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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.

Hi community,

I´ve setup a local FHIR server via the framework functionality und set a service config name for the created endpoint since I plan to use a production based FHIR server. I´ve created an additional ressource "FhirClientRessource" and role "FhirClientRole" as well as a user named "FhirClient". The Role resource "FhirClientRessource" ist set as "required resource" in the FHIR server configuration page. The user "FhirClient" is member of the Role "FhirClientRole" which in turn holds RWU priveliges on the "FhirClientRessources".

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I'm receiving a JSON payload via a REST API, I'd like to %JSONImport this stream into a class which extends %JSON.Adaptor. The problem is that the JSON is an array whose elements have no key (as you can see in the example JSON below). Right now I'm having to do some manipulations to convert the stream into a dynamic object and do a %Set which inserts a made up key "record" so "thingone" and "thingtwo" have an associated key that I can use when referencing "thingone" and "thingtwo"...such as record.GetAt(1).thingone

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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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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 20, 2023 3m read
Parquet files and InterSystems IRIS

In the world of Big Data, selecting the right file format is crucial for efficient data storage, processing, and analysis. With the massive amount of data generated every day, choosing the appropriate format can greatly impact the speed, cost, and accuracy of data processing tasks. There are several file formats available, each with its own set of advantages and disadvantages, making the decision of which one to use complex. Some of the popular Big Data file formats include CSV, JSON, Avro, ORC, and Parquet.

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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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InterSystems FAQ rubric

To resolve the error <PROTECT>, remove the read-only attribute of the system-wide library database (IRISLIB for InterSystems IRIS, CACHELIB for Caché/Ensemble/HealthShare (Caché-based))

Once you have finished importing the routine, remember to change it back to read-only.

[Version 2013.1 and above]
[Management Portal] > [System Administration] > [Configuration] > [System Configuration] > [Local Database] Uncheck "Mount read-only" from the database name link.

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Scenario

IRIS has the likes of SQL inbound adapters for use with SQL gateways such as EnsLib.SQL.InboundAdapter to repeatedly query SQL Gateway connections. A scenario appeared as that we wanted to query an Internal database for some data but did not see an out of the box service for this.

Desired Approach

Have a Generic service that can poll internal SQL to work with downstream components.

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I am often asked by customers, vendors or internal teams to explain CPU capacity planning for large production databases running on VMware vSphere.

In summary there are a few simple best practices to follow for sizing CPU for large production databases:

  • Plan for one vCPU per physical CPU core.
  • Consider NUMA and ideally size VMs to keep CPU and memory local to a NUMA node.
  • Right-size virtual machines. Add vCPUs only when needed.

Generally this leads to a couple of common questions:

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What changes are to be made while customizing a FHIR server package when adding a new field. As provided in the documentation, we have a sample JSON package of favorite color and it is added in the table, but when we are adding a new field 'Insurance', it does not imports the package and says package already exists. We have three files of JSON

1) Package.JSON

2) SearchParameter.JSON

3) StructureDefination.JSON

What should we have to change for adding new field.

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I restore the “dirty” copy of the IRIS.DAT files, then apply the incremental backup as documented for Online Backup. As shown in the picture, restarting the service before mounting and rejoining the database to the mirror can restore the mirror database to the point in time of dirty data. I think the mount method used here is the default value, and I don't want it to perform mirrorcatchup. Is there any other way to recover the mirrored database to the point in time of dirty data？

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Question
· Nov 17, 2023
Testing OAuth2

I am attempting to setup my first OAuth2 client, as we are adventuring into the realm of making FHIR API calls to our EMR from HealthShare Health Connect.

I have gone through and set up the Issuer Endpoint, and Client Configuration but now I want to test it and verify that the setup is correct. When I setup the Client Configuration, it would not allow me to use Discovery as it was saying I needed a "Client secret" but was not given one. So I set it up manually, thinking I hit all the information correctly.

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Trying to setup my first OAuth 2 client to authenticate against Epic's Interconnect instance that is hosting FHIR/Web Service API's. Epic's documentation says the JWT request has to be sent as a POST request..

Does 

GetAuthorizationCodeEndpoint

and 

GetImplicitEndpoint

automatically put the request into a POST request, or do I need to format a %Net.HttpRequest to POST?

Thanks

Scott

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Motivation

The motivation behind the InterLang project is rooted in the innovative integration of LangChain chatbot agents with the Fast Healthcare Interoperability Resources (FHIR) framework to revolutionize conversational social prescriptions in healthcare. This project aims to leverage the rich and standardized data available through FHIR, an emerging standard in healthcare data exchange, to inform and empower these advanced chatbot agents.

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Question
· Dec 4, 2023
Custom Application Metric

I made a custom application metric, imported it to the USER namespace and used:

set status = ##class(SYS.Monitor.SAM.Config).Add.ApplicationClass("historymonitor.errorSensor", "USER")

to add it. When I do 'w status' it returns 1 so it is added but I still can't see the custom metric in the api/monitor/metrics endpoint. Even though I added %DB_USER in the application roles for api/monitor.

Does anyone know where the problem might be that the metrics endpoint still doesn't show my metric?

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Question
· Nov 30, 2023
Multitransformations of HL7

This question originally appeared in the comments of the post: Making use of Multiple Sub Transforms in a main map || HL7

I'm having a similar problem trying to get PRD(1) into PV1:ReferingDoctor and PRD(2) into PV1:ConsultingDoc

Running the subtransform will populate referring doctor for the first PRD, and then the second running will delete the PV1, make a new one with only the consulting doctor populated.

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