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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.

In part I of this article, we have already learned more about HL7, its messages, structure, segments, and fields. In this part II, we will show you how to transform proprietary/custom data into HL7 using IRIS for Health. For our sample, we used the data generated by the SYNTHEA bulk data generation project (https://synthea.mitre.org/downloads). So, we will show you how to convert 1000 patients from a CSV file to HL7 v2, using the Interoperability features of IRIS for Health.

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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 Yamada. (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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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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Article
· Jul 7, 2023 8m read
Iris FHIR Python Strategy

Description

With InterSystems IRIS FHIR Server you can build a Strategy to customize the behavior of the server (see documentation for more details).

Image

This repository contains a Python Strategy that can be used as a starting point to build your own Strategy in python.

This demo strategy provides the following features:

  • Update the capability statement to remove the Account resource
  • Simulate a consent management system to allow or not access to the Observation resource
    • If the User has sufficient rights, the Observation resource is returned
    • Otherwise, the Observation resource is not returned
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Hello developers,

In this article, I'll show you how to run code at compile time with ObjectScript macros.

Here's a use case that recently led me to use this feature:

As part of a medical application developed for more than 20 years, we have a large number of parameters. Although we have procedures for documenting these settings, it can be helpful to have a quick view of which settings are actually used by the application code.

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Article
· Feb 1 2m read
Mind map your FHIR patient data

According Wikipedia a mind map is a diagram used to visually organize information into a hierarchy, showing relationships among pieces of the whole. It is often created around a single concept, drawn as an image in the center of a blank page, to which associated representations of ideas such as images, words and parts of words are added. Major ideas are connected directly to the central concept, and other ideas branch out from those major ideas.

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In my previous articles, I described my Command Line Extension to NativeAPI.
Of course, this is also available for any other NativeAPI package.
So I created this example as a demo for the actual Java Contest.
<--break->
The package contains also an IRIS server in Docker for the demo
It is evident that it also works with any remote IRIS server.
You just have to provide it with my NativeAPI CommandLine Extension.

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InterSystems FAQ rubric

If the system does not stop for 24 hours, old journal files will be deleted at 0:30 according to the "Journal file deletion settings".

A possible cause of journal files remaining that are older than the "Journal file deletion settings" is that there are transactions that remain open.

In that case, you will be able to delete the journal file by searching for processes executing transactions and finalizing the transactions.

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InterSystems FAQ rubric

You can set individual error pages for the following Web Gateway error messages/system responses:

  • server error
  • server busy
  • server unavailable
  • server timeout
  • connection closed

Settings are made on the Web Gateway Management screen ([Management Portal] > [System Administration] > [Configuration] > [Web Gateway Management] > [Configuration] > [Default Parameters]).

In the Error Page section of the Default Parameters menu, set the filename of the html page to display or the URL to redirect to when an error occurs.

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Article
· Jun 8, 2023 1m read
How to write SELECT ... FOR UPDATE

InterSystems FAQ rubric

Since SELECT ... FOR UPDATE is implemented in many RDBMS as a method of explicit row lock acquisition, I think there are many cases where this function is used.

This syntax is not an error for InterSystems products, but it does not acquire row locks as expected.

This article will show you how to achieve equivalent functionality.

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InterSystems FAQ rubric

If multiple InterSystems products are installed on the same system, the latest version of the InterSystems ODBC driver among the installed products will remain registered in the driver manager.

You can change to any driver by changing the registry entry below.

Please note that running RegFiles.bat does not change the ODBC driver.

The registry entry is as follows.

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Hello Community,

SQL language remains the most practical way to retrieve information stored in a database.

The JSON format is very often used in data exchange.

It is therefore common to seek to obtain data in JSON format from SQL queries.

Below you will find simple examples that can help you meet this need using ObjectScript and Python code.

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InterSystems FAQ rubric

※Use this method if you want to compare databases that have been replicated using mirroring, shadowing, or some other mechanism.

You can use the DATACHECK utility to compare global variables. Please refer to the document below.
Overview of DataCheck [IRIS]

***

Routine comparisons use the system routine %RCMP or the Management Portal.

Below is how to use it in the Management Portal.

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EHR (Electronic Health Record) systems are designed in a proprietary format/structure and are not based on such market models as FHIR or HL7. Whereas some of those systems can interoperate data in a proprietary format for FHIR and further market models, others cannot. InterSystems has two platforms that can interoperate proprietary formats for market standards: InterSystems HealthShare Connect and InterSystems IRIS for Health.

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Article
· Nov 24, 2023 4m read
A framework yes, but a suitable framework

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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We conclude this series of SMART On FHIR articles with Auth0 and InterSystems IRIS FHIR Repository by reviewing our application developed in Angular 16.

Let's remember what the architecture defined for our solution is like:

Our front-end application corresponds to the second column and as you can see it will be in charge of two things:

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Article
· Jul 6, 2023 1m read
How to overload methods in ObjectScript

InterSystems FAQ rubric

The InterSystems ObjectScript language does not allow you to define methods of the same name with different arguments. It is generally classified as a programming language called a dynamic language.

In ObjectScript, you can freely control which arguments are used when executing a method, so unlike languages ​​such as Java, which are not dynamic programming languages, there is no need to strictly distinguish methods by the number of arguments at the compilation stage.

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InterSystems FAQ rubric

For volatile tables (tables with many INSERTs and DELETEs), storage for bitmap indexes can become inefficient over time.

For example, suppose that there are thousands of data with the following definition, and the operation of bulk deletion with TRUNCATE TABLE after being retained for a certain period of time is repeatedly performed.

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In the last article we presented the architecture of our SMART On FHIR project, so it's time to get down to business and start configuring all the elements that we are going to need.

We will first start with Auth0.

AUTH0 configuration

We will start by creating an Auth0 account with a valid email, once registered we will have to create our first application, and we will do it from the menu on the left:

Application menu

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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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