Hi ,

In HSBUS we have out of box operation HS.IHE.XDSb.Repository.Operations to route CCD's from HSBUS to Edge gateway.

Earlier it was working fine, but for maintenance we have to rest the DEV environment, Now its throwing below error. I have verified all registry configuration and the CCD feed is also same, nothing is changed except reset. Can someone help me, where to look for this problem or what I am missing here.

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Question
· May 17, 2016
Tools for CDA/CCD?

I have a tool I absolutely love for HL7 v2 analysis and manipulation. It's called 7edit. I'm wondering if there is anything similar for HL7v3/CDA/CCD. I know it is considerably more complex, but I still have hope.

So far the best resource I've found is http://www.cdapro.com/. I'd love to hear anyone else's tips for tools or resources.

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We are receiving XML documents and storing them. When we click to go into the clinician portal and again to view a patient, we can see the documents but none of the data is mapped to their respective buckets, i.e. allergies or medications.

I am thinking that I need to build an XSLT parser and change the format to SDA3, is this an appropriate approach? Or would using the Data Transformation (Ensemble -> Build -> Data Transformation) be a better idea? Lastly, if the XSLT idea is preferred, where would I call it within the stack?

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Presenter: Boris Mamkin
Task: Understand and use CDA in HealthShare
Approach: Provide a real-world example of how the Clinical Document Architecture standard is being used in a clinical integration

In this session, we will discuss the basics of using CDA in HealthShare, as well as a real world example of how CDA is being used in a clinical integration.

Content related to this session, including slides, video and additional learning content can be found here. Please note that this content is available only to HealthShare customers and attendees of the Global Summit. On the learning web site you will be prompted for your Global Summit credentials to access this content.

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Presenter: Alex MacLeod
Task: Understand and use IHE in HealthShare
Approach: Provide a real-world example of a successful IHE implementation

In this session, we will discuss the basics of IHE in HealthShare, as well as share a real world example of a successful IHE implementation.

Content related to this session, including slides, video and additional learning content can be found here. Please note that this content is available only to HealthShare customers and attendees of the Global Summit. On the learning web site you will be prompted for your Global Summit credentials to access this content.

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Presenter: Matt Spielman
Task: Use the FHIR standard with HealthShare-based solutions
Approach: Provide an overview of how HealthShare will support the evolving FHIR

The next major release of HealthShare will be the first version to support the emerging HL7 FHIR standard. This presentation will discuss InterSystems’ involvement with the FHIR standard, detail the new FHIR functionality, and review our long term plans for FHIR in the HealthShare platform.

Content related to this session, including slides, video and additional learning content can be found here. Please note that this content is available only to HealthShare customers and attendees of the Global Summit. On the learning web site you will be prompted for your Global Summit credentials to access this content.

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Presenters: Pete Greskoff, Sebastian Musielak
Task: Ensure high availability of your HealthShare deployments
Approach: Discuss high-availability options and focus on HealthShare’s new support for database mirroring

With the new release of HealthShare, Mirroring is now support for high availability. This session will describe high availability options and focus on mirroring your HealthShare deployments.

Content related to this session, including slides, video and additional learning content can be found here.

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Presenter: Tom Spencer
Task: Add extra data to HealthShare’s data model and make it available to all HealthShare components
Approach: Use new extensions within HealthShare to add custom data

When deploying a HealthShare solution, you may need to add extra data to our SDA data model. In this session, we will present the new extension mechanism for adding data to HealthShare and to ensuring that data is available in Health Insight and Patient Index.

Content related to this session, including slides, video and additional learning content can be found here. Please note that this content is available only to HealthShare customers and attendees of the Global Summit. On the learning web site you will be prompted for your Global Summit credentials to access this content.

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Presenter: Randy Pallotta
Task: Automatically create cohorts of high-risk patients. Send them critical action alerts
Approach: Use the new HealthShare features: “Smart Programs” and “Advanced Clinical Notifications”

In this session, we will cover HealthShare "Smart Programs" and "Advanced Clinical Notifications" which allow you to automatically create cohorts of high risk patients in Health Insight and Information Exchange and to send critical actionable alerts. After this session, you should understand this new feature and how to configure a new program or alert.

