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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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I'm working on FHIR project and using this code to convert an incoming request to FHIR

Method OnRequest(request As HS.FHIRServer.Interop.Request, Output response As HS.FHIRServer.Interop.Response) As %Status

{

#dim tSC As %Status = $$$OK

Try {

// Process incoming request

set stream = ##class(HS.SDA3.QuickStream).%OpenId(request.QuickStreamId)

set bundle = ##class(HS.FHIR.DTL.vR4.Model.Resource.Bundle).FromJSON(stream,"vR4")

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Hello,

I'm trying to add another segment to an HL7 MDM message. More specifically OBXgrp(1).OBX. The addition itself works,. When I look at the message in the trace, the segment with the content can be seen. However, it is not displayed as an OBX segment.

Build Map Status = 'ERROR <EnsEDI>ErrMapRequired: Missing required OBXgrp(1) element at segment 6'
'ERROR <EnsEDI>ErrMapSegUnrecog: Unrecognized Segment 6:'' found after segment 5 (TXA)'

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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??

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We are using a DTL transformation to take HL7 and transform into custom XML (XML is a virtual document, held in an EnsLib.EDI.XML.Document object). The schema specifying the format of the XML says one element should occur no more than 24 times (maxOccurs="24" in the XSD schema). However, the transformation to produce one such element always produces 24 elements, all but the last one blank, when tested stand-alone.

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Hello,

is it possible to kill/suppress hl7 message in the DTL (data transformation).

in cloverleaf, it is common practice to check the value in message, for example pv1:7.9. if the value is certain word(assigning authority) then send the message over to destination, if it is not, kill the message

how would this be done in InterSystems ? does that need to be done in the rule instead? or can it be done in the data transformation? if it can be done in data transformation, how can it be done?

Thanks

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Very similar question posed here: https://community.intersystems.com/node/467496, but I am missing a piece of this:

How do I correctly call a EnsLib.HL7.MsgRouter.RoutingEngine class from the BPL?I can successfully call the BPL from the EnsLib.HL7.Service.TCPService, and I have the BPL created to delay then call the rule. And I set the context and the result location.

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Question
· Nov 26, 2024
HL7 Encoding issue

Dear All,

I have been sent an HL7 message as a file with the MSH segment as follows....

MSH|^~\&|SendingApp|pms3medd|HealthLink|cribrumt|20241121050000|PKI|ORU^R01|01_ASCIItest_2|P|2.3.1||||||UNICODE

I try picking up the file with a "EnsLib.HL7.Service.FileService" business service using a EnsLib.File.InboundAdapter adaptor. The Character set is set to "Native" and the Default Char Encoding to latin 1.

I am seeing the following error:

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Has anybody encountered this before?

I did a very usual hl7 adt transformation DTL, but it is with a customized schema, like ADT_ALL, it is a structure that tries to cover all the ADT schema scenario so we can use 1 type for all ADT messages.

the DTL tests fine in DTL test, with all the segment transformed correctly, but once I put it to test, to send message through source and the message after transformation can only go to MSH, EVN, but won't transform other segment like PID etc.

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Hi Team,

I am converting xml message into HL7 message but the input XML message contains pdf which is converting into base 64 and getting mapped to OBX:5.5 in HL7 message and sending it to downstream

In Downstream service i am using normal HL7 TCP class EnsLib.HL7.Service.TCPService but the message looks like below i am not sure why stream is taking as another segment in HL7 message,

Any thoughts on this?

Thanks,

Smythee

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Throughout the forum, I find examples of using the method getSegmentByIndex to get the segment as I loop through the HL7 message segments.

Today I spent way too long trying to figure out why I could not modify the segment with this same method. I reached out to my more experienced team and I showed where I got the base code from what I was doing, but I myself could not find the documentation of the method.

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I have been trying to track down an issue we are seeing in our TEST environment with Memory usage.

We have Several BP's for years now that take a HL7 message, parse it apart, and make calls to a Custom EnsLib.SQL.OutboundAdapter to have it execute Insert/Select/Update/Delete stored procedures against a MS SQL Database via JDBC connection. We are using Microsoft's JDBC 12.2 driver to do this.

What we are seeing is that IRIS.WorkQueue globals are being defined for these calls but then the IRIS.WorkQueue is not being cleaned up and taking up large amounts of Memory.

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Hi

Is there a way to generate an MD5 checksum of a file by performing a checksum against the file's parts? We potentially have to process large files and therefore cannot keep the entire file in memory. From what I understand checksum related logic is typically stateful, allowing file data to be passed through sequentially, however it appears cache script offers only stateless functions offering a simple method of generating a single checksum hash from a single string (or stream), correct me if I'm wrong?

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Using the FHIR DEMO, I have pieced together how to make a FHIR Request using OAuth against an External FHIR Repository. When I execute the Patient search (HS.FHIRServer.Interop.Request), I get a HS.FHIRServer.Interop.Response that has a Quick Stream ID, which I then use to convert the Quick Stream to a JSON Dynamic Object. if I do a trace on the Raw JSON Object, I am able to pull out single elements, however I want to pull the raw JSON into a defined Class Structure.

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I have an HL7 message that contains NTE segment with line break inside.

when I try to transform it (with DTL) it stops reading the message after the line break inside the NTE because it treat that as "End of Message".

Is there a way to solve this in the DTL or I need to run a pre process on the HL7 message that identify the line break inside the NTE segments and replace it with an escape char?

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IRIS for UNIX (Red Hat Enterprise Linux 8 for x86-64) 2024.1 (Build 267_2U) Tue Apr 30 2024 16:06:39 EDT [HealthConnect:7.2.0-1.r1]

I have a use case where Epic is sending an A60 Allergy transaction is set at the Patient level, but we have a system called VIBE which needs the ADT at an Encounter level instead. Currently we store ADT information in a MS SQL database for years, and we are querying it to get the latest Account Number to insert into the ADT^A60 for VIBE.

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