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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.

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.

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Who hasn't been developing a beautiful example using a Docker IRIS image and had the image generation process fail in the Dockerfile because the license under which the image was created doesn't contain certain privileges?

In my case, what I was deploying in Docker is a small application that uses the Vector data type. With the Community version, this isn't a problem because it already includes Vector Search and vector storage. However, when I changed the IRIS image to a conventional IRIS (the latest-cd), I found that when I built the image, including the classes it had generated, it returned this error:

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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
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Hi developers!

This will be a very short article as in April 2025 with Lovable and other Prompt-to-UI tools it becomes possible to build the frontend with prompting. Even to the folks like me who is not familiar with modern UI techics at all.

Well, I know at least the words javascript, typescript and ReactJS, so in this very short article we will be building the ReactJS UI to InterSystems FHIR server with Lovable.ai.

Let's go!

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Migrating InterSystems IRIS and InterSystems IRIS for Health from on-premises to the cloud offers many advantages for Application Providers and Solution Providers. These advantages include simplified operations, access to flexible resources, and enhanced resilience. Companies no longer need to worry about the physical constraints and expenses associated with maintaining on-prem infrastructure, such as power and space requirements and expensive computer hardware.

One of the most compelling benefits is the ability to accelerate speed to market. By removing the burden of infrastructure maintenance, cloud environments enable faster development and deployment cycles, allowing businesses to respond quickly to market demands and opportunities. Operational costs are also lowered, because companies can scale resources up or down based on actual needs, leading to more efficient use of capital. Moreover, migrating to the cloud can contribute to a reduced carbon footprint by optimizing energy usage through shared cloud infrastructure.

Transitioning to the cloud may involve significant changes. Companies may benefit from a more operational focus, managing and optimizing cloud resources continuously. This shift may require changes to business models, reconsideration of margins, and strategies for scaling operations up or out. While requiring more investment, embracing these changes can lead to improved agility and competitive advantage in the marketplace.

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Hi Community,

Traditional keyword-based search struggles with nuanced, domain-specific queries. Vector search, however, leverages semantic understanding, enabling AI agents to retrieve and generate responses based on context—not just keywords.

This article provides a step-by-step guide to creating an Agentic AI RAG (Retrieval-Augmented Generation) application.

Implementation Steps:

  1. Create Agent Tools
    • Add Ingest functionality: Automatically ingests and index documents (e.g., InterSystems IRIS 2025.1 Release Notes).
    • Implement Vector Search Functionality
  2. Create Vector Search Agent
  3. Handoff to Triage (Main Agent)
  4. Run The Agent
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The "Ask Developer Community AI" tool is an excellent resource for studying for the certification. I asked it about each topic that will be covered in the test and the results are below.
Note: I classified each answer by the assertiveness that I consider as good, average and bad.

Note 2: The article has 4 parts, each one for an exam area.

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The "Ask Developer Community AI" tool is an excellent resource for studying for the certification. I asked it about each topic that will be covered in the test and the results are below.
Note: I classified each answer by the assertiveness that I consider as good, average and bad.

Note 2: The article has 4 parts, each one for an exam area.

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The "Ask Developer Community AI" tool is an excellent resource for studying for the certification. I asked it about each topic that will be covered in the test and the results are below.
Note: I classified each answer by the assertiveness that I consider as good, average and bad.

Note 2: The article has 4 parts, each one for an exam area.

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The "Ask Developer Community AI" tool is an excellent resource for studying for the certification. I asked it about each topic that will be covered in the test and the results are below.
Note: I classified each answer by the assertiveness that I consider as good, average and bad.

Note 2: The article has 4 parts, each one for an exam area.

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Hi Community,

In this article, I will introduce my application iris-AgenticAI .

The rise of agentic AI marks a transformative leap in how artificial intelligence interacts with the world—moving beyond static responses to dynamic, goal-driven problem-solving. Powered by OpenAI’s Agentic SDK , The OpenAI Agents SDK enables you to build agentic AI apps in a lightweight, easy-to-use package with very few abstractions. It's a production-ready upgrade of our previous experimentation for agents, Swarm.
This application showcases the next generation of autonomous AI systems capable of reasoning, collaborating, and executing complex tasks with human-like adaptability.

