My main goal of this article was to prove the use of InterSystems IRIS for Health for REST FHIR interoperability between multiple applications. In this use case, some initiating application makes a REST call to IRIS for Health (which is merely a passthrough for REST calls) to retrieve FHIR data from an Oracle Health R4 FHIR repository. Ideally, it simplifies the syntax for calling the Oracle Health APIs.

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The Istio Service Mesh is commonly used to monitor communication between services in applications. The "battle-tested" sidecar mode is its most common implementation. It will add a sidecar container to each pod you have in your namespace that has Istio sidecar injection enabled.

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In your Interoperability Production you could always have a Business Operation that is an HTTP client, that uses OAuth 2.0 for authentication, but you had to customize the Operation for this authentication methodology. Since v2024.3, which was lately released, there is a new capability, providing new settings, to handle this more easily.

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Not sure there are many that connect to MS SQL to execute queries, stored procedures, etc, but our Healthsystem has many different MS SQL based databases we use within the Interoperability environment for various reasons.

With the push to moving from on-prem to the Cloud we ran into some difficulties with our SQL Gateway connections and knowing how to config them to use Microsoft Entra for Active Directory Authentication.

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Contestant

In this article, exceptions are covered.

Working with Exceptions

Instead of returning a %Status response, you can raise and throw an Exception. You are then responsible for catching the exception and validating it. IRIS provides five main classes to handle exceptions effectively. Additionally, you can create custom exception class definition based on your needs.

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Contestant
Article
· Feb 7 4m read
IRIS %Status and Exceptions

You may encounter errors during any point of program execution, and there are several ways to raise and handle these exceptions. In this article, we'll explore how exceptions are handled efficiently in IRIS.

One of the most commonly used return types is %Status, which is used by methods to indicate success or failure. Let's begin by discussing %Status values.

Working with %Status

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All pods are assigned a Quality of Service (QoS). These are 3 levels of priority pods are assigned within a node.

The levels are as following:

1) Guaranteed: High Priority

2) Burstable: Medium Priority

3) BestEffort: Low Priority

It is a way of telling the kubelet what your priorities are on a certain node if resources need to be reclaimed. This great GIF below by Anvesh Muppeda explains it.

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Contestant
Article
· Feb 13 4m read
Bulk FHIR Step by Step

FHIR repositories, applications and servers typically serve clinical data in small quantities, whether to return data about a patient, their medications, vaccines, allergies, among other information. However, it is common for a large amount of data in FHIR/JSON format to be requested to be used to load into Data Lakes, identifying study cohorts, population health, or transferring data from one EHR to another. To meet these business scenarios that require large extractions and loads of data, it is recommended to use the FHIR Bulk Data Access feature provided by HL7 institution.

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Hi beloved members of the Community!

It is very common in the daily life of IRIS or Health Connect users that it is necessary to install new instances or update the ones they already have and in many cases it is not these same users who carry out the installation, but rather systems personnel who often do not take into account the particularities of the assignment of permissions necessary for the installation.

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