Hi Community!

We’re excited to announce the launch of a new, hands-on training program:

🧑‍💻 Developing FHIR Applications Using Python 🧑‍💻

This cohort-based course takes developers from FHIR fundamentals to advanced, real-world healthcare interoperability solutions, with deeper, more practical coverage than typical industry offerings and a strong focus on production-ready skills using InterSystems technology.

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Hi Community,

Here we have requirement to process messages min 10 sec delay. Current time it is taking my businessProcess is less than 1 sec.

To implement this requirement , I need to sleep 10 sec in business process custom code.

Could somebody help me to implement delay in BusinessProcess.

Thanks,

Prashanth

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Hey everyone,

I'm just seeking some guidance and confirmation on what I'm doing for my production health monitoring.

We utilize Grafana to have reporting/monitoring dashboards and I have made a REST API to query the health of our productions. I believe I have everything figured out except for one thing that I'm uncertain about and that is the Production Item Color indicators:

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Why do these clauses affect SQL performance?

select ID from some_table where row_status in ('I','U') order by ID limit 5 - makes the query infinite
select top 10 ID from some_table where row_status in ('I','U') order by ID - the same
select ID from some_table where row_status in ('I','U') order by ID - is fast

Actually there are no rows in the table having row_status 'I' or 'U'.

I asked Gemini and it recommended me rewrite the query as

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Hello, I am trying to get some fields from HL7 message and create a file using BPL. The values I need are in a repeating segment (AIG). Even in the repeating segment, I just want the iteration that has a certain field (AIG:3 populated). With the help of documentation and community posts, I was able to create the BPL to loop through all of AIG and create the file. But when I try to narrow the results even further (AIG:3 present), the process gets stuck. I am not sure I am missing anything or have anything incorrectly set up. Also, since the process gets stuck, it doesn't even seem to h

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IRIS can use a KMS (Key Managment Service) as of release 2023.3. Intersystems documentation is a good resource on KMS implementation but does not go into details of the KMS set up on the system, nor provide an easily followable example of how one might set this up for basic testing.

The purpose of this article is to supplement the docs with a brief explanation of KMS, an example of its use in IRIS, and notes for setup of a testing system on AWS EC2 RedHat Linux system using the AWS KMS. It is assumed in this document that the reader/implementor already has access/knowledge to set up an AWS EC2 Linux system running IRIS (2023.3 or later), and that they have proper authority to access the AWS KMS and AWS IAM (for creating roles and polices), or that they will be able to get this access either on their own or via their organizations Security contact in charge of their AWS access.

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Hi,

I want to consume an API that provides HL7 messages. To achieve this, I have thought of the following workflow:

I have created a business service that periodically triggers a business process. The trigger request is forwarded to a business operation. There, a %Net.HttpRequest is assembled from scratch and then sent to the API endpoint. The corresponding HttpResponse then contains several HL7 messages encoded in UTF-8 in the message body. To further process the HL7 messages, the operation sends the HttpResponse back to the business process as EnsLib.HTTP.GenericMessage.

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The 2025.1.3 maintenance releases of InterSystems IRIS® data platform, InterSystems IRIS® for HealthTM, and HealthShare® Health Connect are now Generally Available (GA). These releases include the fixes for a number of recently issued alerts and advisories, including the following:

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I have always struggled with Iterating through a JSON response to pull out certain fields into a Data Class Structure to use to populate fields in a DTL. So I defined the whole structure for the following JSON, with the base structure extending Ens.Response, %XML.Adaptor, and %JSON.Adaptor.

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The third developer previews of InterSystems IRIS® data platform, InterSystems IRIS® for Health, and HealthShare® Health Connect 2026.1 have been posted to the WRC developer preview site. Containers can be found on our

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TL;DR This article explains how to deploy InterSystems IRIS Community Edition on Azure using the Azure Marketplace and a Virtual Machine. It covers prerequisites, instance selection, authentication, SSH access, first verification steps, and how to delete resources to avoid charges. The deployment can typically be done using Azure free credits and is suitable for developers who want to quickly start working with IRIS in the cloud.

Who this guide is for. This guide is intended for developers, solution architects, and DevOps engineers who want to deploy InterSystems IRIS Community Edition on Microsoft Azure. No prior Azure automation experience is required, but basic familiarity with the Azure Portal and SSH is helpful.

