Health Level-7 or HL7 refers to a set of international standards for the transfer of clinical and administrative data between software applications used by various healthcare providers
My HL7 message got "AR" (rejected ack code) and went to the suspended queue. I re-submitted it (without editing it) but forgot to write down the details before doing so. It got "AA" and everything works fine from there.
Now (the next day) I want to check with the downstream system why they returned "AR" initially. Is there a way to search for the original message the got an "AR", along with any returned error message please?
I have an application that is requires an Encoded HL7 message sent over SOAP over HTTPS using SSL/TLS... the Response that is return is also encoded, which I know how to Decode but not sure when I Decode the response how to Extract the HL7 message to send back to the router.
How do I capture the Routing Source System and parse the encoded message back into an HL7 format that would show on the trace viewer?
We have a vendor that is requiring that the HL7 sent to them is sent as an Encoded message inside a SOAP request but is sending back an HL7 message as the response.
When the WSDL built the response, it was expecting an encoded message back. I updated the Request and Business Operation to expect an EnsLib.HL7.Message, however I am not sure how to handle the HL7 ACK to post it back to the sending message so it will not cause an Orphan message, and to parse it back correctly in the trace viewer.
When I do a $$$LOGINFO on the pResponse, I get back...
I am trying to add a value to my concatenation string and the value is not being inserted in the right place. I am adding onto this code from another developer and cannot seem to get it to work. The only code I have added is underlined in bold red.
For those that use IRIS for Health, HealthShare, and or Health Connect...
As Health Applications are moving to the Cloud, how have you handled communication from the Application to your instances via HTTPS?
Trying to figure out the best path on designing the proper workflow to allow these messages to be allowed to be eventually sent to our EMR to post to the patient chart.
We are very wary of opening a connection from the internet to our instance of Health Connect.
While HL7 Errors ACKs come back in the soap response, the HL7v2 Error ACK message is not processed.
I used the SOAP Wizard to construct my classes, but the generated code doesn't handle the HL7v2 ACK. Does health Connect have a class that handles this?
Failing an official solution should I go ahead and make make my own classes based on EnsLib.HL7.Operation.TCPOperation, but wrapping it with the generated SOAP handling code.
I’m new to this community and could really use some help with creating a production in InterSystems IRIS for Health Community 2024.3. I have deployed my instance using Docker. Here’s what I’m trying to do:
Does anyone have a query that I could run to show a Vendor the time difference between when a message was sent out a BO, and when we received the HL7 ACK back that is associated with the message sent?
I am trying to prove to this vendor of the delay we are seeing getting the ACK back because of a Timeout
I know how to pull Ens.MessageHeader, and EnsLib.HL7.Message but not sure how to match up the Message with the HL7 Acknowledgement received.
Design and implement healthcare data integration solutions using the InterSystems platform /HealthShare platform, ensuring data interoperability across various healthcare systems.
Develop and maintain data mappings and transformations to ensure accurate data exchange between systems, leveraging IRIS API’s, HL7, FHIR, and other healthcare data standards.
We are attempting to setup an EnsLib.SOAP.OutboundAdapter to send an HL7 message to a vendor hosted AWS site. We have the Certificate from the vendor and defined the TLS setting. However, when we are sending the message we are receiving...
Unable to open TCP/IP socket to server hcis-staging.cbord.com:443
I have a question where I have over 30 000 records of data that I would like to send in HL7 and was looking at sending these in one bulk messages instead of individual messages in HL7.In this kind of a situation has anyone ever sent a bulk HL7 messages or is there a way of doing this other than using FHIR bundle.
In this article, I will introduce my application iris-fhir-bridge
IRIS-FHIR-Bridge is a robust interoperability engine built on InterSystems IRIS for Health, designed to transform healthcare data across multiple formats into FHIR and vice versa. It leverages the InterSystems FHIR Object Model (HS.FHIRModel.R4.*) to enable smooth data standardization and exchange across modern and legacy healthcare systems.
Profiling CCD Documents with LEAD North’s CCD Data Profiler Ever opened a CCD and been greeted by a wall of tangled XML? You’re not alone. Despite being a core format for clinical data exchange, CCD's are notoriously dense, verbose, and unfriendly to the human eye. For developers and analysts trying to validate their structure or extract meaningful insights, navigating these documents can feel more like archaeology than engineering.
My team is exploring options for handling timezone offsets in DTL and we’re wondering if there are any built-in methods available — ideally low-code or no-code solutions. Specifically, we're looking for a way to adjust timestamps based on the date and whether Daylight Saving Time (DST) is in effect.
Do you have HL7® V2 messages that you need to convert to the HL7® FHIR® format for better integration and analysis? See how the InterSystems FHIR Transformation Service can help:
We are attempting to send HL7 messages over to CBOARD NetMenu over HTTP using SSL. We set this up using the EnsLib.HL7.Operation.HTTPOperation adapter. When we attempt to send the message we are receiving
MSH|^~\&|||DIETOE|A6M0|202505131437||ACK^HTTP^415|00|P|2.1 MSA|AE|9165602|HTTP (N)ACK 'HTTP/1.1 415 Unsupported Media Type'
Epic had changed some of their logic on their Incoming Radiology Results which now require an Ordering Provider even though it is supposed to account for it within the Epic Interface settings.
I was wondering if we are using a custom schema if there was a way to default a value into OBR:16 if it was not valued without having to modify all the DTL's for these Results.
Is there a way to set this via the schema editor or in the background so we don't have to create/update DTL's or create a custom TCP Operation Class??
We're having an issue with some messages being sent to a downstream system from Healthshare. Part of the free text in the NTE segment is displaying with special characters on the system front-end but is not present in the HL7 message that we send to them. We are guessing that this is a result of some of the text being copied and pasted from something like MS Word. The '?' on their system is just representing an invalid character.
Is anyone aware of a way to prevent this occurring? We are sending the messages using the 'cp1252' encoding.
For all Prosthetics orders: when ORC-1(Order Control) is "NW" (New Order), need to update OBR-18(Placer Field 1) based on PV1-2 (Patient Class) value. assumption is that the selection logic is that all prosthetics orders with OBR-18 field is always blank. Description : If PV1-2 is I, insert I in OBR-18 If PV1-2 is O, insert O in OBR-18 If PV1-2 is E, insert O in OBR-18 If PV1-2 is P, insert O in OBR-18 If PV1-2 is R, insert O in OBR-18 If PV1-2 is B, insert O in OBR-18
For all Prosthetics orders: when ORC-1(Order Control) is "NW" (New Order), need to update OBR-18(Placer Field 1) based on PV1-2 (Patient Class) value. assumption is that the selection logic is that all prosthetics orders with OBR-18 field is always blank. Description : If PV1-2 is I, insert I in OBR-18 If PV1-2 is O, insert O in OBR-18 If PV1-2 is E, insert O in OBR-18 If PV1-2 is P, insert O in OBR-18 If PV1-2 is R, insert O in OBR-18 If PV1-2 is B, insert O in OBR-18
I have MacBook Pro M3 and I'm new to the IRIS for Health setup / installation with all pre-requisite / requirements so someone could please help me with detailed instructions on how to setup IRIS for Health (HL7 & FHIR) from scratch along with SQL Server? I have Windows 11 installed in parallel desktop if that's required and complete installation / setup is not possible on MacBook.
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