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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.

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
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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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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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Is anyone using DICOM Interoperability in IRIS for Health configured in Mirror?

I'm asking because I'm not sure how to handle where the DICOM messages are stored.

For some reason DICOM use the filesystem to store raw messages, the directory used can be configured in the StorageLocation production settings, obviously this is a big issue if/when a mirror failover occur.

Unfortunately in IRIS it's not possible to change the DICOM storage from file stream to global stream.

Has anyone came across this issue?

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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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