#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.

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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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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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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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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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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Hi, Community!

🐍Great news—you can now use Python to customize your productions and add custom code!

Using Embedded Python in the BPL and DTL Editors

https://www.youtube.com/embed/D58dvcDQ-WY?utm_source=youtube&utm_medium=social&utm_campaign=D58dvcDQ-WY
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Hi,

We're having an issue with some messages being sent to a downstream system from Healthshare. Part of the free text in the NTE segment is displaying with special characters on the system front-end but is not present in the HL7 message that we send to them. We are guessing that this is a result of some of the text being copied and pasted from something like MS Word. The '?' on their system is just representing an invalid character.

Is anyone aware of a way to prevent this occurring? We are sending the messages using the 'cp1252' encoding.

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Hey Community,

Enjoy the new video on InterSystems Developers YouTube:

⏯ Using Power BI for health insights

https://www.youtube.com/embed/BY-l9RLzmFQ
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The 2024.1.4 and 2023.1.6 maintenance releases of InterSystems IRIS® data platform, InterSystems IRIS® for HealthTM, and HealthShare® Health Connect are now Generally Available (GA).

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I was wondering if someone could help me. In the past I have been able to call external Stored Procedures through a SQL Outbound Connection and have them return me the EnsLib.SQL.Snapshot to use within a BPL to extract data.

But this time instead of using a SQL Outbound BO to make the Stored Procedure call, I decided to create a Linked Stored Procedure through the %JDBC_Server to point to the Stored Procedure out on MS SQL.

However, I am struggling to get the code just right to return the Column value from the Linked Stored Procedure.

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New at DTL. I need some pointers on this DTL

For all Prosthetics orders:
when ORC-1(Order Control) is "NW" (New Order), need to update OBR-18(Placer Field 1) based on PV1-2 (Patient Class) value.
assumption is that the selection logic is that all prosthetics orders with OBR-18 field is always blank.
Description :
If PV1-2 is I, insert I in OBR-18
If PV1-2 is O, insert O in OBR-18
If PV1-2 is E, insert O in OBR-18
If PV1-2 is P, insert O in OBR-18
If PV1-2 is R, insert O in OBR-18
If PV1-2 is B, insert O in OBR-18

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When using standard SQL or the object layer in InterSystems IRIS, metadata consistency is usually maintained through built-in validation and type enforcement. However, legacy systems that bypass these layers—directly accessing globals—can introduce subtle and serious inconsistencies.

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I am brand new to using AI. I downloaded some medical visit progress notes from my Patient Portal. I extracted text from PDF files. I found a YouTube video that showed how to extract metadata using an OpenAI query / prompt such as this one:

ollama-ai-iris/data/prompts/medical_progress_notes_prompt.txt at main · oliverwilms/ollama-ai-iris

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I cloned iris-rag-demo from Open Exchange and issued docker-compose up -d. I went to the front end and type in the chat message:

Who was the 46th President of United States of America?

I got a run time error:

RuntimeError: ERROR <Ens>ErrBPTerminated: Terminating BP ChatProcess # due to error: ERROR #5002: ObjectScript error: <PYTHON EXCEPTION> *<class 'RuntimeError'>: <PYTHON EXCEPTION> <class 'ValueError' > ERROR #5002: ObjectScript error: <PYTHON EXCEPTION> *<class 'RuntimeError'

Traceback:

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