In part I of this article, we have already learned more about HL7, its messages, structure, segments, and fields. In this part II, we will show you how to transform proprietary/custom data into HL7 using IRIS for Health. For our sample, we used the data generated by the SYNTHEA bulk data generation project (https://synthea.mitre.org/downloads). So, we will show you how to convert 1000 patients from a CSV file to HL7 v2, using the Interoperability features of IRIS for Health.

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EHR (Electronic Health Record) systems are designed in a proprietary format/structure and are not based on such market models as FHIR or HL7. Whereas some of those systems can interoperate data in a proprietary format for FHIR and further market models, others cannot. InterSystems has two platforms that can interoperate proprietary formats for market standards: InterSystems HealthShare Connect and InterSystems IRIS for Health.

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Article
· Nov 20, 2023 3m read
Parquet files and InterSystems IRIS

In the world of Big Data, selecting the right file format is crucial for efficient data storage, processing, and analysis. With the massive amount of data generated every day, choosing the appropriate format can greatly impact the speed, cost, and accuracy of data processing tasks. There are several file formats available, each with its own set of advantages and disadvantages, making the decision of which one to use complex. Some of the popular Big Data file formats include CSV, JSON, Avro, ORC, and Parquet.

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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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InterSystems FAQ rubric

To resolve the error <PROTECT>, remove the read-only attribute of the system-wide library database (IRISLIB for InterSystems IRIS, CACHELIB for Caché/Ensemble/HealthShare (Caché-based))

Once you have finished importing the routine, remember to change it back to read-only.

[Version 2013.1 and above]
[Management Portal] > [System Administration] > [Configuration] > [System Configuration] > [Local Database] Uncheck "Mount read-only" from the database name link.

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Scenario

IRIS has the likes of SQL inbound adapters for use with SQL gateways such as EnsLib.SQL.InboundAdapter to repeatedly query SQL Gateway connections. A scenario appeared as that we wanted to query an Internal database for some data but did not see an out of the box service for this.

Desired Approach

Have a Generic service that can poll internal SQL to work with downstream components.

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I am often asked by customers, vendors or internal teams to explain CPU capacity planning for large production databases running on VMware vSphere.

In summary there are a few simple best practices to follow for sizing CPU for large production databases:

  • Plan for one vCPU per physical CPU core.
  • Consider NUMA and ideally size VMs to keep CPU and memory local to a NUMA node.
  • Right-size virtual machines. Add vCPUs only when needed.

Generally this leads to a couple of common questions:

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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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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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According to Databricks Apache Parquet is an open source, column-oriented data file format designed for efficient data storage and retrieval. It provides efficient data compression and encoding schemes with enhanced performance to handle complex data in bulk. Apache Parquet is designed to be a common interchange format for both batch and interactive workloads. It is similar to other columnar-storage file formats available in Hadoop, namely RCFile and ORC. (source: https://www.databricks.com/glossary/what-is-parquet).

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Article
· Nov 27, 2023 2m read
Generative AI for image creation

Currently, many digital artists use generative AI technology as a support to accelerate the delivery of their work. Nowadays it is possible to generate a corresponding image from a text sentence. There are several market solutions for this, including some available to be used through APIs. See some at this link: https://www.analyticsvidhya.com/blog/2023/08/ai-image-generators/.

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Article
· Nov 24, 2023 4m read
A framework yes, but a suitable framework

How can IRIS productions be deployed more quickly and with greater peace of mind?

The aim of interoperability productions is to enable you to connect systems in order to transform and route messages between them. To connect systems, you develop, configure, deploy and manage productions that integrate several software systems.

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Article
· Nov 19, 2023 1m read
NativeAPI for Java from WebTerminal

Based on the successful solution for my 2nd contribution to the Contest
I used an adapted version for this package. And have some findings I'd like to share.

Multiple communication steps over CPIPE may take time.
You won't recognize it on a fast machine. But a slower box with
Windows + Docker Desktop + your browser (and more) is neither
"Speedy Gonzales" nor a "Road Runner". 🙂

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Article
· Jun 1, 2023 1m read
How to shrink the IRISTemp database

InterSystems FAQ rubric

You can set the maximum size of the IRISTemp database at IRIS startup by setting a configuration parameter called MaxIRISTempSizeAtStart.

After setting, the system will truncate IRISTemp to the set value (MB) at the next IRIS startup. If the current size is less than the specified MaxIRISTempSizeAtStart, no truncation will occur. Also, if 0 is specified, truncation will not be performed, so the size will start without changing. (Default) Settings are made from the menu below.

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In my previous articles, I described my Command Line Extension to NativeAPI.
Of course, this is also available for any other NativeAPI package.
So I created this example as a demo for the actual Java Contest.
<--break->
The package contains also an IRIS server in Docker for the demo
It is evident that it also works with any remote IRIS server.
You just have to provide it with my NativeAPI CommandLine Extension.

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Introduction

InterSystems would like to optimize IRIS to take advantage of modern CPU instruction set extensions. That’s great for product performance, but how do you know if your CPU will still be supported for new IRIS builds? Here’s how to know your CPU’s microarchitecture family as well as how to find out your CPU’s specific instruction set extensions.

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Article
· Nov 2, 2023 3m read
How to hide the source program

InterSystems FAQ rubric

For routines (*.mac)

You can hide the source by exporting/importing only the *.obj that is generated after compiling the source program.

The command execution example specifies EX1Sample.obj and EX2Sample.obj, which are generated by compiling EX1Sample.mac and EX2Sample.mac, as export targets and exports them to the second argument file.

After moving to another namespace, I am using the exported XML file to perform the import.

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InterSystems FAQ rubric

ObjectScript allows you to pass any number of arguments using arrays. Do it by adding ... after the argument name.

An example is as follows. In the example statement, the argument information is set in a global variable (a variable stored in the database) so that it can be easily checked after the method is executed.

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Introduction

We are in the age of the multiplatform economy and APIs are the "glue" in this digital scenario. Since they are so important, they are seen by developers as a service or product to be consumed. Therefore, usage experience is a crucial factor for its success.

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InterSystems FAQ rubric

In the sample below, an image file is encoded into a Base64 string in a class property, saved, decoded again with Base64, and restored to another file.

【Usage class】

Class User.test Extends %Persistent
{
Property pics As %GlobalBinaryStream;
}


【When importing】

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Are you preparing to use VS code for the first time? Just make sure you have enough privileges.

Have you defined your Iris server in your VS Code settings, and still get the following error?

VS Code accesses Iris/HealthConnect using the web application /api/atelier. If you do not have permission (i.e. you are using an LDAP user to connect and the web application is not configured to support LDAP), this is the reason why you couldn't connect.

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