#InterSystems IRIS for Health

10 Followers · 2.5K Posts

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.

Contestant
Article Rodolfo Pscheidt Jr · Apr 15 5m read

Introduction
InterSystems IRIS Adaptive Analytics is an optional extension that provides a business-oriented, virtual data model layer between InterSystems IRIS and popular Business Intelligence (BI) and Artificial Intelligence (AI) client tools. Adaptive Analytics is powered by AtScale, the AtScale documentation can be found at this link: https://documentation.intersystems.atscale.com

This article will showcase some AtScale features that can facilitate data analysis:

  1. Cube creation
  2. Excel visualization
  3. Parallel Period
  4. Queries
  5. Snowflake
  6. Security
  7. Aggregates

0
0 29
New
Article Muhammad Waseem · Apr 14 10m read

Hi Community,

In our two preceding articles, we explored the fundamentals of the Interoperability Embedded Python (IoP) framework, including message handling, production setup, and Python-based business components.

In this third piece, we will examine advanced methodologies and practical patterns within the IoP framework that are pivotal for real-world interoperability implementations.
We will explore the following topics: 

DTL (Data Transformation Language) in IoP
✅ JSON Schema Support
✅ Effective Debugging Techniques

Collectively, these features help us create maintainable, validated, and easily troubleshootable production-grade interoperability solutions.

0
0 28
New
Article Kate Lau · Apr 14 3m read

Hi, every one. Again, it's me!!😀😀

Recently I was trying to organize some learning materials for InterSystems IRIS😆, and realized that the resources are actually quite scattered.🤐

So I put together a list here—grouped by categories—for anyone who:

  • is new to InterSystems
  • or wants to go deeper into specific areas

Also adding some of my own experience on what worked (and what didn’t, may be only not work for me🤫🤐).


1. For starters

If you don’t know where to begin, start here:

5
1 94
New
Article Iryna Mykhailova · Apr 9 3m read

Since I started using Claude Code, my motivation to create things has skyrocketed.

Previously, even if I wanted to build something, actually doing the coding felt like a hassle, so unless there was a very strong need, I rarely went as far as programming. But now, if I just jot down the specifications, Claude Code handles the rest automatically, resulting in a dramatic improvement in productivity.

I come from a generation native to ObjectScript, so I used to feel some hesitation when it came to switching to Python.

0
0 45
New
Article Iryna Mykhailova · Apr 9 3m read

Claude Code has a strong understanding of IRIS, but unexpected issues still occur.

The first issue is one that has already happened several times and is likely to continue occurring if not properly addressed.

In IRIS, the collation for string data (%String) is set to SQLUPPER by default. As a result, when data is retrieved via SQL, it may be returned in uppercase (for example, when sorting and aggregating with GROUP BY).

3
0 77
New
Article Iryna Mykhailova · Apr 8 2m read

This time, it’s not really programming per se, but we are using React as a front-end development tool for IRIS. When using a web development framework—not limited to React—one key consideration is which CSS framework to use. Up until now, we’ve been using Bootstrap, which is the standard and the easiest to get started with.

However, while it’s easy to use, I felt that it offers limited flexibility for customization. That said, even if we were to switch to another CSS framework, learning it and rewriting everything from scratch would be a significant effort, so we left things as they were.

0
0 50
New
Article Laurel James (GJS) · Apr 7 2m read

Is your source control treating your InterSystems IRIS environment like a simple collection of files? Most source control tools lack the native intelligence to handle InterSystems IRIS, which is why your code is treated as such. 

Deltanji is different. It understands how code and other artifacts are stored within IRIS and can manage them directly. This eliminates the friction that other tools introduce to the process. 

Join us for an InterSystems-hosted webinar to see how Deltanji provides an enterprise-grade source control solution that is tightly integrated with your IRIS environment.

3
1 51
Article Jorge Jaramillo Herrera · Mar 30 7m read

A Continuous Training (CT) pipeline formalises a Machine Learning (ML) model developed through data science experimentation, using the data available at a given point in time. It prepares the model for deployment while enabling autonomous updates as new data becomes available, along with robust performance monitoring, logging, and model registry capabilities for auditing purposes.

