#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.

Question Eyal Levin · Dec 25, 2025

Hi, 
Our production FHIR server is populated by several processes from several sources, 
some of those sources send test data or wrong data (by mistake or as part of an integration test), 
the data is consumed by our BI every 15 minutes.
when I mark a resource as test (using meta security) BI knows to update it on their system.
everything is fine up to here (except that there is test data in Prod)
my problem is that if someone send the same patient again it will recreate the patient without the security tag.
any thoughts?
 

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Question Dmitrii Baranov · Dec 19, 2025

I am experimenting with OpenTelemetry and recently connected all IRIS instances to telemetry servers. I'm not interested in emitting custom metrics since IRIS does it fine, regarding tracing - we can use %Trace classes to emit custom traces, but what about logging?

I see that IRIS is able to send system log messages to the OpenTelemetry servers:

{
  "when": "2025-12-10 10:46:25.185",
  "pid": "11852",
  "level": "SEVERE",
  "event": "Generic.Event",
  "text": "ISCLOG: CSPServer  Error displaying login page $ZE= ns=TEST rtn=%SYS.cspServer .
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Question Don Martin · Sep 5, 2025

We have a task that runs objectscript code to load data into a linked external table.  After upgrading from 2024.1 to 2025.1, the load is throwing an error, with error code -400, and no error message.  The data DOES get loaded into the external table in its entirety, so with no meaningful error message, its hard to determine what the issue is.  The result is the same with and without the USING clause, so don't let that confuse you.

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Question Elisha Gould · Jul 28, 2025

With Intersystems indicating ZEN pages are being deprecated, I'm looking to find out how to add custom configuration pages for the management portal using the new method similar to the new Rules editor.

From what I can tell the new method uses rest pages using JWT Authentication, and has a mechanism to use the session cookie to generate the JWT token.

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Question Hjalmar Jacobson · Jun 30, 2025

I'm running the image "containers.intersystems.com/intersystems/irishealth-community:2025.1" as a container on my local Docker desktop.

Now I want to set up an ODBC SQL connection, but I don't know how to do it.

I have tried various ways without success. Like building my own image (see "Dockerfile" description below).

I have also added ODBCINI variable in my docker-compse (see "Docker-compose.yml" description below).

Anyone done this before?

I'd really appreciate some help.

Thanks.

 

Dockerfile
FROM containers.intersystems.com/intersystems/irishealth-community:2025.

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Question Justin Ruggles · Jun 17, 2025

I am trying to add a value to my concatenation string and the value is not being inserted in the right place. I am adding onto this code from another developer and cannot seem to get it to work. The only code I have added is underlined in bold red.

This is how the translated HL7 message looks:

OBX|1|CE|CDX^History||Specimen 1 Clinical History: CLINICAL HISTORY\.br\\.br\Specimen 2 Clinical History: CLINICAL HISTORY 2\.br\Specimen 1 Suspected Clinical Diagnosis\.br\Specimen 3 Clinical History: HISTORY 3\.

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Question Scott Roth · Jun 12, 2025

For those that use IRIS for Health, HealthShare, and or Health Connect...

As Health Applications are moving to the Cloud, how have you handled communication from the Application to your instances via HTTPS?

Trying to figure out the best path on designing the proper workflow to allow these messages to be allowed to be eventually sent to our EMR to post to the patient chart.

We are very wary of opening a connection from the internet to our instance of Health Connect.

Thanks

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Question Ashok Kumar T · May 16, 2025

Hello Community,

Is it possible to retrieve/find all the names of subroutines, procedures, or functions from a deployed routine?. in the routine below, how can I extract names like x2 and execsql? I’ve just tried using openId on %RoutineMgr  but it didn’t help.

xdeploy.mac
xdeploy
 quit
x2 ; test1
 write 123
 q
execsql(sql) ; test2
 Set tResult = ##Class(%SQL.Statement).%ExecDirect(,sql)
 Return tResult

Thanks

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Question Steve Pisani · Apr 22, 2025

Hi - I'm refreshing my IRIS instance, now upgraded to 2025.1, and ensuring IPM is installed in each namespace, as well as git-source-control, but in my first attempt I get this error. 

Everything else seems to work - but why the error (I'd like to get rid of it) ?

zpm:AULIBRARY>install git-source-control
 
[AULIBRARY|git-source-control]  Initialize START
[AULIBRARY|git-source-control]  Initialize SUCCESS
[AULIBRARY|git-source-control]  Reload START (C:\InterSystems\IRIS\mgr\Temp\VTigyGg\)
[AULIBRARY|git-source-control]  Reload SUCCESS
[git-source-control]    Module object refreshed.
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Question Oliver Wilms · Apr 19, 2025

I cloned iris-rag-demo from Open Exchange and issued docker-compose up -d. I went to the front end and type in the chat message:

Who was the 46th President of United States of America?

