When I started building Smart Discharge Navigator, I faced a common challenge: FHIR data is stored as JSON bundles, but the analysis I needed required joining multiple resources together, the kind of thing SQL was built for.

InterSystems FHIR SQL Builder solved this completely. Instead of parsing JSON bundles in application code, I was able to write plain SQL directly against FHIR resource projections inside IRIS for Health. This article shows exactly how I used it to build the population-level readmission risk scoring engine at the heart of the application.

Back when I was a Developer Support Engineer in the InterSystems Worldwide Response Center (WRC), I would occasionally receive cases involving large message backlogs in a production. The customer would discover that a subset of queued messages were no longer useful and would ask a question similar to the following:

Is there an established best practice for mass-aborting messages in a specific component's queue that match a particular set of criteria?

An AI agent reads the FHIR patient record before the consultation, asks the right questions based on what it already knows, detects critical red flags, and writes its findings back — so the physician arrives prepared.

Healthcare Pain Points Addressed

Before a patient walks into a consultation room, a critical failure has already occurred: nobody read their medical history. The physician has 15 minutes. The patient repeats their conditions, medications, and allergies for the third time that year.

Hi Community,

In this article, I will introduce my application iris-fhir-agents A multi-agent clinical AI platform powered by InterSystems IRIS for Health. Features agents for triage, specialist consultation, and pharmacy safety, grounded by IRIS Vector Search RAG.

Hi Community,

It's voting time! Cast your votes for the best applications in our InterSystems Programming Contest: AI Agents for FHIR:

🔥 VOTE FOR THE BEST APPS 🔥

Voting period: June 8 to June 14, 2026

How to vote? Details below.

Sara is my entry for the InterSystems AI Agents for FHIR contest. Feel free to try out Sara and vote for Sara on the contest page.

https://youtu.be/UAjI9O848wU?si=BWTVk9gsV4xTOlUj

• Sara-1.5-4B on Hugging Face
• MedToolCalling on Hugging Face
• Sara on GitHub

Physicians spend only 47% of their work time on direct patient care [1]. The rest goes to EHR administrative tasks: order entry, documentation, prior authorizations, with 43% of their time spent on a clinical computer [2]

Smart Discharge Navigator: An AI Agent for Hospital Readmission Risk — Built on IRIS for Health

Hospital readmissions cost the US healthcare system $17 billion annually. A significant portion of those readmissions are preventable — but only if the right information reaches the right clinician at the right moment: at discharge.

That's the problem I set out to solve with Smart Discharge Navigator, my entry for the InterSystems Programming Contest: AI Agents for FHIR 2026.

Hi Developers,

We are happy to announce the new InterSystems online programming contest:

🏆 InterSystems Programming Contest: AI Agents for FHIR🏆

Duration: May 25 - June 14, 2026

Prize pool: $12,000

Healthcare billing isn’t a pipeline. It’s a conversation about trust. 

Every day, millions of clinical transactions flow from doctors’ keyboards to insurance ledgers. Standard health IT systems are built to count these transactions. They store them. They organize them. 

They route them. But standard systems don't notice them. 

We’ve built faster and faster databases to process claims, but we forgot to ask: Does this claim make sense? 

Because we don’t ask in real-time, we’ve accepted a compromise. We pay first, wait six months, and then hire forensic auditors to find the mistakes.

Hi Community,

We're excited to invite you to the upcoming webinar: 

👉 Can FHIR also serve as input for operational management? 👈

🗓️ Date & Time: Wednesday, June 10th, 10 am CEST

An engineering walkthrough of the IRIS-CardioFlow project architecture with real code for its AI, FHIR, and connectivity layers and the role of iris-agentic-dev in a modern ObjectScript workflow.

Introduction

Monitoring cardiovascular surgical flow in real time is a classic healthcare integration problem: data arrives from heterogeneous sources, must be persisted with clinical semantics, exposed through an API, and presented in a way the care team can act on. The CardioIris repository (internally named IRIS-CardioFlow) is a lean demonstration of that scenario, built on InterSystems IRIS 2026.

The problem

How many times have we migrated an IRIS Instance to another machine, maybe even another version, and after a few days realized we forgot that one SSL Configuration critical for a Business Operations to work? Or maybe a credential, or a lonely class in a package by itself?

The solution

The simple solution is to make a checklist¹. A checklist of the entities we have to move. But simple checklists on Word documents are often forgotten, or just ignored.

On save the ClassMethod:

ClassMethod create() [ Language = python ] {

 print("python") 

}

it has received the error : Compilation started on 06/03/2026 02:15:21 with qualifiers 'cuk /multicompile=0'

 ERROR #7802: Worker job/s '1078:17' unexpectedly shut down in group '#Default:(9119826733444):0'.

 ERROR #7802: Worker job/s '1078:17' unexpectedly shut down in group '#Default:(9119826733444):0'.  

with the compileFlags "cuk" the return is:

ERROR #7802: Worker job/s '1160:34' unexpectedly shut down in group '#Default:(6933525859080):0'.

Hi all,

I'm working on a DICOM router in InterSystems IRIS, based on the workshop-iris-dicom-interop (https://github.com/intersystems-ib/workshop-iris-dicom-interop) example on GitHub. I'm using EnsLib.DICOM.Process to route incoming images to different PACS destinations, where the target system is decided at runtime via a database lookup.

