#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.

Hey everyone,

I'm diving deeper into Caché ObjectScript and would love to open a discussion around the most useful tips, tricks, and best practices you’ve learned or discovered while working with it.

Whether you're an experienced developer or just getting started, ObjectScript has its own set of quirks and powerful features—some well-documented, others hidden gems. I’m looking to compile a helpful set of ideas from the community.

Some areas I’m especially interested in:

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Hi Community,

Enjoy the new video on InterSystems Developers YouTube:

⏯ It's CLEAR - Re-Imagining the Digital Front Door @ Global Summit 2024

https://www.youtube.com/embed/hfqELHz5FeI
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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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InterSystems has released new point updates to resolve a defect affecting the most recent prior versions of 2025.1.0, 2024.1.4, 2023.1.6, and 2022.1.7, for the following supported product lines:

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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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Article
· Apr 9, 2019 3m read
IRIS/Ensemble as an ETL

IRIS and Ensemble are designed to act as an ESB/EAI. This mean they are build to process lots of small messages.

But some times, in real life we have to use them as ETL. The down side is not that they can't do so, but it can take a long time to process millions of row at once.

To improve performance, I have created a new SQLOutboundAdaptor who only works with JDBC.

BatchSqlOutboundAdapter

Extend EnsLib.SQL.OutboundAdapter to add batch batch and fetch support on JDBC connection.

Open Exchange app
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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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Hi all.

I'm currently looking at a use case where I need to take a Stream, and then encode the contents as a Base64 Stream. This is currently achieved with a snippet of code that has previously been placed in multiple classes within this particular environment, and relied on the dotnet gateway (which suffers with a bug in 2022.1, corrected 2022.1.1).

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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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Digital health solution providers face increasing pressure to integrate complex health data systems while ensuring scalability, security, and compliance with standards like HL7 FHIR. Fast Healthcare Interoperability Resources (FHIR) has revolutionized health data exchange by offering a standardized framework that allows diverse health IT systems to communicate effortlessly. But simply adhering to FHIR standards isn’t enough to overcome the intricacies of health data integration. Solution partners must leverage advanced architectural components like FHIR brokers, façades, and repositories to build scalable and efficient solutions. InterSystems offers all the essential features you need to implement FHIR for your health data, whether on-premises, in a public cloud, or as a cloud-based service managed by InterSystems.

Medical Science Hospital Lab Meeting healthcare

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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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