Absolutely not.

During SYNC or REBUILD events Data Quality Manager cubes would only read patient index linkage definition data.

There's no way for cubes to modify patient index linkage definition data.

That said, reads, cube data writes, and additional cpu load during SYNC or REBUILD events might impact the running system, since there's a limited amount of resources available. You might want to schedule SYNCs and especially REBUILDs for low-load times (at nights or weekends depending on your usage patterns).

Using async reporting mirror for cubes would completely remove the impact on the patient index.

Replace hard delete with soft delete.

You soft delete by creating a new property, usually a DeletedOn timestamp. If it's empty then the record is not deleted.

Deletion now consists of setting DeletedOn property to a soft deletion timestamp.

As an additional precaution you can add a BEFORE DELETE trigger which always errors out, forbidding hard deletions. It would save you from every delete except for global kill.

Additionally, you can add versioning, check out this discussion.

Create a unified DELETE trigger (foreach row/object). It would catch both SQL and Object access.

That said I usually advise against hard delete. In virtually all cases soft delete is better.

You soft delete by creating a new property, usually a DeletedOn timestamp. If it's empty then the record is not deleted.

Deletion now consists of setting DeletedOn property to a soft deletion timestamp.

As an additional precaution you can add a BEFORE DELETE trigger which always errors out, forbidding hard deletions. It would save you from every delete except for global kill.

There seems to be different ways to approach declared IRIS state by codifying things, you can codify the exported objects and import them or like you mentioned, use the installer method that builds things as code....  

Indeed, there is a declarative approach and imperative code approach. And there are several declarative ways to populate the data. %Installer is excellent for the initial population, but the user must remember to check for the existence of items he's trying to create. That adds challenges for CI/CD in non-containerized environments.  

Ended up with this implementation:


Parameter NOSECTION = "DEFAULT";

/// do ##class().INIToLocal(,.ini)
ClassMethod INIToLocal(file, Output ini) As %Status
{
	#dim sc As %Status = $$$OK
	kill ini
	set stream = ##class(%Stream.FileCharacter).%New()
	do stream.LinkToFile(file)
	set section = ..#NOSECTION
	while 'stream.AtEnd {
		set line = stream.ReadLine()
		set line=$zstrip(line, "<>w")
		continue:($e(line)="#")||($l(line)<3)
		if $e(line)="[" {
			set section = $e(line, 2, *-1)
		} else {
			set key = $zstrip($p(line, "="), "<>w")
			set value = $zstrip($p(line, "=", 2, *), "<>w")
			set ini(section, key) = value
		}
	}
	
	kill stream
	quit sc
}

/// do ##class().LocalToINI(.ini)
ClassMethod LocalToINI(ByRef ini, file) As %Status
{
	merge iniTemp = ini
	#dim sc As %Status = $$$OK
	set stream = ##class(%Stream.FileCharacter).%New()
	do stream.LinkToFile(file)
	
	set section = ..#NOSECTION
	set key=$o(iniTemp(section, ""),1,value)
	while (key'="") {
		do stream.WriteLine(key _ "=" _ value)
		set key = $o(iniTemp(section, key),1,value)
	}	
	do stream.WriteLine()
	kill iniTemp(section)
	
	
	set section=$o(iniTemp(""))	
	while (section'="") {
		do stream.WriteLine("[" _ section _ "]")
		
		set key=$o(iniTemp(section, ""),1,value)
		while (key'="") {
			do stream.WriteLine(key _ "=" _ value)
			set key = $o(iniTemp(section, key),1,value)
		}
		
	 	set section = $o(iniTemp(section))
	 	do stream.WriteLine()
	}
	
	set sc = stream.%Save()	
	kill stream, iniTemp
	quit sc
}

While local access is not possible from Native API, you can work with production items directly:

prod = iris_native.classMethodObject("Ens.Config.Production", "%OpenId", "ProductionClassName")
items = prod.getObject("Items")
count = items.invokeInteger("Count")
for i in range(1,count+1):
    item = items.invokeObject("GetAt", i)
    // do something with item here

Alternatively, you can either use SQL access (check Ens_Config.Item table) or write a proxy method in objectscript to marshall locals (to dicts probably).