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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.

Over the past year or so, my team (Application Services at InterSystems - tasked with building and maintaining many of our internal applications, and providing tools and best practices for other departmental applications) has embarked on a journey toward building Angular/REST-based user interfaces to existing applications originally built using CSP and/or Zen. This has presented an interesting challenge that may be familiar to many of you - building out new REST APIs to existing data models and business logic.

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Hi, this post was initially written for Caché. In June 2023, I finally updated it for IRIS. If you are revisiting the post since then, the only real change is substituting Caché for IRIS! I also updated the links for IRIS documentation and fixed a few typos and grammatical errors. Enjoy :)

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This article will describe processes for running unit tests via the InterSystems Package Manager (aka IPM - see https://openexchange.intersystems.com/package/InterSystems-Package-Manager-1), including test coverage measurement (via https://openexchange.intersystems.com/package/Test-Coverage-Tool).

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For practical reasons, it may be desirable that after a Linux server restart, the IRIS instance is automatically started.

Below you will find the steps to follow to automate the startup of IRIS during a reboot of the Linux server, via systemd :

1. Create an iris.service file in /etc/systemd/system/iris.service containing the following information

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There are many ways to generate excel files using Intersystems, some of them are ZEN reports, IRIS reports ( Logi reports or formally known as JReports), or we can use third party Java libraries, the possibilities are almost endless.

But, what if you want to create a simple spreadsheet with only Caché ObjectScript? (no third party applications)

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While reviewing our documentation for our ^pButtons (in IRIS renamed as ^SystemPerformance) performance monitoring utility, a customer told me: "I understand all of this, but I wish it could be simpler… easier to define profiles, manage them etc.".

After this session I thought it would be a nice exercise to try and provide some easier human interface for this.

The first step in this was to wrap a class-based API to the existing pButtons routine.

I was also able to add some more "features" like showing what profiles are currently running, their time remaining to run, previously running processes and more.

The next step was to add on top of this API, a REST API class.

With this artifact (a pButtons REST API) in hand, one can go ahead and build a modern UI on top of that.

For example -

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InterSystems IRIS for Health ENSDEMO

Yet another basic setup of ENSDEMO content into InterSystems IRIS for Health.

Make sure you have Docker up and running before starting.

Setup

Clone the repository to your desired directory

git clone https://github.com/OneLastTry/irishealth-ensdemo.git

Once the repository is cloned, execute:

Always make sure you are inside the main directory to execute docker-compose commands.

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Your application is deployed and everything is running fine. Great, hi-five! Then out of the blue the phone starts to ring off the hook – it’s users complaining that the application is sometimes ‘slow’. But what does that mean? Sometimes? What tools do you have and what statistics should you be looking at to find and resolve this slowness? Is your system infrastructure up to the task of the user load? What infrastructure design questions should you have asked before you went into production? How can you capacity plan for new hardware with confidence and without over-spec'ing? How can you stop the phone ringing? How could you have stopped it ringing in the first place?

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What is Web Scraping:

In simple terms, Web scraping, web harvesting, or web data extraction is an automated process of collecting large data(unstructured) from websites. The user can extract all the data on particular sites or the specific data as per the requirement. The data collected can be stored in a structured format for further analysis.

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Article
· Jan 22 2m read
Getting JSON from SQL

Did you know that you can get JSON data directly from your SQL tables?

Let me introduce you to 2 useful SQL functions that are used to retrieve JSON data from SQL queries - JSON_ARRAY and JSON_OBJECT.
You can use those functions in the SELECT statement with other types of select items, and they can be specified in other locations where an SQL function can be used, such as in a WHERE clause

The JSON_ARRAY function takes a comma-separated list of expressions and returns a JSON array containing those values.

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In the last post we scheduled 24-hour collections of performance metrics using pButtons. In this post we are going to be looking at a few of the key metrics that are being collected and how they relate to the underlying system hardware. We will also start to explore the relationship between Caché (or any of the InterSystems Data Platforms) metrics and system metrics. And how you can use these metrics to understand the daily beat rate of your systems and diagnose performance problems.

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This week I am going to look at CPU, one of the primary hardware food groups :) A customer asked me to advise on the following scenario; Their production servers are approaching end of life and its time for a hardware refresh. They are also thinking of consolidating servers by virtualising and want to right-size capacity either bare-metal or virtualized. Today we will look at CPU, in later posts I will explain the approach for right-sizing other key food groups - memory and IO.

