Article
· Oct 11, 2022 2m read
ZPM Simple Implementation Cookbook

ZPM is designed to work with applications and modules for InterSystems IRIS Data Platform. It consists of two components, the ZPN Client which is a CLI to manage modules, and The Registry which is a database of modules and meta-information. We can use ZPM to search, install, upgrade, remove and publish modules. With ZPM you can install ObjectScript classes, Frontend applications, Interoperability productions, IRIS BI solutions, IRIS Datasets or any files such as Embedded Python wheels.

Today this cookbook will go through 3 sections:

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Article
· Nov 29, 2022 6m read
What's HL7v2?!

HL7 (Health Level 7) is a set of technical specifications for computerized exchanges of clinical, financial and administrative data between hospital information systems (HIS). These specifications are variously integrated into the corpus of formal American (ANSI) and international (ISO) standards.

The L7 of HL7 indicates that it is a standard that operates at layer 7, in other words at the application layer, of the OSI model. This means that HL7 does not have to take into account exchange security considerations, or those of message transport (this being ensured by lower-level layers such as SSL/TLS for security or TCP for the transport of data for example). To be more precise, layer 7 supports communications for end-user processes and applications and the presentation of data for user-facing software applications. As the highest layer of the OSI model, and the closest to the end user, layer 7 provides application-specific functions such as identifying communication partners and the quality of service between them, determining resource availability, considering privacy and user authentication, and synchronizing communication, as well as connecting the application to the lower levels of the OSI model.

Returning to the HL7 standard, the HL7 version 2 standard (also known as Pipehat) was originally created in 1989 but is still being used and updated regularly, resulting in versions 2.1, 2.2, 2.3, 2.3.1, 2.4, 2.5, 2.5.1, 2.6, 2.7, 2.7.1, 2.8, 2.8.1, 2.8.2 and 2.9. The v2.x standards are backward compatible (e.g., a message based on version 2.3 will be understood by an application that supports version 2.6) and in higher versions, you will see some fields are left just for it.

Despite it being more than 30 years old, HL7v2 remains the most widely used healthcare interface standard by a large margin according to the HL7.org portal that tells that:

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Hi folks!

Recently I was in need to setup a local FHIR server using IRIS For Health and I think I found the easiest and simplest way ever.

Just run in terminal these two lines below :

docker run --rm --name my-iris -d --publish 9091:1972 --publish 9092:52773 intersystemsdc/irishealth-community

and

docker exec -it my-iris iris session iris -U "USER" '##class(%ZPM.PackageManager).Shell("install fhir-server")'

And you'll have FHIR server running locally at http://localhost:9092/fhir/r4.

That's it!

The FHIR server will use the latest build of InterSystems IRIS for Health Community Edition and will deploy FHIR server from this app via IPM package in FHIRSERVER namespace.

This is for Mac, so please add in comments how it works in Windows.

This is a very short article as it is really easy to setup a local FHIR server with InterSystems IRIS for Health and IPM Package Manager.

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When creating custom Business Hosts, it's often necessary to add properties to the class for additional settings that will be used in the initialization or operation of the host. The property name itself isn't always very descriptive, so it's an advantage to have a custom caption display with the field.

In Caché, it was fairly straightforward:

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Because I had no idea how to build an integration solution for HL7 and didn't know where to start, I decided to follow the course Building Basic HL7 Integrations with InterSystems on Learning portal to get at least the idea of where to begin. After I studied all of it, I decided it might be a good idea to share my thoughts and reflections about it with everyone.

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In the previous article, we've discussed the origin of the standard HL7v2, the structure and the types of messages. Let's now look at one of the most used types of messages and an example of its structure. I'm talking about ADT.

HL7 ADT messages (Admit, Discharge, Transfer) are used to communicate basic patient information, visit information and patient state at a healthcare facility. ADT messages are one of the most widely-used and high volume HL7 message types, as it provides information for many trigger events including patient admissions, registrations, cancellations, updates, discharges, patient data merges, etc.

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Introduction

Say you have a receiving system that accepts HL7 and provides error messages in field ERR:3.9 in the ACK it returns. You require a different reply code action depending on the error message, however the Reply Code Actions settings for the operation do not provide this level of granularity. One option could be to create a process that takes the ACK and then completes the action you were expecting, however things can get a bit messy if the action is to retry the message, especially when trying to view a message trace.

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Brainstorming the project we would build to showcase in the current female health themed InterSystems FHIR Contest, our girl band decided that we need to do something practical for the ordinary user and to solve some burning issues of the modern life. This discussion led to the idea of creating a project that will help women not to forget their health in daily grind - FemTech Reminder.