InterSystems IRIS already provides nearly all the components required to support such a pipeline. However, one key element is missing: a standardised tool for model registry.

1
0 201
Article Tani Frankel · Mar 26 1m read

v2026.1 was just released as GA, and one of the features I'm looking forward to using is the DTL Explainer feature.

This allows you to take a Data Transformation, and with a click of a button get a human-readable description of the transformation (which you can also use as the basis for the DTL Description).

For complex DTLs, especially ones you didn't write yourself, or you did but a long time ago, this will allow you to get a clear quick understanding of what it's doing.

0
0 63
Article Fan Ji · Mar 26 1m read

Introduction

FHIR (Fast Healthcare Interoperability Resources) is the modern standard for storing and exchanging clinical data. But once your data is in a FHIR server, how do you actually explore it? FHIR data is stored as JSON — powerful, but not practical to read directly. I wanted a tool where you could click on a patient, see their conditions, medications, lab results, and more — in a clean, readable format. So I built the FHIR Patient Viewer.

How It Works

The app runs entirely in Docker and connects directly to an InterSystems IRIS for Health FHIR server.

2
2 293
Article Vachan C Rannore · Mar 26 2m read

Working with files often starts off simple. open the file, read, and process. That approach works perfectly well, until the file happens to be an Excel file.

A Common Assumption

At first, an Excel file (.xlsx) looks like just another data file, rows, columns and values. nothing unusual. So it's natural to assume it can be read the same way as a .txt ot .csv file. But that's where things start to break.

Why Excel files behave differently

The key difference is how the data is stored:

-> .txt / .csv - plain text, line-by-line.

-> .

2
0 71
Article Luis Angel Pérez Ramos · Mar 21 2m read

As you all probably know, Health Connect / IRIS for Health natively supports DICOM messaging, and many of you will have used it daily. Well, I recently discovered a rather insidious little issue that our beloved @Alberto Fuentes gave me the solution.

We (I) will call this phenomenon the Creosote effect (those of you who know Monty Python will understand the reference, for the rest you can see the sketch here )

Why Monty Python's Mr Creosote is the ultimate gross-out icon - Yahoo  Movies UK

Mr.

0
0 65
Article Bruno Santos · Mar 19 8m read

The problem

How many times have we migrated an IRIS Instance to another machine, maybe even another version, and after a few days realized we forgot that one SSL Configuration critical for a Business Operations to work? Or maybe a credential, or a lonely class in a package by itself?

The solution

The simple solution is to make a checklist¹. A checklist of the entities we have to move. But simple checklists on Word documents are often forgotten, or just ignored.

3
3 159
Article Robert Barbiaux · Mar 16 12m read

There are lessons we learned from developing and maintaining code for interoperability components within a healthcare institutional environment.

The plane is already flying

Be prepared to rebuild, improve, extend, and fix the plane mid-flight.
 

Maintenance windows for hospital systems are often very limited, with some required to be operational 24/7. While the critical health systems such as imaging modalities or registration kiosks — or at least their critical functions — must operate autonomously, efficiency and usability may be compromised when interoperability components malfunction.

0
1 165
Article Tani Frankel · Mar 15 1m read

As part of the new Interoperability UI wave (see what was new in 2025.1, and 2025.3 by @Aya Heshmat), v2026.1 which is available already as a Developer Preview, and this could be a reason for you to give it a ride - will be shipping the new UI for the Message viewing and searching, including Visual Trace (and other UI goodies).

He's a quick teaser:

0
0 118
Article Tani Frankel · Mar 15 1m read

As part of the new Interoperability UI wave (see what was new in 2025.1, and 2025.3 by @Aya Heshmat), v2026.1 which is available already as a Developer Preview, and this could be a reason for you to give it a ride - will be shipping the new UI for the BPL editor (and other UI goodies).

