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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.

++Update: August 2, 2018

This article provides a reference architecture as a sample for providing robust performing and highly available applications based on InterSystems Technologies that are applicable to Caché, Ensemble, HealthShare, TrakCare, and associated embedded technologies such as DeepSee, iKnow, Zen and Zen Mojo.

Azure has two different deployment models for creating and working with resources: Azure Classic and Azure Resource Manager. The information detailed in this article is based on the Azure Resource Manager model (ARM).

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Now I want to return a large amount of data to the front end. The string length has reached 40000 +, and the returned data needs to be encrypted by AES + Base64. I can convert the string into a stream. AES can use the AESCBCEncryptStream method to encrypt, but Base64 has no stream method。Anyone who get the solution would you kindly share the solution please。

Any help would be appreciated. Thanks!

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In this post I show strategies for backing up Caché using External Backup with examples of integrating with snapshot based solutions. The majority of solutions I see today are deployed on Linux on VMware so a lot of the post shows how solutions integrate VMware snapshot technology as examples.

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This post will show you an approach to size shared memory requirements for database applications running on InterSystems data platforms including global and routine buffers, gmheap, and locksize as well as some performance tips you should consider when configuring servers and when virtualizing Caché applications. As ever when I talk about Caché I mean all the data platform (Ensemble, HealthShare, iKnow and Caché).

A list of other posts in this series is here

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I am often asked by customers, vendors or internal teams to explain CPU capacity planning for large production databases running on VMware vSphere.

In summary there are a few simple best practices to follow for sizing CPU for large production databases:

  • Plan for one vCPU per physical CPU core.
  • Consider NUMA and ideally size VMs to keep CPU and memory local to a NUMA node.
  • Right-size virtual machines. Add vCPUs only when needed.

Generally this leads to a couple of common questions:

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Index

This is a list of all the posts in the Data Platforms’ capacity planning and performance series in order. Also a general list of my other posts. I will update as new posts in the series are added.

You will notice that I wrote some posts before IRIS was released and refer to Caché. I will revisit the posts over time, but in the meantime, Generally, the advice for configuration is the same for Caché and IRIS. Some command names may have changed; the most obvious example is that anywhere you see the ^pButtons command, you can replace it with ^SystemPerformance.

While some posts are updated to preserve links, others will be marked as strikethrough to indicate that the post is legacy. Generally, I will say, "See: some other post" if it is appropriate.

Capacity Planning and Performance Series

Generally, posts build on previous ones, but you can also just dive into subjects that look interesting.

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The Amazon Web Services (AWS) Cloud provides a broad set of infrastructure services, such as compute resources, storage options, and networking that are delivered as a utility: on-demand, available in seconds, with pay-as-you-go pricing. New services can be provisioned quickly, without upfront capital expense. This allows enterprises, start-ups, small and medium-sized businesses, and customers in the public sector to access the building blocks they need to respond quickly to changing business requirements.

Updated: 10-Jan, 2023

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** Revised Feb-12, 2018

While this article is about InterSystems IRIS, it also applies to Caché, Ensemble, and HealthShare distributions.

Introduction

Memory is managed in pages. The default page size is 4KB on Linux systems. Red Hat Enterprise Linux 6, SUSE Linux Enterprise Server 11, and Oracle Linux 6 introduced a method to provide an increased page size in 2MB or 1GB sizes depending on system configuration know as HugePages.

At first HugePages required to be assigned at boot time, and if not managed or calculated appropriately could result in wasted resources. As a result various Linux distributions introduced Transparent HugePages with the 2.6.38 kernel as enabled by default. This was meant as a means to automate creating, managing, and using HugePages. Prior kernel versions may have this feature as well however may not be marked as [always] and potentially set to [madvise].

Transparent Huge Pages (THP) is a Linux memory management system that reduces the overhead of Translation Lookaside Buffer (TLB) lookups on machines with large amounts of memory by using larger memory pages. However in current Linux releases THP can only map individual process heap and stack space.

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This week I am going to look at CPU, one of the primary hardware food groups :) A customer asked me to advise on the following scenario; Their production servers are approaching end of life and its time for a hardware refresh. They are also thinking of consolidating servers by virtualising and want to right-size capacity either bare-metal or virtualized. Today we will look at CPU, in later posts I will explain the approach for right-sizing other key food groups - memory and IO.

