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#InterSystems IRIS for Health

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InterSystems IRIS for Health™ is the world’s first and only data platform engineered specifically for the rapid development of healthcare applications to manage the world’s most critical data. It includes powerful out-of-the-box features: transaction processing and analytics, an extensible healthcare data model, FHIR-based solution development, support for healthcare interoperability standards, and more. All enabling developers to realize value and build breakthrough applications, fast. Learn more.

Article
Henrique Dias · Aug 26, 2020 3m read
Updating Patient Resource using fhir.js

Hi Community,

I shared my experience working with FHIR for the first time in this article.

In that article, I wrote how I explored the FHIR Resources and talked about the information that I found useful in FHIR documentation.

The first version of my app only shows the information that FHIR Resource provides.

I wanted to make the user able to update the patient details, so I to search for an example of how to do it.

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Article
Henrique Dias · Aug 22, 2020 2m read
My experience working with FHIR

Hi Community,

I want to share my experience creating the iris-fhir-portal with FHIR.

I decided to take a step forward and join the IRIS for Health FHIR contest, but I had never worked with FHIR before.

After the FHIR Contest Kick-Off Webinar, where we got an overview of how the IRIS for Health works with FHIR, I started to looking at the FHIR documentation to create my Patient Chart project.

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Hi guys.

Recently, I get interest in FHIR in order to run for the IRIS for Health FHIR
contest. As a beginner on this topic, I've heard somewhat about it, but I didn't know how complex and powerful was FHIR. As pointed out by @Henrique Dias here, you can model several aspects of the patient history and other related entities.

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Article
Anssi Kauppi · 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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In the past, reading information from a bar code was limited to a simple alphanumeric code. The creation of a bar code with more than one dimension (2D), especially the QR Code, allowed to increase the amount and variety of data stored in a bar code. While conventional bar codes are capable of storing a maximum of approximately 20 digits, the QR Code is capable of handling several tens to hundreds of times more information. This revolutionized the markets. Now QR codes are everywhere and can be very useful for storing textual, numeric, alphanumeric and even binary data.

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Setting up Management Portal Help Pages for Full WebServers

On each page of the System Management Portal, there is a “Help” button. This takes users to an article in documentation that describes the page functionality and use.

Caché provides local documentation for all of these articles.

InterSystems IRIS does not provide local documentation. Instead, the Help button will redirect users to the articles in the online documentation at docs.intersystems.com.

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About regulations

Personal data privacy regulations have become an indispensable requirement for projects dealing with personal data. The compliance with these laws is based on 4 principles:

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In this article I'd like to share with you a phenomena that is best you avoid - something you should be aware of when designing your data model (or building your Business Processes) in Caché or in Ensemble (or older HealthShare Health Connect Ensemble-based versions).

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When you first start working with InterSystems IRIS, it’s a common practice to install a system with only a minimum level of security. You have to enter passwords fewer times and this makes it easier to work with development services and web applications when you're first getting acquainted. And, sometimes, minimal security is more convenient for deploying a developed project or solution.
And yet there comes a moment when you need to move your project out of development, into an Internet environment that’s very likely hostile, and it needs to be tested with the maximum security settings (that is, completely locked down) before being deployed to production. And that’s what we’ll discuss in this article.
For more complete coverage of DBMS security issues in InterSystems Caché, Ensemble, and IRIS, you may want to read my other article, Recommendations on installing the InterSystems Caché DBMS for a production environment.
The security system in InterSystems IRIS is based on the concept of applying different security settings for different categories: users, roles, services, resources, privileges, and applications.

Users can be assigned roles. Users and roles can have privileges on resources — databases, services, and applications — with varying read, write, and use rights. Users and roles can also have SQL privileges on the SQL tables located in databases.

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A More Industrial-Looking Global Storage Scheme

In the first article in this series, we looked at the entity–attribute–value (EAV) model in relational databases, and took a look at the pros and cons of storing those entities, attributes and values in tables. We learned that, despite the benefits of this approach in terms of flexibility, there are some real disadvantages, in particular a basic mismatch between the logical structure of the data and its physical storage, which causes various difficulties.

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Keywords: Deep Learning, Grad-CAM, X-Ray, Covid-19, HealthShare, IRIS

Purpose

Over the Easter Weekend I touched on some deep learning classifier for Covid-19 Lungs. The demo result seems fine, seemingly matching some academic research publications around that time on this topic. But is it really "fine "?