He's a quick teaser:

0
0 105
Article Andrew Sklyarov · Mar 14 6m read

I may have mentioned this before: I believe the Visual Traces, these sequence diagrams with full content of each step, are a fantastic feature of the IRIS Data platform! Detailed information about how the API works internally, as a visual trace, can be very useful for projects on the IRIS platform. Of course, this applies when we are not developing a high-load solution, in which case we simply don't have time for saving/reading messages. For all other cases, welcome to this tutorial!

0
0 96
Article Luis Angel Pérez Ramos · Mar 11 14m read

Does your blood run cold when you hear about openEHR? Do archetypes give you goosebumps?

Overcome your fears with this article and master OpenEHR using the capabilities of InterSystems IRIS for Health!

What is openEHR?

openEHR is an open, vendor-neutral specification designed to represent, store, and exchange clinical information in a semantically rich and long-term sustainable way. Instead of defining fixed message structures (as many interoperability standards do) OpenEHR separates clinical knowledge from technical implementation through a multi-layered modelling approach.

0
1 135
Article Scott Roth · Mar 11 3m read

Background

Emergency Medical Services (EMS) teams often arrive at the emergency department with patients whose demographics are incomplete or unknown—no medical record number (MRN), no confirmed name, and sometimes no date of birth. Yet EMS transportation notes still need to land in the correct chart.

To support safe and reliable documentation, EMS agencies, third-party integration services, and hospital integration teams build secure interfaces that exchange identifiers and clinical messages.

0
0 72
Article Muhammad Waseem · Feb 25 4m read

image

Hi Community,
In this article, I will introduce my application iris-CliniNote .

CliniNote is a full-featured clinical notes application that combines classic CRUD operations with **real-time AI-assisted notes matching** powered by **InterSystems IRIS native vector search**. The standout feature: while a doctor is writing or editing a clinical note, a side panel shows the **top 5 most similar notes** based on the semantic content of the note being written — **excluding the current patient** to avoid trivial matches. This gives clinicians immediate access to "patients like this one" — helping with differential diagnosis, treatment pattern recognition, and rare presentation detection.

Online Demo

https://irisclininote.sandbox.developer.intersystems.com/csp/clininote/login.html

0
0 41
Article Ashok Kumar T · Feb 24 2m read

In the modern healthcare landscape, finding clinically similar patients often feels like looking for a needle in a haystack. Traditional keyword searches often fail because medical language is highly nuanced; a search for "Heart Failure" might miss a record containing "Congestive Cardiac Failure."

I am excited to share iris-medmatch, an AI-powered patient matching engine built on InterSystems IRIS for Health. By leveraging Vector Search, this tool understands clinical intent rather than just matching literal strings.

0
0 102
Article Yuri Marx · Feb 22 4m read

The facial recognition has become the most popular method for validating people's identities, thus enabling access to systems, confirmation of personal and documentary data, and approval of actions and documents.
The challenges are related to performance when the database is very large, accuracy, and especially the privacy of biometric facial data. For these challenges, nothing is better than using InterSystems Vector Search, as it allows:

  1. Performing vector searches in millions of records with much faster responses than traditional methods.
5
5 157
Article Ashok Kumar T · Feb 20 3m read

This is an excellent candidate for a developer community post (like Dev.to, Medium, or the InterSystems Community). It bridges the gap between high-level architecture and hands-on implementation.

Here is the summarized article format.


Building a Robust Asynchronous Queue Manager with InterSystems IRIS and Angular

As applications scale, handling heavy computational tasks synchronously becomes a bottleneck. Whether it's processing large data sets, sending high-volume emails, or managing API integrations, a decoupled architecture is essential.

0
0 84
Article Sanjib Pandey · Feb 20 5m read

Project Overview:

The Clinical Staff Master Data Management (CSMDM) system is a full-stack healthcare integration application built on InterSystems IRIS for Health. It centralizes and standardizes clinical staff metadata into a single authoritative repository, exposed through RESTful CRUD APIs and reusable backend methods.

