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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.

Hi InterSystems Developers!

Recently I've updated the FHIR dev template so that it now publishes an IPM package fhir-server that makes the setup of InterSystems FHIR server a trivial manual or automatic or programmatic procedure one command long.

Please see below how you can benefit from it.

TLDR

USER>zpm "install fhir-server"

All the details below.

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InterSystems announces another developer preview release, as part of the developer preview program for the 2022.3. Many updates and enhancements have been added in 2022.3 and there are also brand new capabilities, such as the new FHIR SQL Builder, improvements for Columnar Storage, and support to Oracle Linux 9. Some of these features or improvements may not be available in this current developer preview.

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In the previous article, we talked about the flow of data to request the test and receive the results of the requested test. Now let's talk about one of the most important messages of HL7v2 standard.

Every time a receiving application accepts a message and consumes the message data, it is expected to send an ACKnowledgement (ACK) message back to the sending application. The sending application is expected to keep on sending a message until it has received an ACK message. It is done to inform the sending application that its message was successfully received, that it is (not) valid in accordance with HL7 rules and, if it is compliant, that it will be processed at some point.

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Question
· Dec 15, 2022
Installation Manifest

I am trying to make application deployable using Installation Manifest.

I use IRISHealth_Community-2022.2.0.368.0-win_x64.exe to run manifest during installation

I run it from windows command line using the following command:

IRISHealth_Community-2022.2.0.368.0-win_x64.exe INSTALLERMANIFEST="C:\FixxerInstall\src\Installer.xml" INSTALLERMANIFESTLOGFILE="Log.txt" INSTALLERMANIFESTLOGLEVEL=3 INSTALLERMANIFESTPARAMS="FlaggerCSPDir=C:\FixxerInstall\src\csp\flagger,ClassImportDir=C:\FixxerInstall\src\import\"

It works but a little bit strange.

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Hi,

I am trying to use the newly introduced adapter EnsLib.CloudStorage.InboundAdapter to pull files from azure blob container for the purpose of ECG scaling.

The ultimate goal would be- more than one services running to pull the files from a blob container and process them further. I am not sure if there would be any concurrency issue on that. So working on a poc to pull the data from server and test it out.

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In this article, we'd like to describe Med.me's incubation experience and takeaways, the cross-organizational booking problem, and our approach to solving it.

This exciting story started during one of the regular medtech meetups, where I met @Evgeny Shvarov, senior InterSystems chief of the Developer Community. Following the good old startup rule “pitch wherever you can”, I briefly explained to Evgeny Med.me concept – EHR exchange and appointment scheduling platform to automate and simplify communication between clinics, pharma on one hand and insurance companies, doctors, and patients on the other.

Evgeny listened carefully and replied that InterSystems provides plenty of products to solve the interoperability problems amongst the vast variety of EMRs and kindly advised me to hurry up to apply to the FHIR incubator Caelestinus powered by InterSystems.

That led to a start of an amazing 9-months long road where we were able to ramp up our understanding of interoperability, participate at the InterSystems Global Summit, find new customers and partners, and where the new concept of Resource Availability Exchange was born.

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In the previous article, we've seen the structure of one of the most used types of HL7 message - ADT (Admit, Discharge, Transfer) and an example of ADT^A04 with the description of all its fields. Now let's look at another flow of data having to do with ordering and fulfilling the orders of tests. I'm talking about ORM (as of version 2.5 you should use specific messages to order tests, like OMG, OML, OMD, OMS, OMN, OMI, and OMP), ORL and ORU messages. In a very simplified case, the exchange of data may look like this.

Let's look at these messages in more detail.

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In the previous article, we've discussed the origin of the standard HL7v2, the structure and the types of messages. Let's now look at one of the most used types of messages and an example of its structure. I'm talking about ADT.

HL7 ADT messages (Admit, Discharge, Transfer) are used to communicate basic patient information, visit information and patient state at a healthcare facility. ADT messages are one of the most widely-used and high volume HL7 message types, as it provides information for many trigger events including patient admissions, registrations, cancellations, updates, discharges, patient data merges, etc.

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InterSystems announces another developer preview release, as part of the developer preview program for the 2022.3. Many updates and enhancements have been added in 2022.3 and there are also brand new capabilities, such as the new FHIR SQL Builder, improvements for Columnar Storage, and support to Oracle Linux 9. Some of these features or improvements may not be available in this current developer preview.

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Hi Community,

Let's meet together at the online meetup with the winners of the InterSystems IRIS for Health Contest – a great opportunity to have a discussion with the InterSystems Experts team as well as our contestants.

Winners' demo included!

Date & Time: Friday, December 9, 10:00 AM EDT

>> Register here <<

https://www.youtube.com/embed/5xc_9QP4xzc
[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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Hi,

For a Linux host, has anyone developed an Ansible module that will start a session to IRIS and send commands?

