Hi Developers!

We are happy to present the bonuses page for the applications submitted to the InterSystems FHIR and Digital Health Interoperability Contest 2024!

Do you ever spend an age entering criteria in the message viewer page, trying to find a message just to realise you're in the wrong instance of IRIS? 

Or get lost in a sea of message tabs struggling to spot that Visual Trace page your were JUST looking at?

Well, have you tried the IRIS WHIZ browser extension and its suite of tools designed to help you avoid such unpleasantness?

Hi Developers,

We have exciting news! The new InterSystems online programming contest dedicated to all things health-related will start very soon! 

🏆 InterSystems FHIR and Digital Health Interoperability Contest 🏆

Duration: January 15 - February 4, 2024

Prize pool: $14,000

I am using Intersystems Iris Community Edition. I have created a Rest Api to post HL7 message directly through postman. It is working fine, But I want to create the business service to read the HL7 message from Rest- Api. I tried to create this, but I am not understanding how to do that. Can anybody help me?

All FHIR resources have a Meta element containing metadata about the resource. Some attributes are updated by the server, others are populated by the app constructing the resource.

Here are the 3 common attributes of FHIR’s Meta element: 

1. versionId
This is an ID that identifies a saved version of the resource on the FHIR server. Many servers use a GUID here, others use an integer. But it’s a string value, so don’t write code against this assuming a sequential integer, regardless of what the server does.

2. lastUpdated
The date and time that the resource was last updated, populated by the server.

We are running Batch job in scheduled task and the messages are picking in single session and it is not easy to trace the record.

I used the Set ..%SessionId= "" at before sending the message to BP but I see the session Id is '1' created for each message.

Is there anyother way to create new session for each message sending to BP?

Thanks,

In the context of HL7 FHIR (Fast Healthcare Interoperability Resources), the terms "id" and "identifier" refer to specific elements used for identifying resources within the FHIR data model. For a newbie, these terms can be confusingly similar, but they serve distinct purposes.

Look at the below Patient resource for August T. Faulkner:

The resource has an id of “1” — generated by the FHIR server when the resource was created.
Patient August T. Faulkner also has a identifier (Medical Record Number) — possibly provided by the hospital — of 78510398960

What comes to the data platform (not the user facing application) most of the the events of interest/required are available as predefined system audit events in audit log - out of the box. They just need to be enabled.

Hi Developers!

Here are the technology bonuses for the InterSystems FHIR and Digital Health Interoperability Programming Contest that will give you extra points in the voting:

• InterSystems FHIR usage - 3
• InterSystems FHIR SQL Builder usage - 3
• Digital Health Interoperability - 4
• LLM AI or LangChain usage: Chat GPT, Bard and others - 3
• Embedded Python - 2
• IRIS For Health Instruqt Survey - 2
• Docker container usage - 2 
• IPM Package deployment - 2
• Online Demo - 2
• Implement InterSystems Community Idea - 4
• Find a bug in InterSystems FHIR server - 2
• Find a bug in InterSystems Interoperability - 2
• New First Article on Developer Community - 2
• New Second Article on Developer Community - 1
• First Time Contribution - 3
• Video on YouTube - 3

See the details below.

clinFHIR is a web application that has been developed pretty much over the same time as FHIR has. 

Originally developed to help clinicians visualize FHIR (hence the ‘clin’ in the name) it has become more widely used by the FHIR community for learning FHIR and assisting with design. It is maintained by David Hay - one of the FHIR Management Group co-chairs with support from InterSystems, which is much appreciated!

There are 4 modules that may be of interest to participants in the upcoming Interoperability contest.

• The Patient viewer for looking at an individual patients records
• Server Query which makes RESTful API calls against a FHIR server displaying the result in different formats
• Bundle Visualizer which will display the contents of a bundle
• Graph Builder which allows you to build graphs of interconnected resources.

I’ve created a longer post on google docs that goes into a little more details of these modules, with links to other resources such as my blog and the R4 Specification and R5 FHIR specification. I’ll be enhancing that over time - feel free to comment.