I got a run time error:

RuntimeError: ERROR <Ens>ErrBPTerminated: Terminating BP ChatProcess # due to error: ERROR #5002: ObjectScript error: <PYTHON EXCEPTION> *<class 'RuntimeError'>: <PYTHON EXCEPTION> <class 'ValueError' > ERROR #5002: ObjectScript error: <PYTHON EXCEPTION> *<class 'RuntimeError'

Traceback:

 

File "/irisdev/app/src/python/rag/app.py", line 28, in process_input agent_text = _service.

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Question Nimisha Joseph · Apr 14, 2025

Hi everyone,

I'm working on a DTL that transforms an HL7 message (EnsLib.HL7.Message) to an XML document (EnsLib.EDI.XML.Document).

The target XML is based on a custom schema and has an element like:

What I need is for the output to show:

<deceasedDateTime xsi:nil="true"/> when the source HL7 value is empty, for eg: 

<portalPatientUpdate xmlns:xsi="http://www.w3.

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Question Mark OReilly · Apr 4, 2025

Does %OSCertificateStore only check the trusted root folder in windows?

Can it be used for Personal store on servers or is there another condition can be used? 

Used it for a first time and writing a function to check specific ones being used for expiry but had one this week that was to be installed in personal rather than the trusted root and didn't know if stating OSCertificateStore or a url otherwise to look in the personal installed certs on the server could be used instead so stuck with the original way (which can get confusing)

https://docs.intersystems.com/irislatest/csp/docbook/DocBook.

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Question Mauricio Aguirre · Mar 26, 2025

Hi!
I have installed IRIS 2024.1 in RHEL 9.5, using the following 

sudo ISC_PACKAGE_INSTANCENAME="IRISTEST01" ISC_PACKAGE_INSTALLDIR="/iris" \
ISC_PACKAGE_UNICODE="N"  ISC_PACKAGE_INITIAL_SECURITY="Normal" \
ISC_PACKAGE_INSTALL_INTEGRATEDML="N" ISC_PACKAGE_MGRUSER="irisowner" \
ISC_PACKAGE_MGRGROUP="irismgr" ISC_PACKAGE_USER_PASSWORD="**************"  \
ISC_PACKAGE_IRISUSER="irisusr" ISC_PACKAGE_IRISGROUP="irisgrp" \
ISC_PACKAGE_CSPSYSTEM_PASSWORD="**************" ISC_PACKAGE_WEB_CONFIGURE="Y" \
ISC_PACKAGE_WEB_SERVERTYPE="Apache" ISC_PACKAGE_WEB_APACHE_VERSION="2.
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Question Lucas Galdino · Mar 16, 2025

Hi experts,
Please, do you know steps to analyse and correct this alarm?
This message was registered in messages.log

03/16/25-13:46:42:066 (21596) 2 [Utility.Event] ISCLOG: WebSocket [SendAsyncMessage] Error with OpenServer ns=ACB rtn=%CSP.WebSocket.1  data="0 "_$lb($lb(7953,"AKGmfwJ2q/lh6h0K/BKvQw==",,,,,,,,$lb(,"ACB",$lb("e^OpenServer+3^%CSP.WebSocket.1^2","e^SendAsyncMessage+13^%CSP.WebSocket.1^1","e^Page+4^%CSP.WebSocket.1^2","e^CSPDispatch+503^%SYS.cspServer^2","d^CSPDispatch+280^%SYS.cspServer^1","d^ProcessRequest+1^%CSP.Session.1^1","d^Request+685^%SYS.cspServer2^1","d^Request+25^%SYS.

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Question Sheetal Kairawala · Mar 6, 2025

Has anyone used this transform to convert SDA3 to HL7?

HS.Gateway.SDA3.SDA3ToHL7.ADTA0N

Seeing below error

ERROR <Ens>ErrGeneral: Can't evaluate DOM path '/Patient/PatientNumbers/[1]/Organization/UniversalId' because UniversalId in /Patient/PatientNumbers/[1]/Organization/UniversalId is not an element, instead this node is a 'unknown' node. + ERROR <Ens>ErrGeneral: Can't evaluate DOM path '/Patient/PatientNumbers/[2]/Organization/UniversalId' because UniversalId in /Patient/PatientNumbers/[2]/Organization/UniversalId is not an element, instead this node is a 'unknown' node.

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Question Lokesh Parakh · Mar 3, 2025

How to send the HL7 Batch messages over a SOAP webservice which takes 3 credentials(Username, Password& Org.ID) using IRIS Management Portal V 2019.1?