Application Features

  • Agent Loop 🔄 A built-in loop that autonomously manages tool execution, sends results back to the LLM, and iterates until task completion.
  • Python-First 🐍 Leverage native Python syntax (decorators, generators, etc.) to orchestrate and chain agents without external DSLs.
  • Handoffs 🤝 Seamlessly coordinate multi-agent workflows by delegating tasks between specialized agents.
  • Function Tools ⚒️ Decorate any Python function with @tool to instantly integrate it into the agent’s toolkit.
  • Vector Search (RAG) 🧠 Native integration of vector store (IRIS) for RAG retrieval.
  • Tracing 🔍 Built-in tracing to visualize, debug, and monitor agent workflows in real time (think LangSmith alternatives).
  • MCP Servers 🌐 Support for Model Context Protocol (MCP) via stdio and HTTP, enabling cross-process agent communication.
  • Chainlit UI 🖥️ Integrated Chainlit framework for building interactive chat interfaces with minimal code.
  • Stateful Memory 🧠 Preserve chat history, context, and agent state across sessions for continuity and long-running tasks.

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I just realized I never finished this serie of articles!

GIF de Shame On You Meme | Tenor

In today's article, we'll take a look at the production process that extracts the ICD-10 diagnoses most similar to our text, so we can select the most appropriate option from our frontend.

Looking for diagnostic similarities:

From the screen that shows the diagnostic requests received in HL7 in our application, we can search for the ICD-10 diagnoses closest to the text entered by the professional.

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Article
· Apr 1 1m read
IRIS-Intelligent Butler

# IRIS-Intelligent Butler
IRIS Intelligent Butler is an AI intelligent butler system built on the InterSystems IRIS data platform, aimed at providing users with comprehensive intelligent life and work assistance through data intelligence, automated decision-making, and natural interaction.
## Application scenarios
adding services, initializing configurations, etc. are currently being enriched
## Intelligent Butler

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InterSystems Official
· Mar 27 4m read
2025.1 Modernizing Interoperability User Experience

The Interoperability user interface now includes modernized user experiences for the DTL Editor and Production Configuration applications that are available for opt-in in all interoperability products. You can switch between the modernized and standard views. All other Interoperability screens remain in the Standard user interface. Please note that changes are limited to these two applications and we identify below the functionality that is currently available.

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Introduction

In InterSystems IRIS 2024.3 and subsequent IRIS versions, the AutoML component is now delivered as a separate Python package that is installed after installation. Unfortunately, some recent versions of Python packages that AutoML relies on have introduced incompatibilities, and can cause failures when training models (TRAIN MODEL statement). If you see an error mentioning "TypeError" and the keyword argument "fit_params" or "sklearn_tags", read on for a quick fix.

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Hi colleagues!

Often, while developing a frontend app or any other communication vs REST API, it is worth having a Swagger UI - a test UI for the REST API that follows Open API 2.0 spec. Usually, it is quite a handful as it lets have quick manual tests vs REST API and its responses and the data inside.

Recently I've introduced the Swagger support to the InterSystems IRIS FHIR template for FHIR R4 API:

How to get it working.

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The FHIR standard establishes a powerful but flexible data model that can smoothly adapt to the complexities of operational healthcare data management. This flexibility comes at the cost of a data model with many tables and relationships, even for simple data such as the patient's record of telephone numbers, addresses, and emails. It would easily require querying 4 different tables. However, FHIR SQL Builder eliminates this problem, allowing you to create visual projections (mappings) in web wizards.

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In 2023, according to IDC, Salesforce's market share in CRM reached 21.7%. This company owns a substantial amount of critical corporate business processes and data, so the InterSystems IRIS must have an interoperability connector to fetch data from the Salesforce data catalog. This article will show you how to get any data hosted by Salesforce and create an interoperation production to get data and send it to such targets as files and relational databases.

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Background:

This guideline provides an overview of how to design and implement a REST API interface for querying patient demographic data from an Electronic Patient Record (EPR) system using HealthConnect. The process involves sending a query request with the patient's identification number, retrieving the response from the EPR system, extracting the required patient demographic data from the HL7 message, and sending it as a JSON response to the supplier. The high-level process diagram is shown below (Screenshot 1).

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Introduction

To achieve optimized AI performance, robust explainability, adaptability, and efficiency in healthcare solutions, InterSystems IRIS serves as the core foundation for a project within the x-rAI multi-agentic framework. This article provides an in-depth look at how InterSystems IRIS empowers the development of a real-time health data analytics platform, enabling advanced analytics and actionable insights. The solution leverages the strengths of InterSystems IRIS, including dynamic SQL, native vector search capabilities, distributed caching (ECP), and FHIR interoperability. This innovative approach directly aligns with the contest themes of "Using Dynamic SQL & Embedded SQL," "GenAI, Vector Search," and "FHIR, EHR," showcasing a practical application of InterSystems IRIS in a critical healthcare context.

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