The platform eliminates fragmented lookup tables and hardcoded mappings that commonly cause errors in HL7 and FHIR integration workflows, ensuring data consistency and interface reliability.

0
0 61
Article Andrew Sklyarov · Feb 15 7m read

In this article, I aim to demonstrate a couple of methods for easily adding validation to REST APIs on InterSystems IRIS Data Platform. I believe a specification-first approach is an excellent idea for API development. IRIS already has features for generating an implementation stub from a specification and publishing that specification for external developers (use it with iris-web-swagger-ui for the best results). The remaining important thing not yet implemented in the platform is the request validator. Let's fix it!

0
0 99
Article Alberto Fuentes · Feb 13 10m read

10:47 AM — Jose Garcia's creatinine test results arrive at the hospital FHIR server. 2.1 mg/dL — a 35% increase from last month.

What happens next?

  • Most systems: ❌ The result sits in a queue until a clinician reviews it manually — hours or days later.
  • This system: 👍 An AI agent evaluates the trend, consults clinical guidelines, and generates evidence-based recommendations — in seconds, automatically.

No chatbot. No manual prompts. No black-box reasoning.

This is event-driven clinical decision support with full explainability:

image

Triggered automatically by FHIR events ✅ Multi-agent reasoning (context, guidelines, recommendations) ✅ Complete audit trail in SQL (every decision, every evidence source) ✅ FHIR-native outputs (DiagnosticReport published to server)

Built with:

  • InterSystems IRIS for Health — Orchestration, FHIR, persistence, vector search
  • CrewAI — Multi-agent framework for structured reasoning

You'll learn: 🖋️ How to orchestrate agentic AI workflows within production-grade interoperability systems — and why explainability matters more than accuracy alone.

2
2 179
Article Gabriel Ing · Feb 6 7m read

This article explains how to deploy InterSystems IRIS Community Edition on Azure using the Azure Marketplace and a Virtual Machine. It covers prerequisites, instance selection, authentication, SSH access, first verification steps, and how to delete resources to avoid charges. The deployment can typically be done using Azure free credits and is suitable for developers who want to quickly start working with IRIS in the cloud.

Who this guide is for. This guide is intended for developers, solution architects, and DevOps engineers who want to deploy InterSystems IRIS Community Edition on Microsoft Azure. No prior Azure automation experience is required, but basic familiarity with the Azure Portal and SSH is helpful.

After following this guide, you will be able to:

  • Launch InterSystems IRIS Community Edition from the Azure Marketplace
  • Configure a small, secure Azure VM
  • Connect to IRIS using SSH and the Management Portal
  • Reset the default IRIS password and verify that IRIS is running

Prerequisites

  • An active Azure subscription (new accounts may have free credits)
  • Permissions to create resource groups, VMs, and networking resources
  • An SSH client and a private key (.pem) you can store securely
  • Basic knowledge of Linux command line

Deployment overview

  • Open the IRIS Community Edition listing in Azure Marketplace and click Get it now
  • In Azure Portal, choose Start with a pre-set configuration (or Create)
  • Configure Basics: subscription, resource group, VM name, region, image, and size (a small VM is usually sufficient)
  • Choose SSH key authentication and generate/download the key if needed
  • Review + Create, accept terms, and deploy; then Go to resource → Connect → SSH
  • First SSH login: run iris password to change _SYSTEM/SYS; start a session with iris session iris
  • Management Portal: http://YOUR_VM_IP:52773/csp/sys/UtilHome.csp
0
0 82
Article Luis Angel Pérez Ramos · Jan 28 5m read

How many times have you had to receive or generate a JSON and wished you could work on it using DTLs without having to deal with DynamicObjects trying to remember the name of each field? Do you want to break down and make your giant JSON file more digestible?

In my case, never, but I thought that someone might find it useful to have a feature that captures your JSON and breaks it down into a series of ObjectScript classes that you can work with more easily and conveniently.

Well then...behold JSON2Class in all its glory!

0
0 113