#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.

Article
· Feb 13 4m read
Bulk FHIR Step by Step

FHIR repositories, applications and servers typically serve clinical data in small quantities, whether to return data about a patient, their medications, vaccines, allergies, among other information. However, it is common for a large amount of data in FHIR/JSON format to be requested to be used to load into Data Lakes, identifying study cohorts, population health, or transferring data from one EHR to another. To meet these business scenarios that require large extractions and loads of data, it is recommended to use the FHIR Bulk Data Access feature provided by HL7 institution.

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InterSystems Official
· May 21
InterSystems Platforms Update Q2-2025

We have a big update this quarter.

  • RHEL 10 was released yesterday, read on for what that means for you
  • 2025.3 will use OpenSSL 3 across all operating systems SUSE 15 sp6 will be the minimum OS for orgs using SUSE
  • The minimum CPU standards are going up in 2025.3
  • Older Windows Server operating systems will no longer be supported in 2025.3

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Hi Community,

In this article, I will introduce my application iris-HL7v2Gen .

IRIS-HL7v2Gen is a CSP application that facilitates the dynamic generation of HL7 test messages. This process is essential for testing, debugging, and integrating healthcare data systems. The application allows users to generate a wide variety of HL7 message types, validate their structure against HL7 specifications, explore the message hierarchy, and transmit messages over TCP/IP to production systems. These features are particularly useful in settings where compliance with HL7 standards is mandatory for interoperability between different healthcare organizations or systems.


Application Features

  • Dynamic HL7 Message Generation: Instantly create HL7 messages for a range of message types, facilitating comprehensive testing.
  • Message Structure Exploration: Visualize the structure of generated messages based on HL7 specifications.
  • Value Set Visualization View predefined sets of allowable coded values for specific fields.
  • Message Validation: Validate messages against HL7 standards to ensure compliance.
  • TCP/IP Communication: Easily transmit messages to production using TCP/IP settings.
  • Broad Message Type Support: Supports 184 different HL7 message types, ensuring versatility for various healthcare integration needs.
  • ClassMethod: Generate a Test Message by Invoking a Class Method
  • Version Support: Currently Supports HL7 Version 2.5

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When we create a FHIR repository in IRIS, we have an endpoint to access information, create new resources, etc. But there are some resources in FHIR that probably we wont have in our repository, for example, Binary resource (this resource returns a document, like PDF for example).

I have created an example that when a Binary resource is requested, FHIR endpoint returns a response, like it exists in the repository.

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Article
· Feb 7 4m read
IRIS %Status and Exceptions

You may encounter errors during any point of program execution, and there are several ways to raise and handle these exceptions. In this article, we'll explore how exceptions are handled efficiently in IRIS.

One of the most commonly used return types is %Status, which is used by methods to indicate success or failure. Let's begin by discussing %Status values.

Working with %Status

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An effective source control solution allows organizations to manage complex codebases, facilitate seamless collaboration within development teams, and streamline deployment processes.

Sonic Healthcare, a leading provider of pathology, radiology, general practice, and corporate medical services, has significantly enhanced visibility and control over its complex environment by implementing Deltanji source control. The tight integration Deltanji provides with InterSystems IRIS and IRIS for Health has been central in achieving these improvements.

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In this article, exceptions are covered.

Working with Exceptions

Instead of returning a %Status response, you can raise and throw an Exception. You are then responsible for catching the exception and validating it. IRIS provides five main classes to handle exceptions effectively. Additionally, you can create custom exception class definition based on your needs.

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Article
· Mar 10 5m read
FHIR SQL Builder: step by step

The FHIR standard establishes a powerful but flexible data model that can smoothly adapt to the complexities of operational healthcare data management. This flexibility comes at the cost of a data model with many tables and relationships, even for simple data such as the patient's record of telephone numbers, addresses, and emails. It would easily require querying 4 different tables. However, FHIR SQL Builder eliminates this problem, allowing you to create visual projections (mappings) in web wizards.

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Question
· Oct 2, 2024
Python.net Install

This is for IRIS For Health 2024.2.0

We are migrating away from the .NET Gateway and trying to use the python integration instead.

I followed the instructions to install IRIS

Then I installed python following the IRIS documentation indicating that python should be installed globally.

I set up the PythonRuntimeLibrary and PythonRuntimeLibraryVersion options under System->Configuration->Advanced memory settings and when I run the shell function, I get python:

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I am just writing something to share what I encountered last night, which is the IRIS 2024.3 does not comes with Python by default any more!!!

Which means that I need to install it by myself!!😅 The pros is, I can select my python version😁🤭💃 The trouble is.... at the first place.... I don't know what I should do😥. By going through the community (I am much more prefer than the official document, sorry InterSystems document team😓 ), I found the following piece

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Question
· Nov 19, 2024
How to create a signed JWT

I need to create a JWT to connect to EPIC FHIRserver sandbox.

https://fhir.epic.com/Documentation?docId=oauth2&section=BackendOAuth2Guide

You will generate a one-time use JSON Web Token (JWT) to authenticate your app to the authorization server and obtain an access token that can be used to authenticate your app's web service calls. There are several libraries for creating JWTs. See jwt.io for some examples.

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Are there any objectscript functions (not wizards) to export and then import table data (including RowID)?

It doesn't matter what format the exported file is.

The import and export process should preserve all relationships, foreign keys, etc. I need to be able to export and import multiple tables at the same time.

I need this to implement the ability to export multiple tables from one instance and load them into another.

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Question
· Oct 10, 2024
Simple Way To Compare Streams

Is there a simple way to compare Stream data between two objects?

We have used $ZCRC to create a checksum and that seems to be work.

We have also read each line of the streams and compared them and that seems to work too.

We just think there has to be a simpler way than looping through all the lines of the stream.

Any suggestions would be appreciated.

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Migrating InterSystems IRIS and InterSystems IRIS for Health from on-premises to the cloud offers many advantages for Application Providers and Solution Providers. These advantages include simplified operations, access to flexible resources, and enhanced resilience. Companies no longer need to worry about the physical constraints and expenses associated with maintaining on-prem infrastructure, such as power and space requirements and expensive computer hardware.

One of the most compelling benefits is the ability to accelerate speed to market. By removing the burden of infrastructure maintenance, cloud environments enable faster development and deployment cycles, allowing businesses to respond quickly to market demands and opportunities. Operational costs are also lowered, because companies can scale resources up or down based on actual needs, leading to more efficient use of capital. Moreover, migrating to the cloud can contribute to a reduced carbon footprint by optimizing energy usage through shared cloud infrastructure.

Transitioning to the cloud may involve significant changes. Companies may benefit from a more operational focus, managing and optimizing cloud resources continuously. This shift may require changes to business models, reconsideration of margins, and strategies for scaling operations up or out. While requiring more investment, embracing these changes can lead to improved agility and competitive advantage in the marketplace.

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Is it possible to use one IIS server to configure Webgateway and external Webserver for management portal when implementing synchronous mirroring with VIP i.e Is it necessary to have two mirror servers(primary and Backup) , one Arbiter server, one Webserver for Webgateway and a sperate webserver for management portal?

If anyone can please point to any documentation on Mirroring with Webgateway and external webserver for management portal will be really helpful.

Thank you for your help

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