After following this guide, you will be able to:

  • Launch InterSystems IRIS Community Edition from the Azure Marketplace
  • Configure a small, secure Azure VM
  • Connect to IRIS using SSH and the Management Portal
  • Reset the default IRIS password and verify that IRIS is running

Prerequisites

  • An active Azure subscription (new accounts may have free credits)
  • Permissions to create resource groups, VMs, and networking resources
  • An SSH client and a private key (.pem) you can store securely
  • Basic knowledge of Linux command line

Deployment overview

  • Open the IRIS Community Edition listing in Azure Marketplace and click Get it now
  • In Azure Portal, choose Start with a pre-set configuration (or Create)
  • Configure Basics: subscription, resource group, VM name, region, image, and size (a small VM is usually sufficient)
  • Choose SSH key authentication and generate/download the key if needed
  • Review + Create, accept terms, and deploy; then Go to resource → Connect → SSH
  • First SSH login: run iris password to change _SYSTEM/SYS; start a session with iris session iris
  • Management Portal: http://YOUR_VM_IP:52773/csp/sys/UtilHome.csp

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10:47 AM — Jose Garcia's creatinine test results arrive at the hospital FHIR server.
2.1 mg/dL — a 35% increase from last month.

What happens next?

  • Most systems: ❌ The result sits in a queue until a clinician reviews it manually — hours or days later.
  • This system: 👍 An AI agent evaluates the trend, consults clinical guidelines, and generates evidence-based recommendations — in seconds, automatically.

No chatbot. No manual prompts. No black-box reasoning.

This is event-driven clinical decision support with full explainability:

image

Triggered automatically by FHIR events
Multi-agent reasoning (context, guidelines, recommendations)
Complete audit trail in SQL (every decision, every evidence source)
FHIR-native outputs (DiagnosticReport published to server)

Built with:
- InterSystems IRIS for Health — Orchestration, FHIR, persistence, vector search
- CrewAI — Multi-agent framework for structured reasoning

You'll learn: 🖋️ How to orchestrate agentic AI workflows within production-grade interoperability systems — and why explainability matters more than accuracy alone.

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Who hasn't been developing a beautiful example using a Docker IRIS image and had the image generation process fail in the Dockerfile because the license under which the image was created doesn't contain certain privileges?

In my case, what I was deploying in Docker is a small application that uses the Vector data type. With the Community version, this isn't a problem because it already includes Vector Search and vector storage. However, when I changed the IRIS image to a conventional IRIS (the latest-cd), I found that when I built the image, including the classes it had generated, it returned this error:

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Hey Community!

We're happy to share a new video from our InterSystems Developers YouTube:

Taking the Fear out of FHIR - Fast Tracking Organizational FHIR Readiness @ Ready 2025

https://www.youtube.com/embed/TLWXlDCpU84
[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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When using InterSystems IRIS as an interoperability engine, we all know and love how easy it is to use the Message Viewer to review message traces and see exactly what's going on in your production. When a system is handling millions of messages per day, you may not know exactly where to begin your investigation though.

Over my years supporting IRIS productions, I often find myself investigating things like...

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How many times have you had to receive or generate a JSON and wished you could work on it using DTLs without having to deal with DynamicObjects trying to remember the name of each field? Do you want to break down and make your giant JSON file more digestible?

In my case, never, but I thought that someone might find it useful to have a feature that captures your JSON and breaks it down into a series of ObjectScript classes that you can work with more easily and conveniently.

Well then...behold JSON2Class in all its glory!

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What is a FHIR Profile?

A FHIR profile is a collection of rules and constraints used to customize and refine a base Fast Healthcare Interoperability Resources (FHIR) resource. Profiling is a vital process that adapts the base FHIR resource standard to satisfy the unique requirements of a specific use case, geographic region, medical institution, or clinical workflow.

While the base FHIR specification provides generic, flexible definitions for resources (such as Patient, Observation, or Medication), profiles transform these generic resources into more precise ones. This ensures consistent and interoperable data exchange tailored for a particular community or implementation.

FHIR is designed to cover various healthcare scenarios globally. Profiles allow implementers to adapt this general platform without losing the benefits of standardization.

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