#Interoperability

7 Followers · 574 Posts

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.

Discussion André Sheydin · Feb 28

Hello everyone,

I am André from MedVertical. We are exploring InterSystems-native ways to operationalize continuous FHIR conformance: repeatable regression runs, baseline/delta comparisons, and evidence-style reporting to detect drift after releases and IG changes.

In many FHIR implementations, validation is done “point-in-time” in pre-prod, but conformance degrades in production due to IG/profile updates, terminology changes, mapping evolution, upstream releases, and configuration drift.

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Discussion Aya Heshmat · Feb 27

Hello!

I am requesting feedback on the usage and experience of the Schema Viewer feature available in Interoperability-enabled products (IRIS, IRIS for Health, Health Connect). This feature is accessible via Interoperability > Interoperate

Some questions to jog your discussion/comments below:

  1. What's one enhancement that would drastically change your experience or enable faster schema configurations?
  2. If you are not a user of this feature (but need to create custom schemas/view your schemas), why do you not use the schema viewer?
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Discussion Jorge Jaramillo Herrera · Feb 23

Hello everyone,
I’m looking to implement Continuous Training (CT) as part of an MLOps strategy for some data science projects in IRIS. I want to automate the full cycle:

- Monitoring model performance & accuracy degradation.
- Retraining models automatically.
- Validating and updating production models.

I’ve looked into IntegratedML, but it seems more focused on the SQL interface for training (AutoML). Even with the new Custom Models (beta), which allows for more flexibility with Python, it doesn't seem to provide the "Continuous" orchestration out of the box.

I’d like to know:

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Discussion Daniel Kutac · Dec 18, 2025

Hello community!
I have a small challenge for you :)

One of customers is sending quite a lot of messages between interoperability components, which mix standard request content and streams representing serialized JSON objects. As these JSON streams can be quite long (but not too long, just couple hundreds of characters) they would appreciate if the JSON content of stream was displayed in a nice-to-read way, using syntax highlighting by message trace view.

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Discussion Andrew Sklyarov · Oct 8, 2025

I know the next ones:

1. Place all different settings in environment variables. You have a different .env file for each environment, and you must add some code to Production for reading and setting these values. It's good for deploying into containers, but challenging for management when we have a large production. I mean, we have many settings that can vary depending on the environment: active flag, pool size, timeouts, and so on. Not only endpoints.

2. My own case.

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Discussion Otto Medin · Sep 24, 2025

Hi all,
I needed to pick up the username from a set of credentials configured for a business operation in an interop production, and it turned out to take a few steps, so I'm sharing my method here, in the dual hope that someone has an easier way to do it, or failing that, that it is useful to someone.
Best,
Otto

/// Fetch the user name from the credentials configured for a production item.
/// Parameters:
///  productionName - The name of the production where the config iterm lives.
///  configItemName - The name of the config item that holds the credential setting.
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Discussion Laura Blázquez García · Aug 14, 2025

I would like to know which are the best practices of using Streams in Interoperability messages.

I have always use %Stream.GlobalCharacter properties to hold a JSON, or a base64 document, when creating messages. This is fine and I can see the content in Visual Trace without doing anything, so I can check what is happening and resolve issues if I have, or reprocess messages if something went wrong, because I have the content.

But I think this is not the best way of using Streams.

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Discussion Enrico Parisi · Mar 20, 2025

Once upon a time in Ensemble Management Portal the pool size of each component (Business Host) within the production was displayed in the Production Configuration page.

This information was very useful, especially when a production have tens or hundreds of components.

Now days the pool size is no longer displayed in the Production Configuration page and to get the pool size you need to click in each and every host in your production.
What if you have hundreds of business hosts and you need to check the pool size of each? It's a nightmare!

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Discussion Otto Medin · Oct 19, 2024

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:

SQL: select id2 from mytable where id1 = ?
Input Parameters: [1] *id1
RequestClass: Ens.

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Discussion Michael Lei · Oct 11, 2024

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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Discussion Andre Ribera · Mar 27, 2024

I was reading this article and I started to get lost in the sauce since I'm new to CCDA. I was wondering if you all had some recommendations for digging into some of the basics needed in order to assimilate this? For instance where it says "Some of the built-in logic for handling CCDAs is controlled by the IHE header....There is little visibility into this process in the product documentation." Are there examples or places where you have been able to find some insight into this sort of thing or maybe this is something that comes with experience?

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Discussion Evgeny Shvarov · Sep 18, 2023

Hi Interoperability experts!

Recently noticed an interesting conceptual discussion in our Interoperability Discord channel to which I want to give more exposure.

All we know that typical InterSystems Interoperability production consists of the following chain:

Inbound adapter->Business Service->Business Process->Business Operation->Outbound adapter.

And Business Process (BO) here is always considered as a passive "listener" either on port/folder/rest API for an incoming data.

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Discussion Michael Lei · Jul 13, 2023

With rapid evolution of Generative AI,  to embrace it and help us improve productivity is a must. Let's discuss and embrace the ideas of how we can leverage Generative AI to improve our routine work. 

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Discussion Evgeny Shvarov · Feb 9, 2023

Hi folks!

I'm playing with IRIS interoperability at the moment and it turned out that Data Transformation cannot be the element of production by itself.

It can be called either from data rule or from business process.

But why? 

What if I just want to change the message with the transformation and transfer the message somewhere else? Why the overhead with Rule or Business process?

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Discussion Anthony Jackson · Mar 13, 2020

Hello Everyone , Good Day ! I have a question regarding the implementation of USCDI (US Core Data for Interoperability).

Why USCDI was introduced? What is the disadvantage of previous process ( communication between systems using concept like HL7) ? What is the impact of implementing this concept in existing systems ? Do we have to change logics for processing the messages? Will it effect the existing work flow of all the healthcare application?

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