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#HL7

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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

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Two fairly common requests we receive from HL7 customers are (1) how to remove all trailing delimiters for fields and segments in HL7 messages and (2) how to "find and replace" for an entire HL7 message (as opposed to one segment/field at a time). The code sample below shows a custom function that solves for item 1 and by extension item 2 above. In other words the same approach can be used for finding/replacing any sequence of chars in an entire HL7 message, with some tweaks to the custom function.

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DTL Transformations and GetValueAt/SetValueAt calls on HL7 messages will truncate any fields longer than 32K. To avoid this, the methods GetFieldStreamRaw and StoreFieldStreamRaw must be used when dealing with fields that might be larger than 32K. OBX:5 is a frequent example. These methods have some subtleties and must be used carefully.

This can't be done by simply dragging from left to right in a DTL. It must be done with a code action. Also, the StoreFieldStreamRaw call must be the last edit made to the segment because the segment becomes immutable after that.

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This article will describe and include an example of how to embed an external PDF file into an HL7 segment, specifically ADT_A01:2.3.1 OBX(). This can be useful when attempting to insert pictures or other external data into an HL7 message. In this example, the name of the PDF file to be embedded is provided in the incoming HL7 message in OBX(1):ObservationValue field.

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EnsLib.HL7.Message.cls provides many API methods for manipulating an HL7 message. RemoveSegmentAt(), for example, can be used to remove a segment by path or index, but only one segment at a time. There may be times that you'll need to remove all segments within a group or even many groups of segments from the HL7 message. Surely you can iterate through each segment in each group and remove them one by one, but there's a much easier way.

With just one command, like below, you can remove all OBX segments in an ORU_R01 message (msg):

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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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· Sep 20, 2016 4m read
Diagnosing Framing Errors

Framing refers to the characters that mark the start and end of an HL7 message (or other types of framed messages). Most HL7 services and operations have a Framing setting that allows the user to define this framing. The most common choices are available as defaults, but with the AsciiMM/NN setting, components can be configured to recognize any framing characters.

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