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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.

In this article I will demonstrate the following :

  • Update ReferencesRange(OBX:7) against ObservationIdentifier(OBX:3.1)[TestCode] from database by using custom utility function
  • Update Abnormal Flag(OBX:8) against ObservationIdentifier(OBX:3.1)[TestCode] and ObservationValue(OBX:5)[Result] from database utility function
  • Route Message based on Abnormal Flag(OBX:8)

Below is the primary and transformed HL7 2.5 ORU_R01 message:

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I have just created a new Global Master Topic, "IRIS Cheatsheets". IRIS has introduced a lot of new functionality, especially in scripting languages, FHIR R4 support, enhanced Interoperability Tools, and IRIS Analytics. Having spent 35 years working on Windows-based PC's and Laptops, I have surprisingly little knowledge of Linux, Docker and Git. Furthermore, I have written almost every application and Interface in ObjectScript with splatterings of SQL, .Net, and Java Gateways and the most basic knowledge of WinSCP, Putty, SSH. All that changed when I received my first Raspberry Pi.

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Continuing the description of work on the use of the openhl python module in productive mode.

Since the version of iris with Embedded Python, does not yet have a final release, it is already necessary to use it in production now. We decided to back up the service for exporting requests to a xlsx file on a separate server, and save the query result in a global in a separate database.

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I have attached a document that describes the product I have developed called NiPaRobotica Pharmacy. This is an interface I developed that accepts Pharmacy Dispense Requests and converts the line items on the order into dispense dialogues which it sends to pharmacy robots. I deployed the interface into 3 Hospital pharmacies two of which had 6 robots that were arranged in such a way that the dispense chutes channelled medications to desks by the pharmacists sitting in windows serving 1200 patients a day. The robots cut the average waiting time from 2 hours down to one hour.

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Article
· Jul 27, 2021 2m read
IRIS Interoperability Message Bank

I heard about Message Bank when we started redesigning a Health Connect production to run in containers in the cloud. Since there will be multiple IRIS containers, we were directed to utilize Message Bank as one place to view messages and logs from all containers.

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Healthcare interoperability is instrumental in improving patient care, decreasing healthcare provider costs, and providing a more accurate picture to providers. However, with so many different systems, data is formatted in many different ways. There are many standards that have been created to try to solve this problem, including HL7v2, HL7v3, and CDA but each one has its drawbacks.

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Google has one intersting tool named Data Studio. This tool allows creating some interactive dashboards, based on your data, available from the internet. It already offers hundreds of connectors to any sort of data developed by the community. As well as some amount of community developed visualizing. And most importantly, Google offers a way to develop your own connector to your data.

FHIRaaS provides a REST API, and it's available from the internet. So I've decided to try to create some basic report on data stored there. And in the end, I got this.

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Introduction

In the first article, a simple tutorial helped you to set up your FHIRaaS deployment.

Now, let's move forward and introduce a JS library to access the FHIR resource.

In the end, two examples of usage of this library will be presented, exploring the Appointment FHIR resource type.

SMART on FHIR JavaScript Library

FHIR is a REST API, so you can use any HTTP client in order to use it. But, it’s always a good idea to have help.

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Article
· Jun 5, 2021 8m read
FHIRaaS overview

Introduction

This article aims to provide an overview of InterSystems IRIS FHIR Accelerator Service (FHIRaaS) driven by the implementation of application iris-on-fhir, available in OEX developed for the FHIRaaS contest.

A basic tutorial will guide you in configuring a function FHIRaaS deployment, including an API key and an OAuth 2.0 server.

A library to use FHIR resources through FHIRaaS also is briefly discussed.

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InterSystems SAM is a great tool to monitor your InterSystems IRIS and InterSystems IRIS For Health clusters on prem or in a cloud environment. This article describes how you can implement a customized alert handler. This is currently an undocumented and most likely an unknown feature of InterSystems SAM. With future releases it will be probably made easier to leverage this useful concept.

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Like hardware hosts, virtual hosts in public and private clouds can develop resource bottlenecks as workloads increase. If you are using and managing InterSystems IRIS instances deployed in public or private clouds, you may have encountered a situation in which addressing performance or other issues requires increasing the capacity of an instance's host (that is, vertically scaling).

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Article
· Apr 20, 2021 3m read
Why gj :: locate?

You may think it isn’t too difficult to get from label+offset^routine to the actual source line responsible for the error. For an expert it isn't that hard... most of the time. But there are enough oddities and special rules that even an expert can get it wrong, whilst spending a lot of time trying to get there.

gj :: locate is the latest tool from George James Software – it debugs any error, class or routine by converting the location of an error in compiled .int code to the corresponding location in your source, and then taking you right there.

Image this scenario…

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In Studio you could open a class directly via it's name, without having to traverse the package tree with multiple clicks until arriving at the desired class.

You would Ctrl + O or (File -> Open) and be able to simply type in the class name, for example:

You press Enter, and viola - the class is opened.

How do you achieve this in VSCode?

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Purpose

Most CloudFormation articles are Linux-based (no wonder), but there seems to be a demand for automation for Windows as well. Based on this original article by Anton, I implemented an example of deploying a mirror cluster to Windows servers using CloudFormation.I also added a simple walk through.
The complete source code can be found here.

Update: 2021 March 1 I added a way to connect to Windows shell by public key authentication via a bastion host as a one-liner.

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