An extension “extends” or enhances a FHIR resource or a data element in a custom way. The extension can be added to the root of a resource, such as “Patient.ethnicity” in US Core profile, and they can be added to individual elements such as HumanName, Address or Identifier.

Did you know that you can also add an extension to a primitive data type?

Primitives usually store a single item and are the most basic element in FHIR. For example: "Keren", false, 1234, 12/08/2024 etc.

For example, the patient resources might look like this:

I want to extract data from IRIS (Health Share Provider Directory) and write the data out to a file that I can use within an external system. Using EnsLib.SQL.Service.GenericService do I need to supply Credentials if I am querying IRIS locally? I have always used JDBC to connect externally when creating Services and Operations to read/write SQL data from external Databases, but never internally. Normally I would just use sql or code to pull the data within a Process or DTC. But in this case, I want the Service to drive the workflow, and query the data from Local Tables

Using a Workflow Task within HealthShare Provider Directory, when a user clicks on Resubmit message within my Business Process, I check the status of the response. If the response is "Resend Message", I have my Business Process executing the following...

set tSC = ##class(Ens.MessageHeader).ResendDuplicatedMessage(context.SessionID)
 if$$$ISERR(tSC) $$$LOGSTATUS(tSC)

the context.SessionID is the Session ID of the message as it is being pass thru the Business Process. Does anyone see why that would not work off hand?

Hi,

Does IRIS have any support for paginating FHIR searches other than the standard next/prev links as defined in the FHIR spec?  For instance, some servers support an _offset or _skip parameter to allow for jumping to specific pages in a result set.  

Hi,

I need a simple function for formatting a string, like in Python or C#. That's easy:

Class Very.Very.Long.Class.Name
{
ClassMethod Format(fmt As %String, args...) As %String [ Language = python ]
{
return fmt.format(*args)
}
}

To simplify calls, I want to wrap the function into a macro:

Hi everyone. Long time no see. Again, I would like to share what I am studying recently Create Foreign Tables Using SQL via JDBC.

Since I am learning about the IRIS BI at the same time, so I started with this Sample-BI docker environment

https://github.com/intersystems/Samples-BI

After starting the environment, login to the management portal http://localhost:52773/csp/sys/UtilHome.csp  with the user Superuser.

Switch the namespace to IRISAPP.

😀 We will find out that all the sample data are stored in this namespace IRISAPP. Let's find a simple table for testing the Foreign Table feature 🤣

InterSystems FAQ rubric

Too run SQL in Terminal use $system.SQL.Shell().

Please refer to the sample below.

Hi Community,

Are you looking for resources to help your team onboard? Use these guides to get started!

I'm pleased to announce the publication of gj :: dataLoader, a new VS Code extension that simplifies the task of loading data from local CSV files into SQL tables on your InterSystems IRIS servers.

Here's an introductory video:

gj :: dataLoader is now available on Marketplace for direct installation into VS Code. It is my entry in the "Bringing Ideas to Reality" Contest 2025 and implements this idea - https://ideas.intersystems.com/ideas/DPI-I-667

Feedback is welcome.

Keywords:  Vibe coding, Windsurf, IRIS, TIE

Why not?   "Vibe coding" is never about the vibe!

Has anyone not been trying "vibe coding" so far?

Even merely 3 years ago, if anyone asked

• "Could I do IRIS implementation for NHS TIE in English or Spanish or just Chinese ?", or
• "Can I just instruct TIE in English to build itself an e2e route, to pick up a PDF report then turn into ORU/MDM message and submit into the PAS ?", or
• "Could we query IRIS database in English only, and build up dashboard or ad hoc report of my own by English instructions?"

I need to connect IRIS to a third-party FHIR server which in turn is connected to Keycloak.

For machine-to-machine communications, client credentials grants should be used. I don't know why exactly but the FHIR server requires access tokens to contain the "openid" scope, otherwise it returns 401 (unauthorized).

If the access token returned by Keycloak contains that scope, IRIS complains about ""ERROR #8859: Unsupported response to access token request: OpenID Connect is not supported for password and client credentials grant type". The error is produced by the OAuth2.Response class, line 393:

Auditing is a critical capability ensuring the security of your server, and for quite a while ago we have included the ability to audit SQL statements run on the server.

With v2024.3 out already we're providing finer-grained options for defining these events to audit.

Managing InterSystems Servers – Virtual  January 5-9, 2026

• Configure, manage, plan, and monitor system operations of InterSystems Data Platform technology
• This 5-day course teaches system and database administrators how to manage InterSystems® Data Platform technology which powers all of our products.
• Learn to install, configure and secure the data platform, configure for high availability and disaster recovery, and monitor the system.
• Students also learn troubleshooting techniques.

SELF REGISTER HERE

FastJsonSchema: High-Performance JSON Validation in IRIS

Validating JSON data against JSON Schema is a common requirement for modern applications. FastJsonSchema brings this capability natively to InterSystems IRIS, combining speed, simplicity, and full schema compliance.

