Article
· Jun 30, 2020 3m read
Replicating Audit Log Near Real Time
Many organisations implement centralised log management systems to separate and centralise the log data in order to e.g. automate threat detection (and response) and to comply with regulatory requirements. The primary systems of interest are the various user facing applications, but increasingly also other kinds of systems including integration platforms.
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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.<--break->

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Announcement
· Jan 14
What is clinFHIR?

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.

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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.

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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.

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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.


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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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I recently had the need to monitor from HealthConnect the records present in a NoSQL database in the Cloud, more specifically Cloud Firestore, deployed in Firebase. With a quick glance I could see how easy it would be to create an ad-hoc Adapter to make the connection taking advantage of the capabilities of Embedded Python, so I got to work.

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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.

Info:

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Question
· Oct 17, 2023
FHIR Profile Validation Issues

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?

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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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If you work with Productions, highlighting connections between Business Hosts is a very convenient feature, allowing developers to get a visual representation of a data flow.

This feature works by default with all system Business Hosts. If a user writes their own Business Services, Processes, or Operations, they must implement the OnGetConnections method for this functionality to work with their custom Business Hosts (or use Ens.DataType.ConfigName properties for connections).
That said, the SMP shows only the first layer of connections of the selected Business Host. Sometimes, we need to get connections of connections recursively to build a complete data flow graph. Or we might need this connection information to check which downstream systems might be affected by a change upstream.

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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?

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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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Wanted to share something I learned recently while working on a problem. We needed to add and change some Business Hosts in one of our edge productions.

In the past, we simply added the production class to CCR and then spreading it around. But there was a problem because different developers were working on different things, and we only wanted to include only the relevent production changes onto the CCR.

Here's a little piece of code that can help add new things to an existing production:

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