#InterSystems IRIS for Health

In a project I'm working on we need to store some arbitrary XML in the database. This XML does not have any corresponding class in IRIS, we just need to store it as a string (it's relatively small and can fit in a string).
Since there are MANY (millions!) of records in the database I decided to reduce as much as possible the size without compressing. I know that some XML to be stored is indented, some not, it varies.

I know that people who are completely new to VS Code, Git, Docker, FHIR, and other tools can sometimes struggle with setting up the environment. So I decided to write an article that walks through the entire setup process step by step to make it easier to get started.

I’d really appreciate it if you could leave a comment at the end - let me know if the instructions were clear, if anything was missing, or if there’s anything else you'd find helpful.

The setup includes:

✅ VS Code – Code editor
✅ Git – Version control system
✅ Docker – Runs an instance of IRIS for Health Community
✅ VS Code REST Client Extension – For running FHIR API queries
✅ Python – For writing FHIR-based scripts
✅ Jupyter Notebooks – For AI and FHIR assignments

Before you begin: Ensure you have administrator privileges on your system.

In addition to reading the guide, you can also follow the steps in the videos:

For Windows

https://www.youtube.com/embed/IyvuHbxCwCY
[This is an embedded link, but you cannot view embedded content directly on the site because you have declined the cookies necessary to access it. To view embedded content, you would need to accept all cookies in your Cookies Settings]

An extension “extends” or enhances a FHIR resource or a data element in a custom way. The extension can be added to the root of a resource, such as “Patient.ethnicity” in US Core profile, and they can be added to individual elements such as HumanName, Address or Identifier.

Did you know that you can also add an extension to a primitive data type?

Primitives usually store a single item and are the most basic element in FHIR. For example: "Keren", false, 1234, 12/08/2024 etc.

For example, the patient resources might look like this:

RabbitMQ is a message broker that allows producers (those who send a data message) and consumers (those who receive a data message) to establish asynchronous, real-time, and high-performance massive data flows. RabbitMQ supports AMQP (Advanced Message Queuing Protocol), an open standard application layer protocol.
The main reasons to employ RabbitMQ include the following:

• You can improve the performance of the applications using an asynchronous approach.
• It lets you decouple and reduce dependencies between services, microservices, and applications with the help of a data message mediator, meaning that there is no need for producers and consumers of exchanged data to know each other.
• It allows the long-running processing of sent data (with the results) to be delivered after utilizing a response queue.
• It helps you migrate from monolithic to microservices, where microservices exchange data via Rabbit in a decoupled and asynchronous way.
• It offers reliability and resilience by making it possible for messages to be stored and forwarded. A message can be delivered multiple times until it is processed.
• Message queueing is the key to scaling your application. As the workload increases, you will only have to add more workers to handle the queues faster.
• It works well with data streaming applications.
• It is beneficial for IoT applications.
• It is a must for Bots’ communication.

When using standard SQL or the object layer in InterSystems IRIS, metadata consistency is usually maintained through built-in validation and type enforcement. However, legacy systems that bypass these layers—directly accessing globals—can introduce subtle and serious inconsistencies.