Content related to this session, including slides, video and additional learning content can be found here. Please note that this content is available only to HealthShare customers and attendees of the Global Summit. On the learning web site you will be prompted for your Global Summit credentials to access this content.

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Presenter: Alex MacLeod
Task: Use Personal Community to build fully responsive and mobile-compatible portals
Approach: Demonstrate the new release of Personal Community. Provide a behind-the-scenes look at the new application development framework used to build it.

The new release of Personal Community v11 is now fully responsive and mobile compatible. It uses a new framework for development. In this session, we will give a functional overview of Personal Community, demo the new release and give a look behind the scenes into the application development framework used.

Content related to this session, including slides, video and additional learning content can be found here. Please note that this content is available only to HealthShare customers and attendees of the Global Summit. On the learning web site you will be prompted for your Global Summit credentials to access this content.

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Presenter: Russell Leftwich
Task: Understand the concepts of the Fast Healthcare Interoperability Resources (FHIR) standard
Approach: Discuss what FHIR is, and what it’s for

This session will introduce the concepts of FHIR - Fast Healthcare Interoperability Resources.

Content related to this session, including slides, video and additional learning content can be found here.

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Article
· Mar 24, 2016 3m read
HealthShare 2 Slack Business Operation

This will be a stretch to be useful, but it was sorta fun. If you just so happen to have a use case to make your HealthShare productions talk to a Slack channel, this is the Business Operation for you.

In Slack, it is a dead simple process to enable an incoming web hook:

  • Name It
  • Give it an Icon or Emoji
  • Declare a Channel to Interact With

One you supplies those, it spits out a URL that you can go to town posting to your channel using that endpoint.

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Question
· Mar 3, 2016
Filtering incoming records?

We have a situation where we want to detect and ignore documents/records at the earliest possible point based on certain criteria. We have an existing "CDA Preprocessor" in the workflow which is an XSL transform. This is what our contractors are planning to utilize to "filter" these documents. This doesn't really make sense to me. I see XSLT as a way to manipulate the contents of a document and filter certain peices of data. In my brain, I would use an Ensemble business rule to detect the criteria and route the document as necessary.

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Hi all,

I was wondering, what is your favourite public cloud provider?

What is your level of engagement with the cloud provider? Are you testing their infrastructure? In which case I'd expect you being progressing a parallel test with at least a second provider ;-) Or, are you already running a production environment?

--

OK, so, let me be the first one to share my experience with one specific cloud provider.

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Strategic interoperability —The key to connected care

Introduction

The aging population and increasing incidence of chronic diseases are putting unmanageable pressures on healthcare services, not just in Europe, but worldwide. The current models of healthcare are unsustainable in the face of increased demand for services and rising costs. This was evident even before the financial crisis led to severe cuts in healthcare budgets in many countries.

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Strategic Interoperability

Executive Overview

This white paper discusses the critical requirements for the U.S. Departments of Defense (DoD) and Veterans Affairs (VA) to share Service members’ medical records – including real-time access to a complete composite health record – and it proposes an immediate solution via implementation of a health informatics platform. This approach will provide significant and clearly visible results in a matter of months, while positioning the Departments for strategic improvements in the years ahead.

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Executive Summary

An accountable care organization (ACO) is a group of providers that are collectively responsible for the total cost and quality of care provided to a specific population of patients. Together, the group assumes risk and shares rewards. As with high-performing organizations in other industries, the hallmarks of ACOs are quality measurement and continuous improvement.

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Goals of the project

North Shore-LIJ is a health system serving the needs of over seven million people through 17 hospitals, 400 ambulatory practices, and three skilled nursing facilities as well as home and hospice care. Our healthcare system, including its CareConnect insurance company, is at the forefront of payment reform and population health management.

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Comprehensive patient view, communication and data sharing, and population health management are key components

Federal agencies have been incenting healthcare providers to leverage their electronic health records (EHRs) to get patients involved in the management of their care. Most organizations, however, haven’t moved beyond patient engagement as an item to be checked off in order to receive meaningful use incentive funding.

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Executive Summary

InterSystems HealthShareÆ and InterSystems EnsembleÆ both provide a rapid integration and development platform with built-in capabilities for the high-speed processing of HL7 messages. For the purposes of HL7 v2 message routing the two products are equivalent in performance. For brevity, this document will just say Ensemble in many places but it should be taken to apply equally to both products.

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