#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.

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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We now get to make use of the IKO.

Below we define the environment we will be creating via a Custom Resource Definition (CRD). It lets us define something outside the realm of what the Kubernetes standard knows (this is objects such as your pods, services, persistent volumes (and claims), configmaps, secrets, and lots more). We are building a new kind of object, an IrisCluster object.

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When developing a new Interoperability Production, it is quite natural that settings are initially added in the Production.

However, as soon as you want to move the Production from development to a test or staging environment, it becomes clear that some settings like HTTP Servers, IP addresses and/or ports need to be changed. In order to avoid these settings being overwritten during a redeployment later on, it is essential that you move these settings from the Production to the System Default settings.

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Surely you have all heard about FHIR as the panacea and solution to all interoperability and compatibility problems between systems. Right here we can see one of his classic defenders holding a FHIR resource in his hand and enjoying it immensely:

But for the rest of us mortals we are going to make a small introduction.

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When using InterSystems IRIS as an interoperability engine, we all know and love how easy it is to use the Message Viewer to review message traces and see exactly what's going on in your production. When a system is handling millions of messages per day, you may not know exactly where to begin your investigation though.

Over my years supporting IRIS productions, I often find myself investigating things like...

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Who hasn't been developing a beautiful example using a Docker IRIS image and had the image generation process fail in the Dockerfile because the license under which the image was created doesn't contain certain privileges?

In my case, what I was deploying in Docker is a small application that uses the Vector data type. With the Community version, this isn't a problem because it already includes Vector Search and vector storage. However, when I changed the IRIS image to a conventional IRIS (the latest-cd), I found that when I built the image, including the classes it had generated, it returned this error:

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Updated Jan 19th, 2023.

Hi all,

I want to share a quick little method you can use to enable ssl with a self signed certificate on your local development instance of IRIS/HealthShare. This enables you to test https-specific features such as OAuth without a huge lift.

1. Install OpenSSL

Windows     : Download from https://www.openssl.org or other built OpenSSL Binary. 

Debian Linux: $ sudo apt-get -y install openssl

RHEL        : $ sudo yum install openssl
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I have just created a new Global Master Topic, "IRIS Cheatsheets". IRIS has introduced a lot of new functionality, especially in scripting languages, FHIR R4 support, enhanced Interoperability Tools, and IRIS Analytics. Having spent 35 years working on Windows-based PC's and Laptops, I have surprisingly little knowledge of Linux, Docker and Git. Furthermore, I have written almost every application and Interface in ObjectScript with splatterings of SQL, .Net, and Java Gateways and the most basic knowledge of WinSCP, Putty, SSH. All that changed when I received my first Raspberry Pi.

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The objective of the article is to provide the reader with the following informations:

  • Configure and use the FHIR server
  • Create an OAuth2 Authorization Server
  • Bind the FHIR server to the OAuth2 Authorization Server for support of SMART on FHIR
  • Use the interoperability capabilities of IRIS for Health to filter FHIR resources
  • Create a custom operation on the FHIR server

Schema of the article:

Schema

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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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Article
· Aug 25, 2022 8m read
Transform custom healthcare messages to SDA

EHR (Electronic Health Record) systems are modeled in a proprietary format/structure and are not based on market models such as FHIR or HL7. Some of these systems can interoperate data in a proprietary format for FHIR and other market models, but others can not. InterSystems has two platforms that can interoperate proprietary formats for market ones: InterSystems HealthShare Connect and InterSystems IRIS for Health.

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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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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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Hi Community,

This is my first post in the developer community - would appreciate any feedback!

For testing or demo purposes, you may want to send emails from your Interoperability Production. In this post then I will walk you through connecting an InterSystems IRIS Production to Gmail so you can use it to send emails alerts.

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In 2023, according to IDC, Salesforce's market share in CRM reached 21.7%. This company owns a substantial amount of critical corporate business processes and data, so the InterSystems IRIS must have an interoperability connector to fetch data from the Salesforce data catalog. This article will show you how to get any data hosted by Salesforce and create an interoperation production to get data and send it to such targets as files and relational databases.

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Article
· Mar 10 5m read
FHIR SQL Builder: step by step

The FHIR standard establishes a powerful but flexible data model that can smoothly adapt to the complexities of operational healthcare data management. This flexibility comes at the cost of a data model with many tables and relationships, even for simple data such as the patient's record of telephone numbers, addresses, and emails. It would easily require querying 4 different tables. However, FHIR SQL Builder eliminates this problem, allowing you to create visual projections (mappings) in web wizards.

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Article
· Dec 7, 2020 6m read
IRIS Python Native API in AWS Lambda

If you are looking for a slick way to integrate your IRIS solution in the Amazon Web Services ecosystem, server less application, or boto3 powered python script, using the IRIS Python Native API could be the way to go. You don't have to build out to far with a production implementation until you'll need to reach out and get something or set something in IRIS to make your application do its awesome sauce, so hopefully you will find value in this article and build something that matters or doesn't matter at all to anybody else but you as that is equally important.

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Hi colleagues!

Often, while developing a frontend app or any other communication vs REST API, it is worth having a Swagger UI - a test UI for the REST API that follows Open API 2.0 spec. Usually, it is quite a handful as it lets have quick manual tests vs REST API and its responses and the data inside.

Recently I've introduced the Swagger support to the InterSystems IRIS FHIR template for FHIR R4 API:

How to get it working.

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This article will describe processes for running unit tests via the InterSystems Package Manager (aka IPM - see https://openexchange.intersystems.com/package/InterSystems-Package-Manager-1), including test coverage measurement (via https://openexchange.intersystems.com/package/Test-Coverage-Tool).

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