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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.

​Keywords: ChatGPT, COS, Lookup Table, IRIS, AI

Purpose


Here is another quick note before we move on to GPT-4 assisted automation journey. Below are some "little" helps ChatGPT had already been offering, here and there, during daily works.

And what could be the perceived gaps, risks and traps to LLMs assisted automation, if you happen to explore this path too. I'd also love to hear anyone's use cases and experiences on this front too.

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Introduction

I recently participated in a fantastically organized hands-on by @Patrick Jamieson in which an Angular application was configured together with an IRIS FHIR server following the protocols defined by SMART On FHIR and I found it really interesting, so I decided to develop my own Angular application and thus take advantage of what I learned to publish it in the Community.

SMART On FHIR

Let's see what Google tells us about SMART On FHIR:

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Setting up Management Portal Help Pages for Full WebServers

On each page of the System Management Portal, there is a “Help” button. This takes users to an article in documentation that describes the page functionality and use.

Caché provides local documentation for all of these articles.

InterSystems IRIS does not provide local documentation. Instead, the Help button will redirect users to the articles in the online documentation at docs.intersystems.com.

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Article
· Jan 14, 2024 5m read
clinFHIR for developers

This article is intended to describe how the clinFHIR application can be used to help developers both understand FHIR and to develop applications that utilize FHIR artifacts. It’s not intended to be an introduction to FHIR, but rather describe how clinFHIR can help on the learning / development journey.

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InterSystems FAQ rubric

In the sample below, an image file is encoded into a Base64 string in a class property, saved, decoded again with Base64, and restored to another file.

【Usage class】

Class User.test Extends %Persistent
{
Property pics As %GlobalBinaryStream;
}


【When importing】

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InterSystems FAQ rubric

You can programmatically retrieve routine dates and sizes using the RoutineList query of the %Library.Routine (or just %Routine) class.

The RoutineList query has an argument, and the routine name to be searched can be specified by prefix match or middle match. (For wildcards, specify * or ?)

In the example below, *.MAC is specified as an argument.

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Article
· Nov 2, 2023 3m read
How to hide the source program

InterSystems FAQ rubric

For routines (*.mac)

You can hide the source by exporting/importing only the *.obj that is generated after compiling the source program.

The command execution example specifies EX1Sample.obj and EX2Sample.obj, which are generated by compiling EX1Sample.mac and EX2Sample.mac, as export targets and exports them to the second argument file.

After moving to another namespace, I am using the exported XML file to perform the import.

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Sometimes we need to convert FHIR message to HL7 V2, e.g. to register a patient to the PACS system.
In this article, I will explain the steps to achieve the desired by using IRIS FHIR Server production.

Below are the steps we need to follow:

  1. Make sure FHIRServer production is started.
  2. Register Business Service with FHIRServer endpoint.
  3. Define Business Processes to convert FHIR message to SDA and then Convert SDA to HL7 v2.
  4. Post JSON resource to FHIRServer endpoint and get HL7 V2 response.

Let's review the steps in detail.

Step 1. Make sure FHIRServer production is started

Open the production page and make sure Production is started. In the next step, we need to make sure business service HS.FHIRServer.Interop.Service is registered with FHIRServer

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We resume our series of articles on the FHIR Adapter tool available to HealthShare HealthConnect and InterSystems IRIS users.

In the previous articles we have presented the small application on which we set up our workshop and showed the architecture deployed in our IRIS instance after installing the FHIR Adapter. In today's article we will see an example of how we can perform one of the most common CRUD (Create - Read - Update - Delete) operations, the reading operation, and we will do it by recovering a Resource.

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Article
· Jun 13, 2024 4m read
How to check the size of your data

InterSystems FAQ rubric

Data for InterSystems products (table row data, object instance data) is stored in global variables.
The data size of each global can be obtained by clicking the properties of the global you want to view from the Management Portal > System > Configuration > Local Database > Globals page, and then clicking the Calculate Size button on the Global Attributes page that appears.
To display the data sizes of globals in a namespace, you can call ^%GSIZE utility on the terminal.