So the questions are:

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Article
· Oct 11, 2022 2m read
ZPM Simple Implementation Cookbook

ZPM is designed to work with applications and modules for InterSystems IRIS Data Platform. It consists of two components, the ZPN Client which is a CLI to manage modules, and The Registry which is a database of modules and meta-information. We can use ZPM to search, install, upgrade, remove and publish modules. With ZPM you can install ObjectScript classes, Frontend applications, Interoperability productions, IRIS BI solutions, IRIS Datasets or any files such as Embedded Python wheels.

Today this cookbook will go through 3 sections:

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The following steps show you how to display a sample list of metrics available from the /api/monitor service.

In the last post, I gave an overview of the service that exposes IRIS metrics in Prometheus format. The post shows how to set up and run IRIS preview release 2019.4 in a container and then list the metrics.

This post assumes you have Docker installed. If not, go and do that now for your platform :)

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Article
· Jan 14 5m read
clinFHIR for developers

This article is intended to describe how the clinFHIR application can be used to help developers both understand FHIR and to develop applications that utilize FHIR artifacts. It’s not intended to be an introduction to FHIR, but rather describe how clinFHIR can help on the learning / development journey.

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** Revised Feb-12, 2018

While this article is about InterSystems IRIS, it also applies to Caché, Ensemble, and HealthShare distributions.

Introduction

Memory is managed in pages. The default page size is 4KB on Linux systems. Red Hat Enterprise Linux 6, SUSE Linux Enterprise Server 11, and Oracle Linux 6 introduced a method to provide an increased page size in 2MB or 1GB sizes depending on system configuration know as HugePages.

At first HugePages required to be assigned at boot time, and if not managed or calculated appropriately could result in wasted resources. As a result various Linux distributions introduced Transparent HugePages with the 2.6.38 kernel as enabled by default. This was meant as a means to automate creating, managing, and using HugePages. Prior kernel versions may have this feature as well however may not be marked as [always] and potentially set to [madvise].

Transparent Huge Pages (THP) is a Linux memory management system that reduces the overhead of Translation Lookaside Buffer (TLB) lookups on machines with large amounts of memory by using larger memory pages. However in current Linux releases THP can only map individual process heap and stack space.

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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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Article
· Apr 9, 2019 3m read
IRIS/Ensemble as an ETL

IRIS and Ensemble are designed to act as an ESB/EAI. This mean they are build to process lots of small messages.

But some times, in real life we have to use them as ETL. The down side is not that they can't do so, but it can take a long time to process millions of row at once.

To improve performance, I have created a new SQLOutboundAdaptor who only works with JDBC.

BatchSqlOutboundAdapter

Extend EnsLib.SQL.OutboundAdapter to add batch batch and fetch support on JDBC connection.

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Article
· Jul 8, 2020 7m read
Tips for debugging with %Status

Introduction

If you're solving complex problems in ObjectScript, you probably have a lot of code that works with %Status values. If you have interacted with persistent classes from an object perspective (%Save, %OpenId, etc.), you have almost certainly seen them. A %Status provides a wrapper around a localizable error message in InterSystems' platforms. An OK status ($$$OK) is just equal to 1, whereas a bad status ($$$ERROR(errorcode,arguments...)) is represented as a 0 followed by a space followed by a $ListBuild list with structured information about the error. $System.Status (see class reference) provides several handy APIs for working with %Status values; the class reference is helpful and I won't bother duplicating it here. There have been a few other useful articles/questions on the topic as well (see links at the end). My focus in this article will be on a few debugging tricks techniques rather than coding best practices (again, if you're looking for those, see links at the end).

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Updated Jan 19th, 2023.

Hi all,

I want to share a quick little method you can use to enable ssl with a self signed certificate on your local development instance of IRIS/HealthShare. This enables you to test https-specific features such as OAuth without a huge lift.

1. Install OpenSSL

Windows     : Download from https://www.openssl.org or other built OpenSSL Binary. 

Debian Linux: $ sudo apt-get -y install openssl

RHEL        : $ sudo yum install openssl
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I found myself in the not-so-comfortable situation of working with a Linux system on which someone had accidentally disabled user access to the Linux shell. HealthConnect was running, servicing hundreds of interfaces. To resolve the access issue, though, we needed to bring the host down for the application of a fix.

Without the shell, the iris command is not available to control the instance, so we were faced with the potential of shutting down the server ungracefully. We wanted to avoid that if possible ...

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Myself and the other Technology Architects often have to explain to customers and vendors Caché IO requirements and the way that Caché applications will use storage systems. The following tables are useful when explaining typical Caché IO profile and requirements for a transactional database application with customers and vendors. The original tables were created by Mark Bolinsky.

In future posts I will be discussing more about storage IO so am also posting these tables now as a reference for those articles.

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