I've run into two issues I'd love some guidance on:

1. Dynamically changing the destination without disrupting transactions

Right now, if I want to send to a new PACS target, I'd need to add a new Business Operation and call

IPM version 0.10.7 was released on May 29th, 2026. As usual, you can check it out on the GitHub page or through the Community Registry.

Highlighted Features

Utility Scripts iriscli and ipm

IPM is now bundled with two convenience scripts that are runnable from a standard terminal. iriscli launches an interactive IRIS terminal and runs IPM commands directly. These are automatically installed to both ~/.local/bin/ and , so they work inside and outside of containers (Unix/Linux only).

Examples:

Hey everyone.

My team and I have a rare opportunity to start from scratch, and I am keen to know what things others that have gone through a similar process did differently. Obviously there's the immediate benefit of losing any technical debt that has built up over 10+ years of an ever changing environment along with many organisational changes and merges, but I'm thinking about the things that we can do to make life a lot easier for the next 10+ years.

I'm approaching the need to send notifications through a Microsoft Exchange or Gmail servers. however my last foray into this, I was blocked due to an issue inside my SSL certificate is what I thought after the attempt.

So my attention will be on trying to match the cryptography in the SSL certificate I produce compared to the mail server I'm trying to use.

Has anyone else had an issue with this approach? My other option is Amazon SNS potentially. I do have a functional MS Teams channel for alerts, and can make different notification channels as well.

Any help or insights are appreciated. 

We have a long running InterSystems Engine with an Interface Development Team.  We have implemented basic interface and code development processes using mostly manually created helper tasks and functions.
We are looking to upgrade these processes by installing and starting to use Embedded GIT in our DEV spaces first.  We will not use it to deploy changes to PRODUCTION at first, keeping our same current process that the team is very comfortable with.  
We plan to start by using the BASIC mode in GIT, to avoid confusion over multiple branches and other version control functions.

Hi Developers!

Here are the technology bonuses for the InterSystems Programming Contest: AI Agents for FHIR that will give you extra points in the voting:

• Implement suggested task - 5
• InterSystems FHIR Server usage - 2
• Vector Search usage - 4
• Embedded Python - 3
• LLM AI or LangChain usage: Chat GPT, Bard, and others - 3
• Docker container usage - 2 
• ZPM Package deployment - 2
• Online Demo - 2
• Implement InterSystems Community Idea - 4
• Find a bug in Vector Search or Embedded Python - 2
• First Article on Developer Community - 2
• Second Article On DC - 1
• First Time Contribution - 3
• Video on YouTube - 3

Welcome back to a series of introductory articles on AI Hub, the new product feature currently in an early access program! (links: EAP Site for download, documentation)

In the last article, we covered how to create agents and agent tools directly in ObjectScript using the new %AI classes. However, sometimes, instead of creating a new agent, you just want to add some custom tools to an existing agent so you can ask your local claude code, codex, copilot or other agent of choice to query your data directly. This is where MCP Servers might come in.

Hi Community,

In traditional InterSystems SQL, I can use the %NOINDEX keyword during a bulk INSERT to improve performance and then run BUILD INDEX %ALL afterward to populate the indices.

I am looking to implement a similar strategy for an InterSystems FHIR Server.

1. Is there a way to import/save FHIR resources while skipping the search table extraction (the FHIR version of %NOINDEX)?
2. Once the data is loaded, what is the correct programmatic way to "rebuild" the search tables?

Thank you!

Hi Community,

Interoperability metrics were enabled for a production using ##class(Ens.Util.Statistics).EnableSAMForNamespace(). However, after running DisableSAMForNamespace() and DisableStatsForProduction(), the metrics continue to appear in the endpoint output.

Is there a way to completely stop these interoperability metrics from displaying in the API metrics stream? Is there an additional step or cache clear required?

Hey Community,

We're pleased to invite everyone to the upcoming Kick-off Webinar for InterSystems Programming Contest: AI Agents for FHIR!

Date & Time: Tuesday, May 26 – 12 pm EDT | 6 pm CEST  

IRIS is installed and running in an Ubuntu VM.

Visual Studio Code is being used in the host Windows OS and is connected to the IRIS server.

When attempting to execute commands with sudo from the InterSystems Lite Terminal in VSCode using $ZF(-100), error code 127 is returned.

I tried configuring Ubuntu to avoid password prompts by adding the following line to /etc/sudoers.tmp:

ALL=(ALL) NOPASSWD: ALL

However, the above configuration did not work.

Is there a way to execute sudo commands from InterSystems IRIS Production ObjectScript code in Ubuntu?

Good afternoon,

I have received a WSDL.

I have imported it successfully in HealthShare.

The external is requesting me to send messages with the following structure (using the auto-generated SOAP Bussiness Operation from the WSDL), as you see they need a custom http header titled "Appian-API-Key", as the following:

            curl --request POST \
              --url [ endpoint ] \
              --header 'Appian-API-Key:  << API KEY >> \
              --header 'Content-Type: application/xml' \
              --data '<?xml version='\''1.0'\'' encoding='\''utf-8'\''?>
            <soapenv:Envelope xmlns:soapenv='\''http://schemas.xmlsoap.org/soap/envelope/'\''>
              <soapenv:Body>
                <tns:acceptMessage xmlns:tns='\''http://ws.connectors.connect.mirth.com/'\''>
                <![CDATA[  Message  ]]>
                </tns:acceptMessage>
              </soapenv:Body>
            </soapenv:Envelope>'