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Advisory: FHIR Server Search Chaining May Return Incomplete or Incorrect Results on Certain Parameters

This problem affects the following products:

  • InterSystems IRIS® for Health
  • HealthShare® Health Connect (with FHIR server add-on)

The following versions are affected:

  • 2024.1.0
  • 2024.1.1
  • 2024.1.2
  • 2024.1.3
  • 2024.1.4
  • 2024.2.0
  • 2024.3.0

Requirements:

  • FHIR Server
  • FHIR Search with chained search parameters across an entire population of patients

Affected InterSystems IRIS for Health and Health Connect versions may return missing or incorrect resources in FHIR Search interactions on a small number of queries utilizing chained search parameters across an entire population of patients.

This is caused by a small number of self-referencing parameters on specified resources expected to be queried in a few operational (but not clinical or patient care) settings.

Six FHIR search parameters that support chaining (searching against reference target search parameters) may return incomplete or incorrect result sets in operational settings. The full list of affected search parameters in FHIR R4 are:

  • ClinicalImpression.previous
  • Consent.source
  • DeviceDefinition.parentDevice
  • Encounter.partOf
  • Location.partOf
  • Organization.partOf

The correction for this defect is identified as IF-7898. It is available for affected versions via ad hoc change file (patch) or full kit.

Latest Alerts & Advisories

10 oct. 2025
This alert supersedes the version issued on October 7, 2025. The original alert listed incorrect affected and fixed versions.
07 oct. 2025
Risk Category & Score Explicit Requirements HSHC-5268 HealthShare® Health Connect and InterSystems IRIS® for Health versions 2025.1.1 Functional: Medium Risk Occurs when performing SDA3 -> FHIR transformations involving the Encounter resource.
07 oct. 2025
Risk Category & Score Explicit Requirements DP-443396 InterSystems IRIS® data platform InterSystems IRIS® for Health HealthShare® Health Connect versions 2024.1.0 – 2024.1.4, 2024.2.0, 2024.3.0, and 2025.1.0, and 2025.1.1 HealthShare® Unified Care Record versions 2024.2 and 2025.1 Wrong Results: Low Risk Using Common Table Expressions in Dynamic SQL
07 oct. 2025
This alert has been corrected - please see: October 10 - Correction Notice: Updated Alert for DP-442892
30 sept. 2025
In InterSystems IRIS, InterSystems IRIS for Health, and HealthShare Health Connect, versions 2025.1.1 and 2025.2.0, the new “ Mirror Database Download” functionality does not include certain globals.
24 sept. 2025
Risk Category & Score Explicit Requirements DP-444551 InterSystems IRIS® data platform InterSystems IRIS® for Health HealthShare® Health Connect versions 2025.1.0, 2025.1.1, and 2025.2
03 sept. 2025
Risk Category & Score Explicit Requirements DP-442440 InterSystems IRIS ® data platform 2025.1.1.308.0 InterSystems IRIS for Health HealthShare® Health Connect Operational:
23 juil. 2025
InterSystems IRIS 2025.2 introduces the IRISSECURITY database, the new home for security data. Unlike IRISSYS, the previous home for security data, IRISSECURITY can be encrypted, which secures your sensitive data at rest. In a future version, IRISSECURITY will be mirrorable.
23 juil. 2025
InterSystems is pleased to announce the General Availability (GA) of the 2025.2 release of InterSystems IRIS® data platform. This is a Continuous Delivery (CD) release. Please note that the GA versions of InterSystems IRIS for Health™ and HealthShare® Health Connect™ 2025.2 are currently withheld due to mirroring limitations introduced by security updates (details below).

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