A note with regard to FHIR versions. The latest version is R5 (release 5), though many in the community still use R4. In most cases, if you're not sure then use R4. If you're not sure which version a FHIR Server supports, examine its CapabilityStatement which you can get from the server endpoint [host]/metadata

I should also point out that clinFHIR doesn’t currently use SSL. It is on the roadmap, but there are a few issues to work through. The consequence of this is that if you enter ‘clinfhir.com' into the browser, it may not find it. You sometimes have to specify http://clinfhir.com/ . 

If you need further assistance, I would alway recommend using the FHIR chat, and if your question / comment / suggestion is related to clinFHIR then there’s a specific stream there.

Hello Community,

When using an SQL type Business Service, it may happen that we need to replay certain rows from the source table.

Let's take as an example the Business Service "from customer SQL" using the generic class EnsLib.SQL.Service.GenericService

Different cases arise, depending on the settings used on this Business Service.

First case :

If the Business Service only uses a KeyFieldName

In this case, to reprocess IDs 123, 456 and 789, it will be enough to delete them from the global ^Ens.AppData for the Business Service concerned on the "adaptor.sqlrow" reference:

kill ^Ens

Does anyone have an effective tool for anonymizing/deidentifying CCDAs for testing purposes?

IRIS External Table is an InterSystems Community Open Source Project, that allows you to use files, stored in the local file system and cloud object storage such as AWS S3 as SQL Tables. ![IRIS External Table][IRIS External Table]

It can be found on Github Open Exchange and is included in InterSystems Package Manager ZPM.

To instal External Table from GitHub use:

git clone https://github.com/antonum/IRIS-ExternalTable.git
iris session iris
USER>set sc = ##class(%SYSTEM.OBJ).

Introduction

This article aims to explore how the FHIR-PEX system operates and was developed, leveraging the capabilities of InterSystems IRIS.

Streamlining the identification and processing of medical examinations in clinical diagnostic centers, our system aims to enhance the efficiency and accuracy of healthcare workflows. By integrating FHIR standards with InterSystems IRIS database Java-PEX, the system help healthcare professionals with validation and routing capabilities, ultimately contributing to improved decision-making and patient care.

Motivation

The motivation behind the InterLang project is rooted in the innovative integration of LangChain chatbot agents with the Fast Healthcare Interoperability Resources (FHIR) framework to revolutionize conversational social prescriptions in healthcare. This project aims to leverage the rich and standardized data available through FHIR, an emerging standard in healthcare data exchange, to inform and empower these advanced chatbot agents.

FHIR provides a robust structure for health data, encompassing clinical, administrative, and financial information.

I am trying to replace OBX.2 value of ED to PDF

Here is what I have in the funcion wizard

..ReplaceStr(source.{OBRgrp().OBXgrp().OBX():ValueType},"ED","PDF")

Inbound Message

OBX|5|ED|PDFReport^PDFReport||PDF^Image^PDF^Base64^JVBERi0xLjMNCjEgMCBvYmoNCjw8DQovVHlwZSAvQ2F0YWxvZw0KL1BhZ2VzIDQgMCBSDQovT3V0bGluZXMgMiAwIFI

Desired Outbound Message

OBX|5|PDF|PDFReport^PDFReport||PDF^Image^PDF^Base64^JVBERi0xLjMNCjEgMCBvYmoNCjw8DQovVHlwZSAvQ2F0YWxvZw0KL1BhZ2VzIDQgMCBSDQovT3V0bGluZXMgMiAwIFI

I have a case where the Active Directory Service Account passwords will be changed periodically every 3 months and the changes are shared via the LastPass application which requires logging into the app to retrieve the new password and manually entering it into the Interoperability Credentials configuratrion, or the Service Registry.

> Is there a way to retrieve the password automatically?

In this case the organization plans to use gMSA (Group Managed Service Account) and BeyondTrust for setting up new password in the future.

How have people delt with this?

