#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.

InterSystems Official
· Mar 27 4m read
2025.1 Modernizing Interoperability User Experience

The Interoperability user interface now includes modernized user experiences for the DTL Editor and Production Configuration applications that are available for opt-in in all interoperability products. You can switch between the modernized and standard views. All other Interoperability screens remain in the Standard user interface. Please note that changes are limited to these two applications and we identify below the functionality that is currently available.

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Article
· Apr 9, 2019 3m read
IRIS/Ensemble as an ETL

IRIS and Ensemble are designed to act as an ESB/EAI. This mean they are build to process lots of small messages.

But some times, in real life we have to use them as ETL. The down side is not that they can't do so, but it can take a long time to process millions of row at once.

To improve performance, I have created a new SQLOutboundAdaptor who only works with JDBC.

BatchSqlOutboundAdapter

Extend EnsLib.SQL.OutboundAdapter to add batch batch and fetch support on JDBC connection.

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IRIS supports CCDA and FHIR transformations out-of-the-box, yet the ability to access and view those features requires considerable setup time and product knowledge. The IRIS Interop DevTools application was designed to bridge that gap, allowing implementers to immediately jump in and view the built-in transformation capabilities of the product.

In addition to the IRIS XML, XPath, and CCDA Transformation environment, the Interop DevTools package now provides:

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Hi Community,

In this article, I will introduce my application iris-fhir-bridge

IRIS-FHIR-Bridge is a robust interoperability engine built on InterSystems IRIS for Health, designed to transform healthcare data across multiple formats into FHIR and vice versa. It leverages the InterSystems FHIR Object Model (HS.FHIRModel.R4.*) to enable smooth data standardization and exchange across modern and legacy healthcare systems.

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Profiling CCD Documents with LEAD North’s CCD Data Profiler
Ever opened a CCD and been greeted by a wall of tangled XML? You’re not alone. Despite being a core format for clinical data exchange, CCD's are notoriously dense, verbose, and unfriendly to the human eye. For developers and analysts trying to validate their structure or extract meaningful insights, navigating these documents can feel more like archaeology than engineering.

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Have you ever needed to change an IP or port before deploying an interface to production? Needed to remove items from an export? What about modifying the value(s) in a lookup table before deploying? Have you wanted to disable an interface before deploying? What about adding a comment, category, or alert setting to an interface before deploying to production?

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After we rolled out a new cointainer based on containers.intersystems.com/intersystems/irishealth:2023.1 this week, we suddenly noticed that our FHIR Repository started responding with an Error 500. This turns out to be caused by PROTECT violations on the new HSSYSLOCALTEMP namespace and database used by this version of the IRIS for Health FHIR components.

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In the previous article we have reviewed how to install our EMPI in standalone, so we are ready to start the basic configuration of our EMPI.

First of all we have to do an initial basic configuration, we can access to the configuration from the Configuration menu of our Registry.

Selecting that option will allow to us to edit the basic configuration table of the Registry:

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RabbitMQ is a message broker that allows producers (those who send a data message) and consumers (those who receive a data message) to establish asynchronous, real-time, and high-performance massive data flows. RabbitMQ supports AMQP (Advanced Message Queuing Protocol), an open standard application layer protocol.
The main reasons to employ RabbitMQ include the following:

  • You can improve the performance of the applications using an asynchronous approach.
  • It lets you decouple and reduce dependencies between services, microservices, and applications with the help of a data message mediator, meaning that there is no need for producers and consumers of exchanged data to know each other.
  • It allows the long-running processing of sent data (with the results) to be delivered after utilizing a response queue.
  • It helps you migrate from monolithic to microservices, where microservices exchange data via Rabbit in a decoupled and asynchronous way.
  • It offers reliability and resilience by making it possible for messages to be stored and forwarded. A message can be delivered multiple times until it is processed.
  • Message queueing is the key to scaling your application. As the workload increases, you will only have to add more workers to handle the queues faster.
  • It works well with data streaming applications.
  • It is beneficial for IoT applications.
  • It is a must for Bots’ communication.

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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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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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One of the pain points for maintaining HL7 interfaces is the need to run a reliable regression test upon deployment to new environments and after upgrades. The %UnitTest class allows unit tests to be created and packaged alongside interface code. Test data can also be maintained within the unit test class, allowing for quick and easily repeatable smoke-testing and regression testing.

Resources:

  • Standard %UnitTest class

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Article
· Feb 1, 2023 17m read
OpenAPI Suite - Part 1

Hi Community,

I would like to present my last package OpenAPI-Suite, this is a set of tools to generate ObjectScript code from an OpenAPI specification version 3.0. In short, these packages allow to:

  • Generate server-side class. It’s pretty similar to the generated code by ^%REST but the added value is the version 3.0 support.
  • Generate HTTP client classes.
  • Generate client production (business services, business operation, business process, Ens.Request, Ens.Response) classes.
  • A web interface to generate and download the code or generate and compile directly on the server.
  • Convert specification from version 1.x, 2.x to version 3.0.

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Introduction

As AI-driven automation becomes an essential part of modern information systems, integrating AI capabilities into existing platforms should be seamless and efficient. The IRIS Agent project showcases how generative AI can work effortlessly with InterSystems IRIS, leveraging its powerful interoperability framework—without the need to learn Python or build separate AI workflows from scratch.

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When we create a FHIR repository in IRIS, we have an endpoint to access information, create new resources, etc. But there are some resources in FHIR that probably we wont have in our repository, for example, Binary resource (this resource returns a document, like PDF for example).

I have created an example that when a Binary resource is requested, FHIR endpoint returns a response, like it exists in the repository.

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I'm proud to announce the new release of iris-pex-embedded-python (v2.3.1) with a new command line interface.

This command line is called iop for Interoperability On Python.

First I would like to present in few words the project the main changes since the version 1.

A breif history of the project

Version 1.0 was a proof of concept to show how the interoperability framework of IRIS can be used with a python first approach while remaining compatible with any existing ObjectScript code.

What does it mean? It means that any python developer can use the IRIS interoperability framework without any knowledge of ObjectScript.

Example :

from grongier.pex import BusinessOperation

class MyBusinessOperation(BusinessOperation):

    def on_message(self, request):
        self.log.info("Received request")

Great, isn't it?

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In 2023, according to IDC, Salesforce's market share in CRM reached 21.7%. This company owns a substantial amount of critical corporate business processes and data, so the InterSystems IRIS must have an interoperability connector to fetch data from the Salesforce data catalog. This article will show you how to get any data hosted by Salesforce and create an interoperation production to get data and send it to such targets as files and relational databases.

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High-Performance Message Searching in Health Connect

The Problem

Have you ever tried to do a search in Message Viewer on a busy interface and had the query time out? This can become quite a problem as the amount of data increases. For context, the instance of Health Connect I am working with does roughly 155 million Message Headers per day with 21 day message retention. To try and help with search performance, we extended the built-in SearchTable with commonly used fields in hopes that indexing these fields would result in faster query times. Despite this, we still couldn't get some of these queries to finish at all.

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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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