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FHIR Terminology Service specification describes a set of operations on CodeSystem, ValueSet and ConceptMap resources. Among those operations, the following four operations appear to be the most widely adopted ones:

CodeSystem ValueSet
$lookup
$validate-code		 $expand
$validate-code

Developing a partial implementation of the specification has been an effective way to explore the new FHIR framework introduced in IRIS for Health 2020.1. The implementation includes four operations listed above, and supports read and search interactions for CodeSystem and ValueSet resources.

It's important to note that the implementation uses plain ObjectScript persistent classes as source terminology tables.

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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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Article
· Jul 24, 2023 20m read
Local K8s Deployment of a FHIR server

k8s

This is a sample to deploy iris-oauth-fhir on k3d with IKO.
* iris-oauth-fhir is a sample to deploy a FHIR server with OAuth2 authentication with InterSystems IRIS for Health as a resource server and Google OpenId as an authorization server.
* k3d is a lightweight wrapper to run k3s (Rancher Lab's minimal Kubernetes distribution) in docker.
* IKO is a tool to deploy InterSystems IRIS for Health on Kubernetes.

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Article
· Mar 2, 2024 4m read
IKO - Lessons Learned (Part 1 - Helm)

The IKO documentation is robust. A single web page, that consists of about 50 actual pages of documentation. For beginners that can be a bit overwhelming. As the saying goes: how do you eat an elephant? One bite at a time. Let's start with the first bite: helm.

What is Helm?

Helm is to Kubernetes what the InterSystems Package Manager (IPM, formerly ObjectScript Package Manager - ZPM) is to IRIS.

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In this GitHub we gather information from a csv, use a DataTransformation to make it into a FHIR object and then, save that information to a FHIR server all that using only Python.

The objective is to show how easy it is to manipulate data into the output we want, here a FHIR Bundle, in the IRIS full Python framework.

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InterSystems IRIS for Health ENSDEMO

Yet another basic setup of ENSDEMO content into InterSystems IRIS for Health.

Make sure you have Docker up and running before starting.

Setup

Clone the repository to your desired directory

git clone https://github.com/OneLastTry/irishealth-ensdemo.git

Once the repository is cloned, execute:

Always make sure you are inside the main directory to execute docker-compose commands.

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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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Article
· Jun 22, 2023 1m read
Countermeasures against SQL injection

InterSystems FAQ rubric

Countermeasures against SQL injection have been published on various websites, but we believe that it is possible to prevent SQL injection in applications using InterSystems SQL as well as other RDBMS by implementing these countermeasures appropriately. In addition, InterSystems Data Platform (hereinafter referred to as IRIS) incorporates several measures that make SQL injection more difficult than general RDBMS.

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Being interoperable is more and more important nowadays. InterSystems IRIS 2022.1 comes with a new messaging API to communicate with event streaming platforms like Kafka, AWS SQS/SNS, JMS and RabbitMQ.

This article shows how you can connect to Kafka and AWS SQS easily.
We start with a brief discussion of the basic concepts and terms of event streaming platforms.

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I have been walking through this with a few team members and as such I thought there might be others out there who could use it, especially if you work with HL7 & Ensemble/HealthConnect/HealthShare and never venture out past the Interoperability section.

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Article
· Aug 22, 2020 2m read
An overview of iris-fhir-portal

I created the iris-fhir-portal as part of the current contest InterSystems IRIS for Health FHIR, and I'm writing this quick overview to introduce the features that my application offers.

The goal of iris-fhir-portal is to show how easy we can create a Patient Chart using FHIR capabilities in IRIS for Health and empower the user with their own data.

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InterSystems FAQ rubric

It can be retrieved using the schema INFORMATION_SCHEMA.

INFORMATION_SCHEMA is a system schema and is not displayed by default in the SQL menu of the Management Portal.

The method to display it is as follows.

  1. Open Management Portal → System Explorer → SQL menu.
  2. Check "System" on the left of the schema drop-down.
  3. Select INFORMATION_SCHEMA from the schema dropdown.

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