What I am after is something like this:

1. Supply

Username

Password

Commands <- list

Prompt <- from session command

2. Send back the output from the session

If so please advise where I can download the module?

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Hi, I would like to tell you how easy it is to spin up IRIS for Health docker container in compute engine(VPS) in google cloud.

I know that to run IRIS for Health in AWS is pretty simple and straightforward, but I wanted to tried if its same easy in GCP environment.

Create vm instance. 2GB RAM is more than enough.

I used Debian 11 as Linux distro.

Standart persistent disk is cheaper.

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Article
· Dec 1, 2022 1m read
My First FHIR app

I participated in InterSystems Women’s Health FHIR contest, because I loved the challenge to learn a new-to-me technology. I wanted to develop an app that receives data from a mobile device like my Fitbit or a Smart Watch. I did not get access to such data except when I downloaded a spreadsheet (CSV file) showing my daily steps and sleep data. I saw in iris-fhir-template it imported some patient data to a FHIR server.

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Hi Developers!

Here is the score of technical bonuses for participants' applications in the InterSystems IRIS for Health Contest: FHIR for Women's Health!

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IRISTEMP - IRIS.DAT took up all the available disk space of almost 2 TB that leads to Production instance down.

After RCA the suspected cause was some SQL query but not confirmed as query result was received within a minute.

Currently we are monitoring the IRIS.DAT and it is continuously increasing and currently we set the MAX size for this DB, but not sure what will happen once it hit the MAX SIZE ?

Any clue why the IRISTEMP DB is not flushing the data from IRIS.DAT as i believe it is being mostly used for system processes and is in increasing trend at ~ 1GB/day?

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Article
· Nov 30, 2022 14m read
Creating FHIR questionnaires

Intersystems IRIS for Health has excellent support for the FHIR industry standard. The main features are:
1. FHIR Server
2. FHIR Database
3. REST and ObjectScript API for CRUD operations on FHIR resources (patient, questionnaire, vaccines, etc.)

This article demonstrates how to use each of these features, as well as presenting an angular frontend for creating and viewing Quiz-like FHIR resources.

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I've been working for 19 years in the technology field, and on this journey, I was able to be part of several projects on numerous fronts; however, the health area is one of the areas that attract me the most.

So whenever we get a chance to create something focused on health, using the FHIR protocol is exciting.

But, a team of 3 IT guys with a tech background would not be enough to deliver something really useful, and for a topic as important as women's health, we brought to the team someone who really understands the subject.

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Question
· Nov 30, 2022
Delegated Users

In our current UCR arhcitecture, we use two installations. We have one machine with Access, Registry and Edges and one machine with the ODS. On the machine with the Registry, I can create a user/clinician. When I log into the management portal with this user, a so-called delegated user is created in the cached users table. So far everything is going well.

When I try the same on the machine with the ODS I get the message : 'ERROR #822: Access Denied' . so no delegated user is created.... Does anyone have any idea where I can find the solution?

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Hello everyone, this is with great pleasure that I announce the V2 of my application 'Contest-FHIR'.

In this new version, I used new tools and techniques I discovered at the EUROPEAN HEALTHCARE HACKATHON in which I was invited by InterSystems as a guest and as a mentor to display the multiple projects I did in my intership back in April 2022.

Today I present to you the V2 of my application, it can now transform CSV to FHIR to SQL to JUPYTER notebook.

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Article
· Nov 29, 2022 6m read
What's HL7v2?!

HL7 (Health Level 7) is a set of technical specifications for computerized exchanges of clinical, financial and administrative data between hospital information systems (HIS). These specifications are variously integrated into the corpus of formal American (ANSI) and international (ISO) standards.

The L7 of HL7 indicates that it is a standard that operates at layer 7, in other words at the application layer, of the OSI model. This means that HL7 does not have to take into account exchange security considerations, or those of message transport (this being ensured by lower-level layers such as SSL/TLS for security or TCP for the transport of data for example). To be more precise, layer 7 supports communications for end-user processes and applications and the presentation of data for user-facing software applications. As the highest layer of the OSI model, and the closest to the end user, layer 7 provides application-specific functions such as identifying communication partners and the quality of service between them, determining resource availability, considering privacy and user authentication, and synchronizing communication, as well as connecting the application to the lower levels of the OSI model.

Returning to the HL7 standard, the HL7 version 2 standard (also known as Pipehat) was originally created in 1989 but is still being used and updated regularly, resulting in versions 2.1, 2.2, 2.3, 2.3.1, 2.4, 2.5, 2.5.1, 2.6, 2.7, 2.7.1, 2.8, 2.8.1, 2.8.2 and 2.9. The v2.x standards are backward compatible (e.g., a message based on version 2.3 will be understood by an application that supports version 2.6) and in higher versions, you will see some fields are left just for it.

Despite it being more than 30 years old, HL7v2 remains the most widely used healthcare interface standard by a large margin according to the HL7.org portal that tells that:

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