#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'm creating a Business Process that:

  1. Transforms one object into another using DTL
  2. Sends this object to an operation
  3. Transform the object obtained in first point into another one using DTL
  4. Sends the second object to an operation

The Business Process is created with BPL, and objects are stored in BP context. When I execute this Process, in the 3rd point the object obtained in first transformation doesn't exist. It's empty.

I have tried to make transformation before making CALL's, I mean:

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Over the past couple of months, I have been working on the SMART on FHIR EHR Launch to test the capabilities of IRIS for Health using two open-source apps from CSIRO: SMART-EHR-Launcher and SMART Forms App. This journey has been incredibly interesting, and I’m truly grateful for the opportunity to work on this task and explore more of IRIS for Health’s potential.

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For background, I've developed code that relies on %JSON.Adaptor functionality across an entire package of classes in our codebase. In regenerating these classes with %JSON.Adaptor as a superclass, I've encountered compilation errors from the JSON adaptor generators in certain classes, triggered by certain property types or parameters that are incompatible.

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Introducing Smart Clinical Sidechick — the intelligent, no-drama partner your EHR wishes it could be. She reads FHIR data in real time, interprets lab results without ghosting, and explains clinical alerts like she actually cares. Built with GPT-4 brains and YAML sass, she’s not here to replace your main EHR—just to make it look bad. Tired of irrelevant alerts and cryptic warnings? Sidechick serves up real, explainable insights, not vague “elevated risk” vibes. And when your backend crashes, she doesn’t panic—she self-heals.

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InterSystems Official
· Nov 9, 2023
InterSystems IRIS Minimum Supported CPU Models

When AMD published the x86-64 standard in 1999, little did they know they were inventing what would become the de-facto architecture for server CPUs. But the CPUs of today aren’t the same as ones produced 20 years back – as they have extensions for everything from Advanced Vector Extensions (AVX) to Hardware-Assisted Virtualization (VT-d).

InterSystems would like to take better advantage of these new extensions in upcoming versions of InterSystems IRIS. While our compilers are smart enough to create optimized code for many situations, some optimizations can only be turned on by explicitly cutting off support for processors that do not have that instruction set. Additionally, we are finding it increasingly difficult to maintain older CPU models to test on.

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Hey Community!

We're happy to share the next video in the "Code to Care" series on our InterSystems Developers YouTube:

⏯ How Project BEST Transforms FDA Adverse Event Reporting with FHIR

https://www.youtube.com/embed/7w5Nx3khqCE
[This is an embedded link, but you cannot view embedded content directly on the site because you have declined the cookies necessary to access it. To view embedded content, you would need to accept all cookies in your Cookies Settings]

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We are receiving an ORU message and the vendor is requesting that we append a new OBX segment at the end of the message and I wanted to reach out to see what options might be available.

So far, I tried the append action in the DTL editor with a single OBX-3 field but it seems to be appending to the field directly instead of creating a new OBX. I've started looking into if whether I could use a function but wanted to first check with the experts on the Discussion here in case there's an easier way to accomplish this. Thank you.

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I am trying to replicate a REST call that I am able to make via a Postman call within a EnsLib.REST.GenericOperation.

It's been a while since I have messed around with trying to make external REST calls. When I execute my REST call, tSC is coming back with an error and I am trying to pinpoint why. I tried turning on ISCLOG = 5 but when calling the REST Operation from the Testing tool it is not logging anything to the ISC log.

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It helps to remove special characters, such as non-utf-8 characters either control characters or unicode characters from text that is not printable or can't be parsed by downstream systems.

There is also $C(32) in this condition; sometimes NBSP appears in the text and it will not be recognized by TIE, but downstream it displays as "?".

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Epic had changed some of their logic on their Incoming Radiology Results which now require an Ordering Provider even though it is supposed to account for it within the Epic Interface settings.

I was wondering if we are using a custom schema if there was a way to default a value into OBR:16 if it was not valued without having to modify all the DTL's for these Results.

Is there a way to set this via the schema editor or in the background so we don't have to create/update DTL's or create a custom TCP Operation Class??

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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:

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RabbitMQ is a message broker that allows producers (those who send a data message) and consumers (those who receive a data message) to establish asynchronous, real-time, and high-performance massive data flows. RabbitMQ supports AMQP (Advanced Message Queuing Protocol), an open standard application layer protocol.
The main reasons to employ RabbitMQ include the following:

  • You can improve the performance of the applications using an asynchronous approach.
  • It lets you decouple and reduce dependencies between services, microservices, and applications with the help of a data message mediator, meaning that there is no need for producers and consumers of exchanged data to know each other.
  • It allows the long-running processing of sent data (with the results) to be delivered after utilizing a response queue.
  • It helps you migrate from monolithic to microservices, where microservices exchange data via Rabbit in a decoupled and asynchronous way.
  • It offers reliability and resilience by making it possible for messages to be stored and forwarded. A message can be delivered multiple times until it is processed.
  • Message queueing is the key to scaling your application. As the workload increases, you will only have to add more workers to handle the queues faster.
  • It works well with data streaming applications.
  • It is beneficial for IoT applications.
  • It is a must for Bots’ communication.

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Article
· May 2 3m read
Minify XML in IRIS

In a project I'm working on we need to store some arbitrary XML in the database. This XML does not have any corresponding class in IRIS, we just need to store it as a string (it's relatively small and can fit in a string).
Since there are MANY (millions!) of records in the database I decided to reduce as much as possible the size without compressing. I know that some XML to be stored is indented, some not, it varies.

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One of the challenges of creating a DICOM message is how to implement putting data in the correct place. Part of it is by inserting the data in the specific DICOM tags, while the other is to insert binary data such as a picture - In this article I will explain both.

To create a DICOM message, you can either use the EnsLib.DICOM.File class (to create a DICOM file) or the EnsLib.DICOM.Document class (to create a message that can be sent to PACS directly). In either case, the SetValueAt method will allow you to add your data to the DICOM tags.

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