You may have noticed that to configure a mirror for InterSystems IRIS for Health™ and HealthShare® Health Connect there is a special requirement. I wanted to go through it step by step in this article.

This assumes you have already configured the second failover member and confirmed a successful failover member status in the mirror monitor:

Step 1:Enable HS_Services user (on backup and primary) 

Step 2: Switch to Namespace HSSYS and go to Interoperability > Configure > Credentials. Enter the Password for your predefined HS_Services user (on backup and primary)

I have a quite complex FHIR Implementation Guide (IG) which is based on several other FHIR IGs. It's likely the versions of IGs conflict with each other.
From what I understand, I would need to load in all the other FHIR IG's first? 
I don't actually need FHIR profiles to be in our FHIR Repository - I'm just after terminology and the examples for our test system.
Is it possible to load a FHIR IG just as data? (I think I mean here, ignore the FHIR profiles and dependencies between them)

What is XML?

XML(eXtensible Markup Language) is a flexible, text-based, andplatform-independentformat used to store and transport data in a well-structured way that is both human- and machine-readable. XML permits users to define custom tags to describe the meaning and organization of their data. For example: <book><title>The Hitchhiker's Guide</title></book>.

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. 

Hi all,

Let's do some more work about the testing data generation and export the result by REST API.😁

Here, I would like to reuse the datagen.restservice class which built in the pervious article Writing a REST api service for exporting the generated patient data in .csv

This time, we are planning to generate a FHIR bundle include multiple resources for testing the FHIR repository.

Here is some reference for you, if you want to know mare about FHIR The Concept of FHIR: A Healthcare Data Standard Designed for the Future

OK... Let's start😆

Hi,

  We have some concerns on how to implement FHIR, do we do facade?, how do we get resources?, what is a resource?, is a resource "Patient" or an instance of a patient?, How can we have a FHIR repository AND send the patient details to healthshare MPI?

  Has anyone correctly created a FHIR server that has custom methods?, handles "normal" methods and forwards onto Healthshare MPI , processing the response and creates a accurate FHIR response back to the calling system.

Real Time FHIR® to OMOP Transformation

This part of the OMOP Journey,  we reflect before attempting to challenge Scylla on how fortunate we are that InterSystems OMOP transform is built on the Bulk FHIR Export as the source payload.  This opens up hands off interoperability with the InterSystems OMOP transform across several FHIR® vendors, this time with the Google Cloud Healthcare API.

Google Cloud Healthcare API FHIR® Export

The 2025.1.2 and 2024.1.5 maintenance releases of InterSystems IRIS^® data platform, InterSystems IRIS^® for Health^TM, and HealthShare^® Health Connect are now Generally Available (GA). These releases include the fixes for a number of recently issued alerts and advisories, including the following: 

Hi all,

It's me again 😁. In the pervious article Writing a REST api service for exporting the generated FHIR bundle in JSON, we actually generated a resource DocumentReference, with the content data encoded in Base64

Question!! Is it possible to write a REST service for decoding it? Because I am very curious what is the message data talking about🤔🤔🤔

OK, Let's start!

1. Create a new utility class datagen.utli.decodefhirjson.cls for decoding the data inside the DocumentReference
 

Class datagen.utli.decodefhirjson Extends%RegisteredObject
{
}

Introduction

In my previous article, I introduced the FHIR Data Explorer, a proof-of-concept application that connects InterSystems IRIS, Python, and Ollama to enable semantic search and visualization over healthcare data in FHIR format, a project currently participating in the InterSystems External Language Contest.

In this follow-up, we’ll see how I integrated Ollama for generating patient history summaries directly from structured FHIR data stored in IRIS, using lightweight local language models (LLMs) such as Llama 3.2:1B or Gemma 2:2B.

Introduction

In a previous article, I presented the IRIStool module, which seamlessly integrates the pandas Python library with the IRIS database. Now, I'm explaining how we can use IRIStool to leverage InterSystems IRIS as a foundation for intelligent, semantic search over healthcare data in FHIR format.

This article covers what I did to create the database for another of my projects, the FHIR Data Explorer. Both projects are candidates in the current InterSystems contest, so please vote for them if you find them useful.

You can find them at the Open Exchange:

Hey Community,

The InterSystems team put on our monthly Developer Meetup with a triumphant return to CIC's Venture Café, the crowd including both new and familiar faces. Despite the shakeup in both location and topic, we had a full house of folks ready to listen, learn, and have discussions about health tech innovation!

