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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.

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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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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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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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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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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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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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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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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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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In this article we are going to see how we can use the WhatsApp instant messaging service from InterSystems IRIS to send messages to different recipients. To do this we must create and configure an account in Meta and configure a Business Operation to send the messages we want.

Let's look at each of these steps in more detail.

Setting up an account on Meta

This is possibly the most complicated point of the entire configuration, since we will have to configure a series of accounts until we can have the messaging functionality.

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We now get to make use of the IKO.

Below we define the environment we will be creating via a Custom Resource Definition (CRD). It lets us define something outside the realm of what the Kubernetes standard knows (this is objects such as your pods, services, persistent volumes (and claims), configmaps, secrets, and lots more). We are building a new kind of object, an IrisCluster object.

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The IKO documentation is robust. A single web page, that consists of about 50 actual pages of documentation. For beginners that can be a bit overwhelming. As the saying goes: how do you eat an elephant? One bite at a time. Let's start with the first bite: helm.

What is Helm?

Helm is to Kubernetes what the InterSystems Package Manager (IPM, formerly ObjectScript Package Manager - ZPM) is to IRIS.

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Article
· Nov 21 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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The IKO allows for sidecars. The idea behind them is to have direct access to a specific instance of IRIS. If we have mirrored data nodes, the web gateway will (correctly) only give us access to the primary node. But perhaps we need access to a specific instance. The sidecar is the solution.

Building on the example from the previous article, we introduce the sidecar by using a mirrored data node and of course arbiter.

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The IKO will dynamically provision storage in the form of persistent volumes and pods will claim them via persistent volume claims.

But storage can come in different shapes and sizes. The blueprint to the details about the persistent volumes comes in the form of the storage class.

This raises the question: we've deployed the IrisCluster, and haven't specified a storage class yet. So what's going on?

You'll notice that with a simple

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I have challenged to create a bot application using Azure Bot that can retrieve and post data to IRIS for Health.

A patient's data has already been registered in the FHIR repository of IRIS for Health.

The patient's MRN is 1001. His name is Taro Yamad. (in Japanese :山田 太郎)

This bot can post new pulse oximeter readings as an observation resource linked to the patient.

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When using InterSystems IRIS as an interoperability engine, we all know and love how easy it is to use the Message Viewer to review message traces and see exactly what's going on in your production. When a system is handling millions of messages per day, you may not know exactly where to begin your investigation though.

Over my years supporting IRIS productions, I often find myself investigating things like...

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