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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.

What is TLS?

TLS, the successor to SSL, stands for Transport Layer Security and provides security (i.e. encryption and authentication) over a TCP/IP connection. If you have ever noticed the "s" on "https" URLs, you have recognized an HTTP connection "secured" by SSL/TLS. In the past, only login/authorization pages on the web would use TLS, but in today's hostile internet environment, best practice indicates that we should secure all connections with TLS.

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Article
· Feb 13 4m read
Bulk FHIR Step by Step

FHIR repositories, applications and servers typically serve clinical data in small quantities, whether to return data about a patient, their medications, vaccines, allergies, among other information. However, it is common for a large amount of data in FHIR/JSON format to be requested to be used to load into Data Lakes, identifying study cohorts, population health, or transferring data from one EHR to another. To meet these business scenarios that require large extractions and loads of data, it is recommended to use the FHIR Bulk Data Access feature provided by HL7 institution.

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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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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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In your Interoperability Production you could always have a Business Operation that is an HTTP client, that uses OAuth 2.0 for authentication, but you had to customize the Operation for this authentication methodology. Since v2024.3, which was lately released, there is a new capability, providing new settings, to handle this more easily.

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The Lo-Code Challenge

Imagine the scene. You are working happily at Widgets Direct, the internet's premier retailer of Widgets and Widget Accessories. Your boss has some devastating news, some customers might not be fully happy with their widgets, and we need a helpdesk application to track these complaints. To makes things interesting, he wants this with a very small code footprint and challenges you to deliver an application in less than 150 lines of code using InterSystems IRIS. Is this even possible?

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When developing a new Interoperability Production, it is quite natural that settings are initially added in the Production.

However, as soon as you want to move the Production from development to a test or staging environment, it becomes clear that some settings like HTTP Servers, IP addresses and/or ports need to be changed. In order to avoid these settings being overwritten during a redeployment later on, it is essential that you move these settings from the Production to the System Default settings.

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Last Chapter: Creating a REST client to get Tracks from Spotify REST API - Part3 Get some data (e.g. Artists)

Git link: https://github.com/ecelg/InterSystems-IRIS-as-a-Spotify-REST-client

OK we create a method to get data and lets try to get some Tracks 😁

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Last Chapter: Creating a REST client to get Tracks from Spotify REST API - Part1 Check out token

Git link: https://github.com/ecelg/InterSystems-IRIS-as-a-Spotify-REST-client

Ok... Now we can check out a token but it will be expired in 3600 seconds.

There are 2 questions come up🤔

1. How to save this token????🙄

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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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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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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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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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Article
· Oct 17, 2024 2m read
ORU to MDM with large HL7 v2 messages.

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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Article
· Feb 23, 2024 5m read
Using an Azure bot to access IRIS

I have challenged to create a bot application using Azure Bot that can retrieve and post data to IRIS for Health.

A patient's data has already been registered in the FHIR repository of IRIS for Health.

The patient's MRN is 1001. His name is Taro Yamada. (in Japanese :山田 太郎)

This bot can post new pulse oximeter readings as an observation resource linked to the patient.

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Welcome to the next chapter of my CI/CD series, where we discuss possible approaches toward software development with InterSystems technologies and GitLab.
Today, we continue talking about Interoperability, specifically monitoring your Interoperability deployments. If you haven't yet, set up Alerting for all your Interoperability productions to get alerts about errors and production state in general.

Inactivity Timeout is a setting common to all Interoperability Business Hosts. A business host has an Inactive status after it has not received any messages within the number of seconds specified by the Inactivity Timeout field. The production Monitor Service periodically reviews the status of business services and business operations within the production and marks the item as Inactive if it has not done anything within the Inactivity Timeout period.
The default value is 0 (zero). If this setting is 0, the business host will never be marked Inactive, no matter how long it stands idle.

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Current triage systems often rely on the experience of admitting physicians. This can lead to delays in care for some patients, especially when faced with inexperienced residents or non-critical symptoms. Additionally, it can result in unnecessary hospital admissions, straining resources and increasing healthcare costs.

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