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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.

I found myself in the not-so-comfortable situation of working with a Linux system on which someone had accidentally disabled user access to the Linux shell. HealthConnect was running, servicing hundreds of interfaces. To resolve the access issue, though, we needed to bring the host down for the application of a fix.

Without the shell, the iris command is not available to control the instance, so we were faced with the potential of shutting down the server ungracefully. We wanted to avoid that if possible ...

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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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Article
· Aug 19, 2024 4m read
Accessing Azure Blob Storage

Accessing an Azure cloud storage to upload/download blobs is quite easy using the designated %Net.Cloud.Storage.Client class API methods, or using the EnsLib.CloudStorage.* inbound/outbound adaptors.

Note that you'll need to have the %JavaServer External Language Server up and running to use the cloud storage API or adaptors, since they both use the PEX framework using the Java Server.

Here is a quick summary:

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Article
· Sep 12, 2024 7m read
Embedded python in InterSystems IRIS

Hello Community,

In this article, I will outline and illustrate the process of implementing ObjectScript within embedded Python. This discussion will also reference other articles related to embedded Python, as well as address questions that have been beneficial to my learning journey.

As you may know, the integration of Python features within IRIS has been possible for quite some time. This article will focus on how to seamlessly incorporate ObjectScript with embedded Python.

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Using embedded Python while building your InterSystems-based solution can add very powerful and deep capabilities to your toolbox.

I'd like to share one sample use-case I encountered - enabling a CDC (Change Data Capture) for a mongoDB Collection - capturing those changes, digesting them through an Interoperability flow, and eventually updating an EMR via a REST API.

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InterSystems FAQ rubric

Temporary globals stored in the IRISTEMP/CACHETEMP databases are used when a process does not need to store data indefinitely, but requires the powerful performance of globals. The IRISTEMP/CACHETEMP databases are not journaled, so using temporary globals does not create journal files.

The system uses the IRISTEMP/CACHETEMP databases for temporary storage and are available to users for the same.

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With the introduction of vector data types and the Vector Search functionality in IRIS, a whole world of possibilities opens up for the development of applications and an example of these applications is the one that I recently saw published in a public contest by the Ministry of Health from Valencia in which they requested a tool to assist in ICD-10 coding using AI models.

How could we implement an application similar to the one requested? Let's see what we would need:

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Updated 02/27/25

Hi Community,

Looking for a way to onboard your team with InterSystems IRIS® for Health? Unlock the full potential of this platform by using these InterSystems learning resources. With a mix of online and in-person training, you can support various roles in your organization and equip your team for success.

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When building a bundle from legacy data, I (and others) wanted to be able to control whether or not the resources were generated with a FHIR Request Method of PUT instead of the hard coded POST. I have extended the two classes responsible for transforming SDA to FHIR in an Interoperability Production to accomodate a setting that lets the user control the Request Method.

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Based on a great sample and workshop built by @Luis Angel Pérez Ramos (see related articles and related Open Exchange app), which included a local InterSystems IRIS for Health container (and desired setup), this sample presented here, adapted the workshop for using the InterSystems Cloud FHIR Server, and it's related setup.

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Article
· Oct 17, 2024 2m read
ORU to MDM with large HL7 v2 messages.

I was working on a DTL but kept getting ERROR #5002... MAXSTRING errors. The problem was that most of the DTL GUI action steps only support the string data type when working with the segments. A %String has a limit of 3,641,144 characters and my OBX5.1 was 5,242,952 characters long as the example provided. Of course PACS admin stated ultra high quality up to and including 4K resolution files were needed, so we could not get the vendor to compress or reformat these files to compressed jpg or something similar.

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Article
· Dec 16, 2024 2m read
Edit your Globals with VSCode and YAML

The best way to list, edit, save and delete globals is using an IDE. Now, it is possible if you use VSCode. It is also possible to save globals using yaml files. Perform the following steps:

1. Get an InterSystems IRIS instance and install the application iris-global-yaml: 

zpm:USER>install iris-global-yaml

2. If you just to want an InterSystems IRIS trial for tests git clone and run on docker:

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In the previous article we presented the d[IA]gnosis application developed to support the coding of diagnoses in ICD-10. In this article we will see how InterSystems IRIS for Health provides us with the necessary tools for the generation of vectors from the ICD-10 code list using a pre-trained language model, its storage and the subsequent search for similarities on all these generated vectors.

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I have started working on utilizing Epic on FHIR about a month ago.

Creating a Public Private Key Pair

mkdir /home/ec2-user/path_to_key
openssl genrsa -out ./path_to_key/privatekey.pem 2048

For backend apps, you can export the public key to a base64 encoded X.509 certificate named publickey509.pem using this command...

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Hello Community,

This article aims to walk you through the process of setting up and utilizing the Flexible Python Runtime Feature for embedded Python. Prior to version 2024.2, Intersystems IRIS installer included a preinstalled version of Python, You can find the Python libraries and application files located in the \lib\python directory within your IRIS installation folder (for example, C:\InterSystems\IRIS20242\lib\python).

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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 "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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InterSystems FAQ rubric

If you do not specify the option to remove the mirror attribute of the mirror database when deleting the mirror configuration, the database cannot be restored to a normal state and will be mounted read-only the next time it is mounted. To restore the database to a read-write state, you must remove the mirror attribute using the system routine ^MIRROR.

The procedure is as follows (execute in the %SYS namespace):

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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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The rise of Big Data projects, real-time self-service analytics, online query services, and social networks, among others, have enabled scenarios for massive and high-performance data queries. In response to this challenge, MPP (massively parallel processing database) technology was created, and it quickly established itself. Among the open-source MPP options, Presto (https://prestodb.io/) is the best-known option. It originated in Facebook and was utilized for data analytics, but later became open-sourced.

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