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.
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.
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.
I'm looking for a practical project guide to help me gain hands-on experience with InterSystems Ensemble HL7. Ideally, this guide would walk through building a small project — something that covers key concepts like message routing, transformations, and interoperability.
I've been working on a very basic Interoperability production in my computer. I followed one of the examples in the courses and created a TEST.FileRouterRoutingRule, but when trying to edit this rule, it takes me to the Rule Editor Login Page, where I can't get in (Not even with the _SYSTEM credentials) - Is this functionality unavailable in the community edition?
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:
In a development environment, we have added quite a few presentation contexts to the DICOM configurations (the associations). We would need to find a way to export them from this environment to make it easier for us to import them in PRO (and avoid doing it by hand one by one).
Using embedded Python while building your InterSystems-based solution can add very powerful and deep capabilities to your toolbox.
I'd like to share one sample use-case I encountered - enabling a CDC (Change Data Capture) for a mongoDB Collection - capturing those changes, digesting them through an Interoperability flow, and eventually updating an EMR via a REST API.
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....
After we rolled out a new cointainer based on containers.intersystems.com/intersystems/irishealth:2023.1 this week, we suddenly noticed that our FHIR Repository started responding with an Error 500. This turns out to be caused by PROTECT violations on the new HSSYSLOCALTEMP namespace and database used by this version of the IRIS for Health FHIR components.
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.
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
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.
Have you ever needed to change an IP or port before deploying an interface to production? Needed to remove items from an export? What about modifying the value(s) in a lookup table before deploying? Have you wanted to disable an interface before deploying? What about adding a comment, category, or alert setting to an interface before deploying to production?
High-Performance Message Searching in Health Connect
The Problem
Have you ever tried to do a search in Message Viewer on a busy interface and had the query time out? This can become quite a problem as the amount of data increases. For context, the instance of Health Connect I am working with does roughly 155 million Message Headers per day with 21 day message retention. To try and help with search performance, we extended the built-in SearchTable with commonly used fields in hopes that indexing these fields would result in faster query times. Despite this, we still couldn't get some of these queries to finish at all.
Every so often, I would encounter a request for some GPG support, so I had several code samples written for a while, and I thought to combine all of them and add missing GPG functionality for a fairly complete coverage. That said, this Business Operation primarily covers data actions, skipping management actions such as key generation, export, and retrieval as they are usually one-off and performed manually anyways. However, this implementation does support key imports for obvious reasons. Well, let's get into it.
Profiling CCD Documents with LEAD North’s CCD Data Profiler Ever opened a CCD and been greeted by a wall of tangled XML? You’re not alone. Despite being a core format for clinical data exchange, CCD's are notoriously dense, verbose, and unfriendly to the human eye. For developers and analysts trying to validate their structure or extract meaningful insights, navigating these documents can feel more like archaeology than engineering.
In 2023, according to IDC, Salesforce's market share in CRM reached 21.7%. This company owns a substantial amount of critical corporate business processes and data, so the InterSystems IRIS must have an interoperability connector to fetch data from the Salesforce data catalog. This article will show you how to get any data hosted by Salesforce and create an interoperation production to get data and send it to such targets as files and relational databases.
IRIS supports CCDA and FHIR transformations out-of-the-box, yet the ability to access and view those features requires considerable setup time and product knowledge. The IRIS Interop DevTools application was designed to bridge that gap, allowing implementers to immediately jump in and view the built-in transformation capabilities of the product.
In addition to the IRIS XML, XPath, and CCDA Transformation environment, the Interop DevTools package now provides:
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