7 specifications, explore the message hierarchy, and transmit messages over TCP/IP to production systems. These features are particularly useful in settings where compliance with HL7 standards is mandatory for interoperability between different healthcare organizations or systems.


Application Features

  • Dynamic HL7 Message Generation: Instantly create HL7 messages for a range of message types, facilitating comprehensive testing.
  • Message Structure Exploration: Visualize the structure of generated messages based on HL7 specifications.
  • Value Set Visualization View predefined sets of allowable coded values for specific fields.
  • Message Validation: Validate messages against HL7 standards to ensure compliance.
  • TCP/IP Communication: Easily transmit messages to production using TCP/IP settings.
  • Broad Message Type Support: Supports 184 different HL7 message types, ensuring versatility for various healthcare integration needs.
  • ClassMethod: Generate a Test Message by Invoking a Class Method
  • Version Support: Currently Supports HL7 Version 2.5

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Contestant

One of the challenges of creating a DICOM message is how to implement putting data in the correct place. Part of it is by inserting the data in the specific DICOM tags, while the other is to insert binary data such as a picture - In this article I will explain both.

To create a DICOM message, you can either use the EnsLib.DICOM.File class (to create a DICOM file) or the EnsLib.DICOM.Document class (to create a message that can be sent to PACS directly). In either case, the SetValueAt method will allow you to add your data to the DICOM tags.

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Contestant

For my hundredth article on the Developer Community, I wanted to present something practical, so here's a comprehensive implementation of the GPG Interoperability Adapter for InterSystems IRIS.

Every so often, I would encounter a request for some GPG support, so I had several code samples written for a while, and I thought to combine all of them and add missing GPG functionality for a fairly complete coverage. That said, this Business Operation primarily covers data actions, skipping management actions such as key generation, export, and retrieval as they are usually one-off and performed manually anyways. However, this implementation does support key imports for obvious reasons. Well, let's get into it.

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Contestant

Interoperability of systems ensures smooth workflow and management of data in today's connected digital world. InterSystems IRIS extends interoperability a notch higher with its Embedded Python feature, which lets developers seamlessly integrate Python scripts into the IRIS components, like services, operations, and custom functions.

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Contestant

Learning LLM Magic

The world of Generative AI has been pretty inescapable for a while, commercial models running on paid Cloud instances are everywhere. With your data stored securely on-prem in IRIS, it might seem daunting to start getting the benefit of experimentation with Large Language Models without having to navigate a minefield of Governance and rapidly evolving API documentation. If only there was a way to bring an LLM to IRIS, preferably in a very small code footprint....

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It's been a while since I've posted about Embedded Git on the Developer Community, and I'd like to provide an update on the massive amount of work we've done this year and where we're going next.

Context

If you're building solutions on IRIS and want to use Git, that's great! Just use VSCode with a local git repo and push your changes out to the server - it's that easy.

But what if:

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Contestant

The ability to resend messages easily has always been a strong feature of our Interoperability capabilities.

With v2024.3 coming out soon (available already now as Developer Preview) out already we've made this even easier!

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When building a bundle from legacy data, I (and others) wanted to be able to control whether or not the resources were generated with a FHIR Request Method of PUT instead of the hard coded POST. I have extended the two classes responsible for transforming SDA to FHIR in an Interoperability Production to accomodate a setting that lets the user control the Request Method.

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Is there a way to create and establish DICOM Association with Extended Negotiation?

I have implemented DICOM Query/Retrieve C-FIND, using EnsLib.DICOM.Operation.TCP and EnsLib.DICOM.Process base classes. My application, acting as an SCU, needs to query by Study Date-Time (combined date-time matching) range with timezone query adjustment. For this, I need to use Extended Negotiation.

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Hello,
Please, we would need your help 🙂:

In a development environment, we have added quite a few presentation contexts to the DICOM configurations (the associations). We would need to find a way to export them from this environment to make it easier for us to import them in PRO (and avoid doing it by hand one by one).

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Hi Community,

OpenAPI-Client Gen has just released, this is an application to create an IRIS Interoperability Production client from Swagger 2.0 specification.

Instead of the existing tool ^%REST that creates a server-side REST application, OpenAPI-Client Gen creates a complete REST Interoperability Production client template.

Install by ZPM:

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I have been walking through this with a few team members and as such I thought there might be others out there who could use it, especially if you work with HL7 & Ensemble/HealthConnect/HealthShare and never venture out past the Interoperability section.

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I was working on a DTL but kept getting ERROR #5002... MAXSTRING errors. The problem was that most of the DTL GUI action steps only support the string data type when working with the segments. A %String has a limit of 3,641,144 characters and my OBX5.1 was 5,242,952 characters long as the example provided. Of course PACS admin stated ultra high quality up to and including 4K resolution files were needed, so we could not get the vendor to compress or reformat these files to compressed jpg or something similar.

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In the past, I've created custom SQL operations, but now I had something trivial to do, so I decided to take EnsLib.SQL.Operation.GenericOperation out for a spin. There's no example in the docs, so it was a little tricky. Here's what I ended up doing:

In my external database, I have 'mytable' with two fields 'id1' and 'id2'. Here are the pertinent Business Operation settings:

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Hi Team, we are going to deliver a speech on a developer forum where most developers hv not used our tech before but using other database and integration technologies , Pls give us some key points on why they should adopt us and the benefits you can get, especially if you change your tech stack from others to IRIS. Thanks a lot!

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Is there a difference in outcome between the two screengrabs below?

In both cases, when certain conditions are met, a transformation is called and the output sent on to two targets. In the first case we surmise the transformation is called twice, and the output of the first run sent to the first target, the output of the second run to the second target. In the second case we surmise the transformation is called once, and the output duplicated and sent to the two targets.

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Hello, I want to create PDF from HTML source. I found pandoc. I installed pandoc on IRIS container image. I created Interoperability production. I have setup REST service to receive HTML file in request body. I call pandoc command pandoc -o output.pdf input.html from a BPL process. I copy output.pdf file stream into response body. I save the response at the source. I get a file named output.pdf but it does not load in Acrobat. I suspect I am doing something wrong with headers (accept-encoding?) or maybe do I need to base64 encode the pdf file to transfer it via REST?

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