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Loading your IRIS Data to your Google Cloud Big Query Data Warehouse and keeping it current can be a hassle with bulky Commercial Third Party Off The Shelf ETL platforms, but made dead simple using the iris2bq utility.

Let's say IRIS is contributing to workload for a Hospital system, routing DICOM images, ingesting HL7 messages, posting FHIR resources, or pushing CCDA's to next provider in a transition of care. Natively, IRIS persists these objects in various stages of the pipeline via the nature of the business processes and anything you included along the way. Lets send that up to Google Big Query to augment and compliment the rest of our Data Warehouse data and ETL (Extract Transform Load) or ELT (Extract Load Transform) to our hearts desire.

A reference architecture diagram may be worth a thousand words, but 3 bullet points may work out a little bit better:

  • It exports the data from IRIS into DataFrames
  • It saves them into GCS as .avro to keep the schema along the data: this will avoid to specify/create the BigQuery table schema beforehands.
  • It starts BigQuery jobs to import those .avro into the respective BigQuery tables you specify.

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InterSystems and Intel recently conducted a series of benchmarks combining InterSystems IRIS with 2nd Generation Intel® Xeon® Scalable Processors, also known as “Cascade Lake”, and Intel® Optane™ DC Persistent Memory (DCPMM). The goals of these benchmarks are to demonstrate the performance and scalability capabilities of InterSystems IRIS with Intel’s latest server technologies in various workload settings and server configurations. Along with various benchmark results, three different use-cases of Intel DCPMM with InterSystems IRIS are provided in this report.

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I'm always on the lookout for tools that make the development and testing of my interfaces more efficient. A couple of years ago I came across HL7 Spy, from Inner Harbour Software. It quickly became my go-to tool for running message comparison reports for interface engine migrations, message statistics gathering, and troubleshooting message receipt and delivery. It also offered enhanced functionality for things like fetching messages via sftp that other tools don't provide.

I've recently been working with HL7 Spy's author, Jon Reis, to enable support for fetching messages directly from the Ensemble message store. Its SQL Loader feature now has native Caché/IRIS support, and I've contributed a small server-side class to support the extraction of messages using it.

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Hi Developers!

Another way to start using InterSystems ObjectScript Package Manager is to use prebuilt container images of InterSystems IRIS Community Edition and InterSystems IRIS for Health Community Edition.

We deploy this IRIS images on DockerHub and you can run it with the following command:

docker run --rm -p 52773:52773 --init --name my-iris -d intersystemsdc/iris-community:2019.4.0.383.0-zpm

Launch a terminal with:

docker exec -it my-iris iris session IRIS

And install zpm-module as:

USER>zpm 

zpm: USER>install objectscript-math

[objectscript-math] Reload START

[objectscript-math] Reload SUCCESS

[objectscript-math] Module object refreshed.

[objectscript-math] Validate START

[objectscript-math] Validate SUCCESS

[objectscript-math] Compile START

[objectscript-math] Compile SUCCESS

[objectscript-math] Activate START

[objectscript-math] Configure START

[objectscript-math] Configure SUCCESS

[objectscript-math] Activate SUCCESS

zpm: USER>

And use same commands for InterSystems IRIS for Health using the tag: intersystemsdc/irishealth-community:2019.4.0.383.0-zpm

The images are being published on IRIS Community Edition and IRIS Community Edition for Health repositories of Docker Hub.

We will update tags with every new release of IRIS and ZPM.

Happy coding!

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I was searching for the most simple way to connect from visual studio code to my local instance via terminal without having to change any window.

I know this can also be achieved via telnet but seems a bit overhead if you're in your local machine.

For me the simplest sollution is to open a terminal window in VS Code, navigate to the /bin folder of your instance installation and run .\csession.exe INSTANCENAME

For simplicity you can just include your /bin folder in your path so you don't even need to navigate there

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Hi Developers!

Recently we published on Docker Hub images for InterSystems IRIS Community Edition and InterSystems IRIS Community for Health containers.

What is that?

There is a repository that publishes it, and in fact, it is the same container IRIS Community Edition containers you have on official InterSystems listing which have the pre-loaded ObjectScript Package Manager (ZPM) client.