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With the world (as well as our own technology) moving to the cloud at such a fast pace it is easy (at least for myself) to get caught up in the little details. One thing I, and some clients of ours, had run into a couple of times was the necessity to specify the version of the images one plans to use with the IKO.

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Article
· Feb 13 7m read
My first experience in using IAM

Experience & feedback from online course "Hands-On with InterSystems API Manager for Developers"

With my basic knowledge of Docker container and REST API, I would like to have my first try on using InterSystems API manager to take control of APIs and microservices. I have completed this online course using my local IRIS instance as host (Windows OS) and IAM running on a Linux VM (guest).

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The related package avoids adding %JSONAdaptor to each class but uses instead
SQL functions JSON_OBJECT() to create my JSON objects. With this approach, you can
add JSON to any class - even deployed ones - without any need for change or recompiling.

The trigger was the Export of M:N relationships as JSON objects or arrays.

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Article
· May 25 2m read
API to import/export routines

This is an article on the InterSystems FAQ site.

1. Export API

a. Use $system.OBJ.Export() to specify individual routines to export. For example:

do $system.OBJ.Export("TEST1.mac,TEST2.mac","c:\temp\routines.xml",,.errors)

The format to specify is routine name.extension, and the extension is mac, bas, int, inc, obj.

Errors during export are stored in errors.

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InterSystems FAQ rubric

You can set the maximum size of the IRISTemp database at IRIS startup by setting a configuration parameter called MaxIRISTempSizeAtStart.

After setting, the system will truncate IRISTemp to the set value (MB) at the next IRIS startup. If the current size is less than the specified MaxIRISTempSizeAtStart, no truncation will occur. Also, if 0 is specified, truncation will not be performed, so the size will start without changing. (Default) Settings are made from the menu below.

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Methods written in ObjectScript can use pass-by-reference arguments to return information to the caller. Python doesn’t support pass-by-reference arguments, so Embedded Python in IRIS doesn’t support them either. That's it, that's the end of the post, hope you liked it. 😉 But wait, what about the Classic Rock & Roll?

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Problem

In a fast-paced clinical environment, where quick decision-making is crucial, the lack of streamlined document storage and access systems poses several obstacles. While storage solutions for documents exist (e.g, FHIR), accessing and effectively searching for specific patient data within those documents meaningfully can be a significant challenge.

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Article
· Nov 30, 2022 14m read
Creating FHIR questionnaires

Intersystems IRIS for Health has excellent support for the FHIR industry standard. The main features are:
1. FHIR Server
2. FHIR Database
3. REST and ObjectScript API for CRUD operations on FHIR resources (patient, questionnaire, vaccines, etc.)

This article demonstrates how to use each of these features, as well as presenting an angular frontend for creating and viewing Quiz-like FHIR resources.

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Article
· Jul 7 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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Hi, I would like to tell you how easy it is to spin up IRIS for Health docker container in compute engine(VPS) in google cloud.

I know that to run IRIS for Health in AWS is pretty simple and straightforward, but I wanted to tried if its same easy in GCP environment.

Create vm instance. 2GB RAM is more than enough.

I used Debian 11 as Linux distro.

Standart persistent disk is cheaper.

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I am demonstrating a use case of how we can create an IRIS Interoperability Production for special use in an external language. InterSystems IRIS, within Interoperability has a framework called Production Extension (PEX), using which we can create productions and program them as per their purpose using external languages like Java, Python etc, and also develop custom inbound and outbound adapters to communicate with other applications.

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In this article, we'd like to describe Med.me's incubation experience and takeaways, the cross-organizational booking problem, and our approach to solving it.

This exciting story started during one of the regular medtech meetups, where I met @Evgeny Shvarov, senior InterSystems chief of the Developer Community. Following the good old startup rule “pitch wherever you can”, I briefly explained to Evgeny Med.me concept – EHR exchange and appointment scheduling platform to automate and simplify communication between clinics, pharma on one hand and insurance companies, doctors, and patients on the other.

Evgeny listened carefully and replied that InterSystems provides plenty of products to solve the interoperability problems amongst the vast variety of EMRs and kindly advised me to hurry up to apply to the FHIR incubator Caelestinus powered by InterSystems.

That led to a start of an amazing 9-months long road where we were able to ramp up our understanding of interoperability, participate at the InterSystems Global Summit, find new customers and partners, and where the new concept of Resource Availability Exchange was born.

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