#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 joined InterSystems less than a year ago. Diving into ObjectScript and IRIS was exciting, but also full of small surprises that tripped me up at the beginning. In this article I collect the most common mistakes I, and many new colleagues, make, explain why they happen, and show concrete examples and practical fixes. My goal is to help other new developers save time and avoid the same bumps in the road.

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Introduction

HL7 messages often contain multiple repeating segments such as NTE, AL1, OBX, ZTX, DG1, and others. These segments sometimes require individual processing and routing to different downstream systems. This technical paper introduces a configurable template designed to automate the splitting of these repeating HL7 segments, improving message handling and integration efficiency.

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Hi,

Just thought I'd share quite a handy hook that has helped me out when developing on Health Connect Cloud with VS Code and GitBash. When developing on Health Connect Cloud, if changes are made directly on the server such as routing rules or component deployments, they aren't automatically included in source control, therefore you must export from the server into your local files and push to your remote repo. I'm sure there are easier methods to deal with that which I'm in the process of testing, but as a quick solution I thought it would be handy have a pre-commit hook which triggers a reminder in GitBash - see below.

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InterSystems FAQ rubric

One way to optimize query performance is to use query parallelism on a per-query or system-wide basis (a standard feature).

This is a technique for dividing the execution of a particular query among processors on a multi-processor system. The query optimizer will execute parallel processing only if there is a possibility of benefiting from parallel processing. Parallel processing is only applicable to SELECT statements.

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Securing IRIS Integrations with Mutual TLS (mTLS): A Practical Guide

In today’s enterprise environments, secure communication between systems is not optional—it’s essential. Whether you're integrating InterSystems IRIS with cloud APIs, internal microservices, or third-party platforms, Mutual TLS (mTLS) offers a powerful way to ensure both ends of the connection are authenticated and encrypted.

This post walks through how to configure IRIS for mTLS and how to validate your certificates to avoid common pitfalls.

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Ready to elevate your Business Intelligence game?

We've got an engaging video, perfect for all skill levels.

Discover how to get started with IRIS BI, optimize cube performance, and drive analytics adoption. Plus, get a sneak peek at what's next!

https://www.youtube.com/embed/Ekjzny8zj98
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Hi everyone,

I'm currently seeking a new position related to InterSystems technologies. My major skill is app integration and data flow development on the InterSystems IRIS platform (Interoperability). I develop high-load, mission-critical software. My coding background on Cache ObjectScript includes hundreds of data flows, thousands of Production business hosts, dozens of APIs, and other solutions on InterSystems IRIS. I worked to integrate such applications as SAP S/4HANA, Oracle Siebel, SAP Commerce Cloud, many custom apps, and all that can be integrated. I have also gained experience in various areas, including SQL, Java, Docker, IRIS administration, Apache Kafka, and Flutter (Dart).

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My problem was separating HL7 messages by message type. I had to create multiple File Operations. So I with custom code I am able to use 1 File Adapter for 1 interface and multiple message types. I did experiment pulling the MSH 4 out of the raw content to further access dynamic information, but that may open a need for more robust error checking / lookup default actions.

Using the recommended naming convention of "To_FILE_<IntegrationName>"

I decided to use a generic file name and path in the default settings.

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I would like to learn about the binary and document reference FHIR Resources. For the PDF data stored in those resources. But I think Binary Resource for the Document PDF stored in FHIR, so this resource is best for it. So sometimes Large PDF 15-page (~35md) data converts into base64 then data length is ~50 lac charecters length of base64binary data. this data store in Binary Resource on data field https://www.hl7.org/fhir/R4/binary.html follow this url this resource used in my case.

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A benefit of using Doxygenerate is that Doxygen does more than just HTML output. Tweak the Doxyfile that tells Doxygen what to do and you can easily create a PDF. Our example MARINA application yielded a 524-page PDF. Here's what page 94 looks like:

You can browse the whole file here.

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We currently have Business Operation that we built to use the EnsLib.SQL.OutboundAdapter so we can make Microsoft SQL Server Stored Procedure calls. The BO is attached to a Java Gateway Service.

Some of our MS SQL Databases have moved from being OnPrem to Azure Cloud. We have started seeing where we are receiving errors on the BO saying that we cannot connect to the Azure Database, but we never receive a Disconnect from the Azure Database.

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FHIR Server

A FHIR Server is a software application that implements the FHIR (Fast Healthcare Interoperability Resources) standard, enabling healthcare systems to store, access, exchange, and manage healthcare data in a standardized manner.

Intersystems IRIS can store and retrieve the following FHIR resources:

  • Resource Repository – IRIS Native FHIR server can effortlessly store the FHIR bundles/resources directly in the FHIR repository.
  • FHIR Facade - the FHIR facade layer is a software architecture pattern used to expose a FHIR-compliant API on top of an existing one (often non-FHIR). It also streamlines the healthcare data system, including an electronic health record (EHR), legacy database, or HL7 v2 message store, without requiring the migration of all data into a FHIR-native system.

What is FHIR?

Fast Healthcare Interoperability Resources (FHIR) is a standardized framework created by HL7 International to facilitate the exchange of healthcare data in a flexible, developer-friendly, and modern way. It leverages contemporary web technologies to ensure seamless integration and communication across various healthcare systems.

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I am trying to help another group within our organization access a SQL Table that I have created to populate Epic Department Data within our environment and came across the ability to use SQL Seach REST Interface using iKnow.

However, I am having issues trying to get it to work via POSTMAN before I hand off the solution...

the POST URL... https://<servername>/api/iKnow/latest/TESTCLIN/table/osuwmc_Epic_Clarity.DepartmentMaster/search

where osuwmc_Epic_Clarity.DepartmentMaster is the table

In the body...

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Often times when working with FHIR data, for example with IRIS For Health, you'll find it useful to create a custom FHIR operation. The FHIR Standard comes with a set of defined operations (such as $everything) but a custom operation comes in handy when you need to create some extra functionality that goes beyond the set of standard FHIR operations.

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