#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.

Hey Community!

We're happy to share a new video from our InterSystems Developers YouTube:

⏯ Python Interoperability Productions @ Ready 2025

https://www.youtube.com/embed/TJ5zf3FsqjA
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Hey everyone.

As part of an ongoing mission to track down orphaned HL7 Messages in our integration engine, I have been digging into our environment to track down the causes.

Having looked at various posts here (including one of my own) there are a few scenarios that can create orphaned messages resulting in excessive disk space usage. These scenarios are generally:

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I am looking for a way to capture Data Quality issues with the Source data that is populating HealthShare Provider Directory. 1 way is to use Managed Alerts, but since it could be multiple Providers and different messages it seems silly to alert on every message that has the error. Instead, I was thinking of using the Workflow Engine so it could populate a Worklist for someone to review and work.

Looking over the Demo.Workflow Engine example, I am not comprehending on how to send a task to the Workflow manager to populate the worklist from a DTL.

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Hi community,

I have a service that uses EnsLib.RecordMap.Service.FTPService to capture files in an FTP directory.

Instead of uploading them all at once, I would need to do so one at a time.

I have a class that extends this class because it preprocesses, saves everything in the RecordMap class, and then processes all the records at once.

When I invoke the BP, it does so through the method set tStatus = ..SendRequest(message, 1).

I've set the SynchronousSend flag to 1, but it continues processing all the files at once.

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When working with InterSystems Interoperability (Iris / Health Connect / Ensemble), configuration data is often spread across many production items: services, processes, operations, adapters, and their settings.

A common operational or security need is to answer questions like:

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Hey Community,

The InterSystems team put on our monthly Developer Meetup with a triumphant return to CIC's Venture Café, the crowd including both new and familiar faces. Despite the shakeup in both location and topic, we had a full house of folks ready to listen, learn, and have discussions about health tech innovation!

https://www.youtube.com/embed/-ER8dW6ZtQw
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Hello again,

We are still seeking feedback on our two new HealthShare Unified Care Record certification exam designs. This is your opportunity to tell us what knowledge, skills, and abilities are important for Certified HealthShare Unified Care Record Specialists.

The feedback surveys are open until July 20th, 2025. All participants are eligible to receive 7000 Global Masters points for each survey they complete!

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Hey Developers,

Enjoy the new video on InterSystems Developers YouTube

⏯ First Customers Using Vector Search - Real World Experiences and Lessons Learned @ READY 2025

https://www.youtube.com/embed/HZrxAxrQges
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Hey Community!

We're happy to share a new video from our InterSystems Developers YouTube:

⏯ Source Control Interoperability Productions in a Decomposed Format @ Ready 2025

https://www.youtube.com/embed/7SF9kntjQmM
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I am using IRIS for Windows (x86-64) 2022.1 (Build 209) Tue May 31 2022 12:27:55 EDT [Health:3.5.0]. I created Interoperability Production with a Service to read file from S3 bucket and an Operation to write files to a different S3 bucket. I specified AWS ProviderCredentialsFile.

I see "Terminating Job 7096 / 'From S3 Bucket' with Status = ERROR #5023: Remote Gateway Error: Connection cannot be established, %QuitTask=

Do I need anything like Python libraries or AWS CLI to make this work?

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Hi, Community!

See how to efficiently validate incoming CDA documents and comply with standards using the cloud-based CDA Validation Service!

Streamlining CDA Data Feed Setup in Health Connect Cloud

https://www.youtube.com/embed/Sd6BpXyWezs?utm_source=youtube&utm_medium=social&utm_campaign=Sd6BpXyWezs
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Article
· 10 hr ago 14m read
Implementing FHIR Profiles on IRIS

What is a FHIR Profile?

A FHIR profile is a collection of rules and constraints used to customize and refine a base Fast Healthcare Interoperability Resources (FHIR) resource. Profiling is a vital process that adapts the base FHIR resource standard to satisfy the unique requirements of a specific use case, geographic region, medical institution, or clinical workflow.

While the base FHIR specification provides generic, flexible definitions for resources (such as Patient, Observation, or Medication), profiles transform these generic resources into more precise ones. This ensures consistent and interoperable data exchange tailored for a particular community or implementation.

FHIR is designed to cover various healthcare scenarios globally. Profiles allow implementers to adapt this general platform without losing the benefits of standardization.

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Contestant

10:47 AM — Jose Garcia's creatinine test results arrive at the hospital FHIR server.
2.1 mg/dL — a 35% increase from last month.

What happens next?

  • Most systems: ❌ The result sits in a queue until a clinician reviews it manually — hours or days later.
  • This system: 👍 An AI agent evaluates the trend, consults clinical guidelines, and generates evidence-based recommendations — in seconds, automatically.

No chatbot. No manual prompts. No black-box reasoning.

This is event-driven clinical decision support with full explainability:

image

✅ Triggered automatically by FHIR events
✅ Multi-agent reasoning (context, guidelines, recommendations)
✅ Complete audit trail in SQL (every decision, every evidence source)
✅ FHIR-native outputs (DiagnosticReport published to server)

Built with:
- InterSystems IRIS for Health — Orchestration, FHIR, persistence, vector search
- CrewAI — Multi-agent framework for structured reasoning

You'll learn: 🖋️ How to orchestrate agentic AI workflows within production-grade interoperability systems — and why explainability matters more than accuracy alone.

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Hey Community,

Enjoy the new video on InterSystems Developers YouTube:

⏯ Advancing Healthcare Interoperability - Strategy and Vision @ Ready 2025

https://www.youtube.com/embed/_1mBIv-lGco
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