So if you run this container with IRIS CE or IRIC CE for Health you can immediately start using ZPM and install packages from Community Registry or any others.

What does this mean for you?

It means, that anyone can deploy any of your InterSystems ObjectScript application in 3 commands:

  • run IRIS container;
  • open terminal;
  • install your application as ZPM package.

It is safe, fast and cross-platform.

It's really handy if you want to test a new interesting ZPM package and not harm any of your systems.

Suppose, you have docker-desktop installed. You can run the image, which wiil pull the latest container if you don't have it locally:

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Hi Developers!

Many of you are looking for samples on how to work with InterSystems IRIS Analytics, formerly known as DeepSee.

There is a Samples BI module with Patients and Holefoods examples which is available on Github with source code. The installation steps are clear but take time.

Recently we added the option to run IRIS Community Edition containers with ObjectScript Package Manager (ZPM) on board. This simplifies the installation to the "run-one-command" step for the modules submitted to ZPM Community Registry. And thus we can benefit the Samples BI installation with ZPM.

And here is how you can run it on your laptop. Let's go!

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¡Hi everybody!

As you likely are aware, the new version of InterSystems IRIS for Health (I4H) it's already available in Docker Hub. It's the Community version and is free and fully functional. There have been comments about it in other articles and posts,... so today I won't add anything about features. Here I want to explore "the mistery about the disappearance, or better, absence of our persistent data when we run a container with the durable option" (I didn't find a terrifying font to emphasize the thriller... post editor is not terrific for styling smiley ) .

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Some time ago I developed an application that tackled a familarial problem faced by many developers when required to update multiple UAT or PRODUCTION sites with the latest Software patches that have been developed and tested on your DEV server and now need to be deployed to multiple sites running that software.

In principle the solution works as follows:

1) Prepare an XML export of affected classes/routines/csp pages/hl7 definitions et al

2) Optionally create a global export of any new globals or changes to existing globals

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Database systems have very specific backup requirements that in enterprise deployments require forethought and planning. For database systems, the operational goal of a backup solution is to create a copy of the data in a state that is equivalent to when application is shut down gracefully. Application consistent backups meet these requirements and Caché provides a set of APIs that facilitate the integration with external solutions to achieve this level of backup consistency.

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Article
Alberto Fuentes · Oct 23, 2019 2m read
Unit Tests for Data Transforms

Would you like to be sure your data transforms work as expected with a single command? And what about writing unit tests for your data transforms in a quick and simple way?

When talking about interoperability, there are usually a lot of data transforms involved. Those data transforms are used to convert data between different systems or applications in your code, so they are running a very important job.

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Every developer has made the mistake of accidentally leaving temporary debug code in place when they meant to remove it after debugging is complete. The great thing about writing in ObjectScript is that there is a way to make temporary code be truly temporary and automatically self-destruct! This can also be done in such a way that the code has no change of making it into your source control stream, which can be helpful as well.

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Here is an ObjectScript snippet which lets to create database, namespace and a web application for InterSystems IRIS:

    set currentNS = $namespace

    zn "%SYS"

    write "Create DB ...",!
    set dbName="testDB"
    set dbProperties("Directory") = "/InterSystems/IRIS/mgr/testDB"
    set status=##Class(Config.Databases).Create(dbName,.dbProperties)
    write:'status $system.Status.DisplayError(status)
    write "DB """_dbName_""" was created!",!!


    write "Create namespace ...",!
    set nsName="testNS"
    //DB for globals
    set nsProperties("Globals") = dbName
    //DB for routines
    set nsProperties("Routines") = dbName
    set status=##Class(Config.Namespaces).Create(nsName,.nsProperties)
    write:'status $system.Status.DisplayError(status)
    write "Namespace """_nsName_""" was created!",!!


    write "Create web application ...",!
    set webName = "/csp/testApplication"
    set webProperties("NameSpace") = nsName
    set webProperties("Enabled") = $$$YES
    set webProperties("IsNameSpaceDefault") = $$$YES
    set webProperties("CSPZENEnabled") = $$$YES
    set webProperties("DeepSeeEnabled") = $$$YES
    set webProperties("AutheEnabled") = $$$AutheCache
    set status = ##class(Security.Applications).Create(webName, .webProperties)
    write:'status $system.Status.DisplayError(status)
    write "Web application """webName""" was created!",!

    zn currentNS

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