#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.

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Question Yone Moreno Jiménez · Mar 12

Hello everyone, thanks for reading this question.

I am currently working with Ens.Alerting.ManagedAlert in an interoperability production and I am using the alert suppression mechanism to avoid generating duplicate alerts within a defined time window (for example, 30 minutes).

Rule Set

The configuration works correctly in terms of preventing duplicate alerts from being generated, but I have a question regarding observability.

When an alert is suppressed during the configured time window, I can see log messages such as:

        "Managed alert not created for AlertRequest with ID 'XXXX' due to rule 'Rules.

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Article Scott Roth · Mar 11 3m read

Background

Emergency Medical Services (EMS) teams often arrive at the emergency department with patients whose demographics are incomplete or unknown—no medical record number (MRN), no confirmed name, and sometimes no date of birth. Yet EMS transportation notes still need to land in the correct chart.

To support safe and reliable documentation, EMS agencies, third-party integration services, and hospital integration teams build secure interfaces that exchange identifiers and clinical messages.

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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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Question Luis Dellán · Mar 10

How to execute a stored procedure in a remote DB2 database?

Hi Everyone,

I want to access a stored procedure in a remote DB2 database. The stored procedure in question is linked and receives a numeric value, returning a cursor with N number of rows. Sometimes the number of rows reaches hundreds of thousands, so I need to apply pagination.

I've been reading about the %ScrollableResultSet library, but it doesn't allow me to call a stored procedure.

Here's part of the code:
Set pValor=12345678
Set callSql="CALL Paquete.ClaseSpRemoto(?)"
Set rs=##class(%ScrollableResultSet).

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Question Yone Moreno Jiménez · Feb 24

Hello, how are you?

Using Healthshare for Interoperability, we often see a wide variety of encoding issues. Some happen when transforming XML to HL7. Some happen the other ay around transforming HL7 to XML.

Is there a valid way to understand which encoding needs to be used?

I ask, because we use SOAP or REST or TCP HL7 services.

And we deliver messages with TCP HL7, SOAP, HTTP Operations.

And we often face this issue where special characters like ñ or á, are not encoded correctly.

Thanks for your replies.

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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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Article Sanjib Pandey · Feb 20 5m read

Project Overview:

 

The Clinical Staff Master Data Management (CSMDM) system is a full-stack healthcare integration application built on InterSystems IRIS for Health. It centralizes and standardizes clinical staff metadata into a single authoritative repository, exposed through RESTful CRUD APIs and reusable backend methods.

The platform eliminates fragmented lookup tables and hardcoded mappings that commonly cause errors in HL7 and FHIR integration workflows, ensuring data consistency and interface reliability.

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Article Geet Kalra · Mar 6 6m read

Intersystems IRIS Productions provide a powerful framework for connecting disparate systems across various protocols and message formats in a reliable, observable, and scalable manner. intersystems_pyprod, short for InterSystems Python Productions, is a Python library that enables developers to build these interoperability components entirely in Python. Designed for flexibility, it supports a hybrid approach: you can seamlessly mix new Python-based components with existing ObjectScript-based ones, leveraging your established IRIS infrastructure.

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Article Henry Pereira · Feb 16 15m read

cover

Welcome to the finale of our journey in building MAIS.

  • In Part 1, we constructed the agnostic "Brain" using LiteLLM and IRIS.
  • In Part 2, we designed the "Persona", mastering Dynamic Prompt Engineering and the ReAct theory.

Now, the stage is set. Our agents are ready, defined, and eager to work. However, they remain frozen in time. They require a mechanism to drive the conversation, execute their requested tools, and pass the baton to one another.

Today, we will assemble the Nervous System.

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