WSDL   xsd : element - 1.Username , 2.Password ,3.Org.ID ,4.HL7 Message.

Info I had -  

Source is CSV File will be translated to HL7 using data Transformations. All the transformed messages need to be sent to destination System through SOAP request as a single Batch File.

Challenge faced was - How to send the request message (Message Structure asked : Username , Password, Org.ID and HL7 message )in batch transformation.

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Question Patty Aguirre-Romero · Jan 15, 2025

An X12 / 271 message shows "Completed" on the BO. However, it did not reach its destination. I searched for more information on what the error means but, couldn't find much. See error enclosed below. Any idea what it means and how to fix it?

More info...

  • The IOLog Record shows in the Output Data an error... "An error occurred with the web application. It has been logged to system error log (System Operation > System Logs > Application Error Log)."
  • The EDI response shows the same message.
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Question Ilenia Centonze · Jan 15, 2025

While working with GET request I encountered this situation where FHIR Server return a responseStatusHTTP "HTTP/1.1 200 200" instead of "HTTP/1.1 200 OK" (as highlighted in the attached screenshot).

Although the response code seems valid, these bundles have a total value of 0.

Could anyone clarify what "200 200" signifies in this context? Is there an issue with my setup, or does this indicate a specific condition related to the empty bundle search?

Thank you in advance for your help!

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Question Serena Judge · Jan 14, 2025

I am hoping for some guidance.

I am new to creating a new chart in Trakcare for use with Clinical Viewer.  My organization only has LDAP users, (we don't have the ability to use local users), that dictate what role/group a user is in, they are all the same across our Prod, Test, and Dev environments. 

I need to customize a chart for our end users.  BUT the how-to's all talk about creating a custom role for the new chart, which if I do this I would have to be added to this role/group which could cause issues with my ability to work in Prod and Test.

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Question Sandeep · Jan 7, 2025

how to convert from json into sda container and then to fhir bundle resource. What are the out of the box DTL transformation class for this. Source would be my json that includes a few resources and targer should be a SDA container than will again be source to another transformation for which the target will be FHIR bundle. What I want to know is the target HS. 1for both SDA container and FHIR bundle. Thanks!

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Question James Hipp · Jan 6, 2025

Hello,

I was just trying to get to the bottom of a TLS config - we have an interface with a TLS config that has had 'Server certificate verification' set to 'On', however the cert file specified either did not exist or contained a cert that was expired.

 

Does anyone know what the behavior is for this typically? I would expect this to not allow traffic on the interface, however this has been working fine for a few years now with an invalid cert specified for 'Server certificate verification' and set to 'On'.

 

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Question Anthony Master · Dec 18, 2024

Very similar question posed here: https://community.intersystems.com/node/467496, but I am missing a piece of this:

How do I correctly call a EnsLib.HL7.MsgRouter.RoutingEngine class from the BPL?I can successfully call the BPL from the EnsLib.HL7.Service.TCPService, and I have the BPL created to delay then call the rule. And I set the context and the result location.

This rule is really basic just sending the HL7 content to a EnsLib.HL7.Operation.

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Question Shashvati Dash · Dec 10, 2024

connection = ##class(%Net.Remote.Java.JavaGateway).%New()
sc = connection.%Connect("127.0.0.1",53274)
classpath="C:\Users\ME9Y1PM\Downloads\wrapper_jar\wrapper-drools-1.0.0-20241127.071529-1.jar"
if (sc=$$$OK) {
SCJavaDroolsObj.connection=connection
sc = SCJavaDroolsObj.connection.%Import("com.lca.smc.drools.DroolsRules")
SCJavaDroolsObj.drools = ##class(com.lca.smc.drools.DroolsRules).%New()
SCJavaDroolsObj.drools.applyRules(patientjson)

Class com.lca.smc.drools.DroolsRules Extends %Net.Remote.Base [ ProcedureBlock ]
{ Parameter IMPORTTIMESTAMP As STRING = "2024-11-29 09:14:27.

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Question Patty Aguirre-Romero · Dec 9, 2024

Iris for Health is sending back ACKs back to the vendor for incoming X12 messages but, they are not making it there. Instead, the vendor is getting Reset packets and it seems they are coming out from Iris for Health. 

Questions:

  1. Does Iris indeed generates Reset Packets? 
  2. What causes Reset Packets to be triggered?
  3. What settings does InterSystems recommend to not send Reset packets? 
  4. Are settings needed in the BS to prevent Reset Packets?

I already tried different settings unsuccessfully, and read much of the instructions provided by Intersystems but, we still can't resolve this issue.

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