Unlike traditional validation approaches, FastJsonSchema generates native ObjectScript code from your JSON Schemas and compiles it directly to iris object code, enabling idiomatic performance without relying on external libraries or runtimes.

Hey everyone.

As part of an ongoing mission to track down orphaned HL7 Messages in our integration engine, I have been digging into our environment to track down the causes.

Having looked at various posts here (including one of my own) there are a few scenarios that can create orphaned messages resulting in excessive disk space usage. These scenarios are generally:

1. Purging an environment with the option "Bodies Too" deselected
2. Code creating/saving a Message but then not sending it
3. BPL errors similar to 2, or a scenario where the response to a Call component is not set.

Hallo, I am new on programming Object Script.

My problem: How can I use a String variable in embedded SQL?

The below example does not work by using: namevar with ' ' 

set namevar = 'Ali'

&sql(DECLARE C2 CURSOR FOR SELECT name INTO :name FROM person where name = 'namevar')

Only below will work: person where name = 'Ali' 

Thanks in advance

Could someone explain how and why a HL7 ACK be showing up as a Orphaned message when I run the following SQL...
 

SELECT HL7.ID,HL7.DocType,HL7.Envelope,HL7.Identifier,HL7.MessageTypeCategory,HL7.Name,HL7.OriginalDocId,HL7.ParentId, HL7.TimeCreated
FROM EnsLib_HL7.Message HL7
LEFTJOIN Ens.MessageHeader hdr
ON HL7.Id=hdr.MessageBodyId
WHERE hdr.MessageBodyId ISNULL

I am trying to find the problem code that is causing the Orphaned messages, and an ACK showing up seems kind of Odd. While we do have Archive IO/Trace on, and Index NOT OK's set why would they show up as Orphaned messages?

There are a select few in the group that have been using Github as a Local Client push to a Repository setup in GitHub. Questions were brought up today about the security, and possible issues when it comes to data being pushed in this method.

Looking over code we have noticed that there is Histogram data within some of the class files that could be considered a security issue. Does anyone else have concerns with the Histogram data being within the class files pushed up to github?

I am using IRIS for Windows (x86-64) 2022.1 (Build 209) Tue May 31 2022 12:27:55 EDT [Health:3.5.0]. I created Interoperability Production with a Service to read file from S3 bucket and an Operation to write files to a different S3 bucket. I specified AWS ProviderCredentialsFile.

I see "Terminating Job 7096 / 'From S3 Bucket' with Status = ERROR #5023: Remote Gateway Error: Connection cannot be established, %QuitTask=

Do I need anything like Python libraries or AWS CLI to make this work?

Hi, Community!

Want to build smoother communication between payer systems and providers? See how the Prior Authorization Support (PAS) module of the InterSystems Payer Services ePrior Authorization solution can help:

Prior Authorization Support

Hi,

We're working on new capabilities to help you build Agents and AI applications faster with InterSystems IRIS. In order to better understand which entry points and development methodologies would help you most, we've created this brief survey: Building AI solutions with InterSystems IRIS. 

Filling it in should not take much more than 5 minutes, and your feedback on this exciting topic will help us fine tune our designs and prioritize the right features.

Thanks in advance!
benjamin
 

We're excited to announce the Early Access Program for IntegratedML Custom Models, a powerful new capability coming in IRIS 2026.1!

What Is It?

In this article I will be discussing the use of an alternative LLM for generative IA. OpenIA is commonly used, in this article I will show you how to use it and the advantages of using Ollama

In the generative AI usage model that we are used to, we have the following flow:

• we take texts from a data source (a file, for example) and embedding that text into vectors
• we store the vectors in an IRIS database.
• we call an LLM (Large Language Model) that accesses these vectors as context to generate responses in human language.

Some time ago, I put together a small example to quickly deploy InterSystems IRIS instances connected via ECP using Docker.

Time passed and, like everything, it needed a bit of a refresh.

Within Provider Data Management, I wanted a way to capture the Code Table mapping errors thrown by HSPD.MDM.FlowControl.Process into a Workflow Task for someone to work. However, because HSPD.MDM.FlowControl.Process can get overwritten during the upgrade process, I cloned it into another Business Process so we can use Workflow Tasks to troubleshoot mapping errors.

Overview

This release introduces major improvements to storage scalability and performance, a significant operating system upgrade across all offerings, and a new default version of the FHIR Server. Together, these updates enhance system reliability, flexibility, and security while ensuring long-term platform supportability.

New Features and Enhancements

Overview

Version 25.20.2 expands global availability, enhances Advanced Security flexibility, and widens Network Connect integrations. This release introduces support for additional regions, new application-aware security rules, and expanded connectivity options for critical InterSystems services.

New Features and Enhancements

Overview

Version 25.23.2 delivers targeted improvements to the Advanced Security UI and further streamlines the upgrade and update workflows across InterSystems Cloud offerings. These changes focus on clarity, efficiency, and operational excellence.

New Features and Enhancements

Overview

Version 25.24.1 delivers major enhancements to DNS capabilities, platform reliability, upgrade workflows, and developer experience. This release also includes key fixes and increases in platform limits to better support modern workloads.

New Features and Enhancements