Overview

In our previous post, we discussed the motivation for developing a chatbot agent with access to FHIR resources. In this post, we will dive into the high-level design aspects of integrating a Streamlit-based chat interface with a Java SpringBoot backend, and enabling a LangChain agent with access to FHIR (Fast Healthcare Interoperability Resources) via APIs.

Does anyone happen to know what could be causing this error?

ERREUR #5002:Erreur Caché : <LIST>%SerializeObject+5

^AHP.WebSrvExchange.Response.FicheRetourResponse.1

Hello Community,

The Certification Team of InterSystems Learning Services is excited to announce the release of our new InterSystems HL7® Interface Specialist Recertification Project If you hold the InterSystems HL7 Interface Specialist certification AND your certification's expiration date is within 6 months of today's date, you can get recertified by successfully completing the recertification project. Completing an InterSystems recertification project is one of two options a certification candidate can choose to get recertified (the other option is to take the new version of the exam).

Hi community, 

I created a business operation class using the FTP Outbound Adapter, and it works when configured for SFTP but when I try to use it for FTPS, it does not work as expected.  The connection is established, it creates the file on the destination server but then is disconnected in the middle of the transfer and the PutStream returns 0 and never seems to finish the write of the file.  Anyone have any idea of what's happening or any steps I can try to troubleshoot?  

Thanks in advance.

How can we create a random token within HealthConnect?  any examples?

Hello Community,

I've created my FHIR patient profile and POST into FHIR endpoint in Intersystems FHIR Server.

http:localhost:52773/fhirr4/StructureDefinition

 I use the profile url into my Patient resource without the meet the profile requirements.

http:localhost:52773/fhirr4/Paient

The resource is stored successfully in the FHIR Server instead of a FHIR exception.

Why the resource doesn't validate with the mentioned profile?

Is this profile validation is really a intersystems FHIR server job or the validation implementation is available now  ?

I have created a FHIR endpoint and send the FHIR resource to FHIR Interoperability production class which is HS.FHIRServer.Interop.Service through the the created endpoint(/r4). I can able to see/get the HS.SDA3.QuickStream(It use CacheTemp.HS.Stream temporary global) on the fly(In between the process). I'm unable to get the FHIR resource from the QuickStream once the process completed. Is this HS.SDA3.QuickStream is wiped out from the system once process completed?

Executed the below code. Even tried with zwrite of  ^CacheTemp.HS.Stream is also empty. Tried with IRSITMEP database as well.

I'm at a loss with configuring the IRIS ODBC driver (v02.10) on my Amazon Linux machine, connecting to a REMOTE IRIS backend.  It should be simplified by not requiring a DSN (the app uses a DSN-less connection and generates the connection string).  I have

• Downloaded and unpacked iris-driver-distribution/ODBC/lnxrh7/ODBC-2022.1.0.209.0-lnxrh7x64.tar.gz at main · intersystems-community/iris-driver-distribution · GitHub
• Followed the instructions at Defining an ODBC Data Source on UNIX® | Using the InterSystems ODBC Driver | InterSystems IRIS Data Platform 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.

Hi,

what is our experience of Microsoft Dynamics integration with IRIS/Ensemble ?

If you have any experience with IRIS/Ensemble using interoperability flows with Microsoft Dynamics, please share it is this discussion.

Best regards,

Sylvain

Hi developers, 

We need to query and retrieve an image DICOM from a PACS by Accession Number.

Has anyone maked an IRIS development by this porpose?

Best regards,
Xavier Gràcia

Overview

The online documentation contains a reference Defining and Using Class Queries -

Customizing Stored Procedures with ObjectScript directly has been useful to access NoSQL storage and external messaging via integration, to present output in tabular format.

For example: An application that already uses 90% SQL interaction from a front end, can then also extend this access to the other 10% of required platform functionality, via the same SQL access.

The purpose of this article is to explore how to achieve the same effect via Embedded Python methods.

Gostaria de saber se alguém na comunidade já usou o dynatrace com o conjunto para coletar dados do msg / cache.dat e outras métricas

Would like to know if anyone in the community has used dynatrace as a set to collect data from msg/cache.dat and other metrics (mod edit)