Nearline FHIR® Ingestion to InterSystems OMOP from AWS HealthLake

This part of the OMOP Journey,  we reflect before attempting to challenge Scylla on how fortunate we are that InterSystems OMOP transform is built on the Bulk FHIR Export as the source payload.  This opens up hands off interoperability with the InterSystems OMOP transform across several FHIR® vendors, including Amazon Web Services HealthLake.

HealthLake Bulk FHIR Export
 

Welcome, dear members of the Community!

In this article, we will present an example of a project implementing a FHIR-based solution. This project will be based on the national project (Spanish national project), known as ÚNICAS.

What is ÚNICAS?

In his own words:

A project whose objective is to create an ecosystem of partnerships to improve healthcare for pediatric patients with complex rare diseases (RMDs). This project is being implemented through the network within the National Health System (NHS) to improve the diagnosis and care of patients with rare diseases.

Hi, Community!

🔥Does your organization work with HL7® FHIR® resources and need training, now or in the future?

Learning Services is exploring whether to create a new instructor-led course on FHIR support in InterSystems IRIS® for Health and HealthShare® Health Connect.

If you’re involved in approving or recommending training for your team, we’d love your input! Please take a few minutes to complete this short survey.

Your feedback will help us understand both current and future demand so we can build training that supports your needs.

Thanks in advance for sharing your perspective!

👉Take the survey.

FHIR Server

A FHIR Server is a software application that implements the FHIR (Fast Healthcare Interoperability Resources) standard, enabling healthcare systems to store, access, exchange, and manage healthcare data in a standardized manner.

Intersystems IRIS can store and retrieve the following FHIR resources:

Often times when working with FHIR data, for example with IRIS For Health, you'll find it useful to create a custom FHIR operation. The FHIR Standard comes with a set of defined operations (such as $everything) but a custom operation comes in handy when you need to create some extra functionality that goes beyond the set of standard FHIR operations. The docs take you step-by-step (though this comment may be helpful to those of you just getting started). One thing I would highlight, purely for aesthetic purposes, is how to syntactically name your function such that you can call it with hyphens.

#InterSystems Demo Games entry

⏯️ Health Evolve: Transforming Unstructured Data

#InterSystems Demo Games entry

⏯️ Being READY to Tackle Healthcare Enterprise Challenges in a Few Clicks

Managed Cloud Solutions to Help Streamline Your Health Services.

This demo showcases composing several InterSystems Managed Cloud Services to solve various use-cases.

The video is actually built of 6 short chapters (each ~2.5 minutes long) showing each part of the story, demoing a different service.

You can watch each "chapter" individually if you're interested in a specific service, but there is value in viewing the whole composition and observing the full flow.

InterSystems OMOP, The Cloud Service (Troy)

#InterSystems Demo Games entry

⏯️ MyVitals: Connecting Wearable Health Data to EHRs with InterSystems

JSON

JSON (JavaScript Object Notation) is a lightweight, text-based format designed for structured data interchange. It represents data objects consisting of key–value pairs and arrays, and it is entirely language-independent.

Hi Everyone,
Please suggest/share best practices and sample questions that would help me to secure InterSystems HL7 specialist Certification.

Hey Developers,

Watch the video from our Tech Video Challenge:

⏯ HL7-to-FHIR integration using InterSystems IRIS

Hi, Community!

Are you building applications in a healthcare setting? See how InterSystems FHIR Server can help:

What Is InterSystems FHIR Server?

Overview

Fast Healthcare Interoperability Resources (FHIR) is a standardized framework developed by HL7 International to facilitate the exchange of healthcare data in a flexible, developer-friendly, and modern way. It leverages contemporary web technologies to ensure seamless integration and communication across healthcare systems.

Key FHIR Technologies

• RESTful APIs for resource interaction
• JSON and XML for data representation
• OAuth2 for secure authorization and authentication

Hi, Community!

Need a more efficient way to exchange health data? See how InterSystems Payer Services can help:

Automate Prior Authorization and Data Exchange with InterSystems Payer Services

Hey Developers,

Watch this video from our Tech Video Challenge to discover how to connect a FHIR Server and transform a batch file into SDA and then to FHIR JSON:

⏯ Mapping a Custom File to SDA

Dear InterSystems-Maintainer Team,

I am currently conducting a comparative evaluation of FHIR clients as part of my
bachelor thesis in health informatics. One of my evaluation criteria is the response
time to support inquiries.

Therefore, I would like to kindly ask the following question as part of my analysis:
How can I read and write custom FHIR extensions using your client library?

If available, could you point me to any documentation or examples?

Many thanks for your time and support!

Kind regards,
Rüya Gökoglu