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#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.

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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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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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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Contestant

The Lo-Code Challenge

Imagine the scene. You are working happily at Widgets Direct, the internet's premier retailer of Widgets and Widget Accessories. Your boss has some devastating news, some customers might not be fully happy with their widgets, and we need a helpdesk application to track these complaints. To makes things interesting, he wants this with a very small code footprint and challenges you to deliver an application in less than 150 lines of code using InterSystems IRIS. Is this even possible?

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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.

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Contestant

I have challenged to create a bot application using Azure Bot that can retrieve and post data to IRIS for Health.

A patient's data has already been registered in the FHIR repository of IRIS for Health.

The patient's MRN is 1001. His name is Taro Yamad. (in Japanese :山田 太郎)

This bot can post new pulse oximeter readings as an observation resource linked to the patient.

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Contestant

Welcome to the next chapter of my CI/CD series, where we discuss possible approaches toward software development with InterSystems technologies and GitLab.
Today, we continue talking about Interoperability, specifically monitoring your Interoperability deployments. If you haven't yet, set up Alerting for all your Interoperability productions to get alerts about errors and production state in general.

Inactivity Timeout is a setting common to all Interoperability Business Hosts. A business host has an Inactive status after it has not received any messages within the number of seconds specified by the Inactivity Timeout field. The production Monitor Service periodically reviews the status of business services and business operations within the production and marks the item as Inactive if it has not done anything within the Inactivity Timeout period.
The default value is 0 (zero). If this setting is 0, the business host will never be marked Inactive, no matter how long it stands idle.

This is an extremely useful setting since it generates alerts, which, together with configured alerting, allows for real-time notifications about production issues. Business Host being idle means there might be some issues with production, integrations, or network connectivity worth looking into.
However, Business Host can have only one constant Inactivity Timeout setting, which might generate unnecessary alerts during known periods of low traffic: nights, weekends, holidays, etc.
In this article, I will outline several approaches towards dynamic Inactivity Timeout implementation. While I do provide a working example (currently running in production for one of our customers), this article is more of a guideline for building your own dynamic Inactivity Timeout implementation, so don't consider the proposed solution as the only alternative.

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