So the questions are:

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Your application is deployed and everything is running fine. Great, hi-five! Then out of the blue the phone starts to ring off the hook – it’s users complaining that the application is sometimes ‘slow’. But what does that mean? Sometimes? What tools do you have and what statistics should you be looking at to find and resolve this slowness? Is your system infrastructure up to the task of the user load? What infrastructure design questions should you have asked before you went into production? How can you capacity plan for new hardware with confidence and without over-spec'ing? How can you stop the phone ringing? How could you have stopped it ringing in the first place?

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In the last post we scheduled 24-hour collections of performance metrics using pButtons. In this post we are going to be looking at a few of the key metrics that are being collected and how they relate to the underlying system hardware. We will also start to explore the relationship between Caché (or any of the InterSystems Data Platforms) metrics and system metrics. And how you can use these metrics to understand the daily beat rate of your systems and diagnose performance problems.

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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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Hi Community!

We'd like to invite you to join our next contest to share your FHIR knowledge:

🏆 InterSystems IRIS for Health Contest: FHIR for Women's Health 🏆

Submit an application that uses InterSystems FHIR or InterSystems Healthcare Interoperability!

    Duration: November 14 - December 4, 2022

    Prizes: $13,500!

    >> Submit your application here <<

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    Hey Community,

    Please join the next InterSystems online programming competition:

    🏆 InterSystems FHIR Accelerator Programming Contest 🏆

    Submit an application that uses InterSystems FHIR-as-a-service on AWS or helps to develop solutions using InterSystems IRIS FHIR Accelerator.

      Duration: May 10 - June 06, 2021

      Total prize: $8,750

      👉 Landing page 👈

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      One of the great availability and scaling features of Caché is Enterprise Cache Protocol (ECP). With consideration during application development distributed processing using ECP allows a scale out architecture for Caché applications. Application processing can scale to very high rates from a single application server to the processing power of up to 255 application servers with no application changes.

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      InterSystems is pleased to announce a new Developer Download site providing full kit versions of InterSystems IRIS Community Edition and InterSystems IRIS for Health Community Edition. These are available free of charge for application development use.

      You can download directly from the InterSystems Developer Community by selecting Download InterSystems IRIS.

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      Hi !

      I am getting below error in my .NET MVC project, I am IRIS Entity Framwork, in the database table filed and model having the same datatype int.

      The specified cast from a materialized 'System.Int64' type to the 'System.Int32' type is not valid db Table creation Id field is created with [xDBC Type = BIGINT]

      Please kindly advice me.

      Thank you

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      Myself and the other Technology Architects often have to explain to customers and vendors Caché IO requirements and the way that Caché applications will use storage systems. The following tables are useful when explaining typical Caché IO profile and requirements for a transactional database application with customers and vendors. The original tables were created by Mark Bolinsky.

      In future posts I will be discussing more about storage IO so am also posting these tables now as a reference for those articles.

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      Database systems have very specific backup requirements that in enterprise deployments require forethought and planning. For database systems, the operational goal of a backup solution is to create a copy of the data in a state that is equivalent to when application is shut down gracefully. Application consistent backups meet these requirements and Caché provides a set of APIs that facilitate the integration with external solutions to achieve this level of backup consistency.

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      Hi-

      I am trying to create a simple example of allowing binary (tiff) files to be selected and uploaded asynchronously to an IRIS for Health back-end. I have managed to write the HTML and Javascript which works great with regular text / ascii files, but fails with binary files.

      When I upload a binary file (tiff) image I get garbage like this on the database server

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      Hi Community,

      This post is a introduction of my openexchange iris-python-apps application. Build by using Embedded Python and Python Flask Web Framework.
      Application also demonstrates some of the Python functionalities like Data Science, Data Plotting, Data Visualization and QR Code generation.

      image

      Features

      • Responsive bootstrap IRIS Dashboard

      • View dashboard details along with interoperability events log and messages.

      • Use of Python plotting from IRIS

      • Use of Jupyter Notebook

      • Introduction to Data Science, Data Plotting and Data Visualization.

      • QR Code generator from python.

      Open Exchange app
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      InterSystems Official
      · Aug 21, 2020
      Introducing InterSystems Container Registry

      I am pleased to announce the availability of InterSystems Container Registry. This provides a new distribution channel for customers to access container-based releases and previews. All Community Edition images are available in a public repository with no login required. All full released images (IRIS, IRIS for Health, Health Connect, System Alerting and Monitoring, InterSystems Cloud Manager) and utility images (such as arbiter, Web Gateway, and PasswordHash) require a login token, generated from your WRC account credentials.

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