#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 am having issues trying to send SOAP requests to a Cloud Based AWS Application that lives outside of our network.

It is using a Basic Authentication, Key, Certificate Authority and Whitelist for Security.

If I attempt the connection using wget from the command line I am able to connect,

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Is anyone using DICOM Interoperability in IRIS for Health configured in Mirror?

I'm asking because I'm not sure how to handle where the DICOM messages are stored.

For some reason DICOM use the filesystem to store raw messages, the directory used can be configured in the StorageLocation production settings, obviously this is a big issue if/when a mirror failover occur.

Unfortunately in IRIS it's not possible to change the DICOM storage from file stream to global stream.

Has anyone came across this issue?

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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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I have created a New Database/Namespace within our TEST environment on both the Primary and Backup of the mirror. When I go to create the database/namespace on the DR node I am getting "Cannot open file '/ensemble/TEST/iris.cpf_...." while the cpf file that it references does not exist. Anyone have any clue to why this might be happening?

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good afternoon!

I was trying to set up the "File Spec" to match the exact filename that will be in the file path.

however, it seemed grab whatever the name of the file and work on it.

wondering how I can specific the exact filename in "File Spec" so that It wont touch other files in the same path?

https://docs.intersystems.com/healthconnect20251/csp/docbook/DocBook.UI....

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Does anyone have a query that I could run to show a Vendor the time difference between when a message was sent out a BO, and when we received the HL7 ACK back that is associated with the message sent?

I am trying to prove to this vendor of the delay we are seeing getting the ACK back because of a Timeout

I know how to pull Ens.MessageHeader, and EnsLib.HL7.Message but not sure how to match up the Message with the HL7 Acknowledgement received.

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I am attempting to failover my TEST environment to the Backup, and I keep getting an error stating that

06/01/25-18:47:54:516 (11864) 1 [Utility.Event] Primary startup failed, failed to read header of /archive/journal/MIRROR-IRISTEST-20250513.007 (file #63653)

however, when I go to /archive/journal/, I am not finding any record of MIRROR-IRISTEST-20250513.007 (file #63653)

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Been testing out the Production Validator toolkit, just to see what we can/not do with it. Seems really interesting and there seem to be some use cases for it that can really streamline some upgrades (or at least parts of upgrades) but I was running into so many hurdles with the documentation. I am curious if anyone else has used it.

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We have a scenario where we use the best practice article of a BP and DTL to split up HL7 messages mainly ORUS

https://community.intersystems.com/post/splitting-oru-messages-using-obj...

It is really useful but we have this code in many places that we are trying to consolidate it in one place.

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