#HL7

Hi Community,

The new video from Global Summit 2019 is available on InterSystems Developers YouTube:

⏯ Reintroducing the Operational Data Store

#InterSystems Demo Games entry

⏯️ Being READY to Tackle Healthcare Enterprise Challenges in a Few Clicks

Managed Cloud Solutions to Help Streamline Your Health Services.

This demo showcases composing several InterSystems Managed Cloud Services to solve various use-cases.

The video is actually built of 6 short chapters (each ~2.5 minutes long) showing each part of the story, demoing a different service.

You can watch each "chapter" individually if you're interested in a specific service, but there is value in viewing the whole composition and observing the full flow.

• 0:00 Health Connect Cloud - Medical Device MQTT - HL7v2 for Hospital Operation Systems
• 2:29 FHIR Server & FHIR Transformation Service - HL7v2 to FHIR & Repository for Regulation & Exchange
• 5:21 FHIR SQL Builder - Providing standard relational access to FHIR data
• 7:22 "FHIR IntelliChat" (see note below) - Natural human language chat with FHIR Server
• 9:37 OMOP Solution - FHIR to OMOP transformation & OMOP database with OHDSI tools compliance
• 12:54 InterSystems Data Studio for Health - Creating a multi data/app sources fabric  

[Note the "FHIR IntelliChat" part is not an actual formal InterSystems service, it is just a demonstration of a possibility (based on this solution by @José Pereira) ]

Presenters:
🗣 @Tani Frankel, Sales Engineer Manager, InterSystems
🗣 @Keren Skubach, Senior Sales Engineer, InterSystems
🗣 @Ariel Glikman, Sales Engineer, InterSystems

Studio's Find In Files finds nothing if CLS routines are included. The error is WIDE CHAR. After using ##class(%Studio.Project).FindInFiles programmatically and then ZW after the same error I strongly suspect that CodeWalkopdatecopyopt in EnsLib.InteropTools.HL7.Cloverleaf.Parser.cls  is to blame. I cannot even open this class, unlike other classes from EnsLib.InteropTools.HL7. This error prevents searching even if System Items are excluded and I would peg EnsLib as System. Any remedy besides updating IRIS? Assuming this is fixed in later IRIS versions.

I have a need to create a specific Search Table outside of the EnsLib.HL7.SearchTable specifically for HL7 MFN messages in HealthShare Provider Directory.

Our Code is created in a different namespace then the main HSPD namespace and is mapped within the HSPD namespace mapping. 

I created a copy of EnsLib.HL7.SearchTable, named OSU.HL7.SearchTable what all needs mapped to make this new search table available in HSPD namespace?

If I go to Global within the Custom Code Namespace, I cannot see my new Search Table being created.

What am I missing to make sure that the OSU.HL7.

Hello,

I'm trying to get the Reply Action Code to work with the error message text.

I have this ACK:

MSH|^~\&|APP|FACIL|||20250821143621||ACK|CUEACK_20250821143621|P|2.4
MSA|AE||Failed to queue message

This is some of the Action Codes I've tried:

• E*Failed to queue message=S
• E*Failed=S
• E*"Failed to queue message"=S
• :E*Failed to queue message=S
• :?E*Failed to queue message=S

It's not suspending the message however.

What am I doing wrong?

Thank you

Hi-  I have a HL7 message ADT_A01 (Admit) that contains several Z segments, which don't necessarily all appear at the end of the document, like normal.  See below...

  1    MSH ^ ~|\& ^ VAFC PIMS ^ 500 ^ HEALTHSHARE ^ 500 ^ 20171103154747-0500 ^  · ^ ADT ~ A01 ^ 50019000 ^ T ^

Is there a way to Remove specific all Addresses from a Provider.Individual.Address before reinserting the Addresses from an HL7 message in Provider Directory?

Most fields we can call %clearFields() however since Addresses come from multiple locations we need to isolate and treat Addresses from this HL7 source as a snapshot.

Thanks

Scott

Working in healthcare IT as a young developer, especially on InterSystems TrakCare, you quickly realize one thing: it’s not just about HL7 messages or backend integrations. A huge part of making TrakCare work smoothly for hospitals comes down to how it’s configured, customized, and supported on the application side.

That’s where people like me come in—techno-functional developers who understand both the tech and how it impacts actual hospital workflows.

We’re Not Just Techies (or Functional Consultants)

Our role sits right in the middle.

Hey Developers,

Watch the video from our Tech Video Challenge:

⏯ HL7-to-FHIR integration using InterSystems IRIS

I am seeking work with InterSystems HealthConnect/Cache. My experience is working with Rules and DTLs, plus message search, and export of components.With 10 years of dedicated expertise in SOA and ESB platform development, I have successfully designed and implemented enterprise-level integration solutions for large organizations, driving significant improvements in system interoperability and business efficiency.I have actively developed and supported HL7 V2/V3 、FHIR、XML/JSON interfaces.I reside in China. Available for full-time or contract positions, with remote work options preferred.

Hi Community,

Looking for a more personal approach to learning InterSystems products?

Try one of our live classroom courses! In just a few days, our experienced instructors will help you get up to speed, no matter your role.

• Building HL7 Integrations (3 days) – In Person (Boston, MA) July 22-24, 2025
  
  • Build and configure HL7^® V2 interfaces using InterSystems integration technologies
  • This healthcare-focused 3-day course teaches implementation partners, integrators and analysts how to build HL7® integration solutions.
  • Students build a production that processes and routes HL7 messages.
  • Students learn how to work with the pre-built HL7 business services, business processes and business operations to receive and send HL7 messages.

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?

Thanks

W

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?

Below is an example...where I get the response and want to send it back to FeederScottRouting as an HL7 message that can be tied to the Parent ID of the sending request message?

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.

This is how the translated HL7 message looks:

OBX|1|CE|CDX^History||Specimen 1 Clinical History: CLINICAL HISTORY\.br\\.br\Specimen 2 Clinical History: CLINICAL HISTORY 2\.br\Specimen 1 Suspected Clinical Diagnosis\.br\Specimen 3 Clinical History: HISTORY 3\.

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.

Thanks

I am having a hard time trying to figure out the following...

Within a DTC, I was able to take the a EnsLib.HL7.Message source and using

set a= $System.Encryption.Base64Encode(source.RawContent)
set encodedMessage=$Get(a)

to take the HL7 message encode it and add it to the Data Class as a string to be sent to an Operation to be sent out as a SOAP Request. 

However to make it more universal I tried doing this within a copy of EnsLib.HL7.SOAPOperation

Method SendMessage(pMsgOut As EnsLib.HL7.Message, Output pMsgIn As EnsLib.

Hi,

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.

How have others dealt with this?

e.g.
<?xml version="1.0" ?>
<!-- type: LNW.WebService.PKB.Response.

Hi everyone,

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:

1. Input: I have an HL7 file that is processed by the standard EnsLib.HL7.Service.FileService.
2. DTL Transformation: I’ve created a DTL to transform the HL7 content into a custom class like this:

Class Demo.MyApp.Messages.JSONEvent5 Extends (%Persistent, %JSON.

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.

Summary:

Duties and Responsibilities:

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.

Build and maintain interfaces to connect health information systems, including clinical applications, EHR, and other healthcare data sources.

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

So, we figured it might be a firewall issue. With the TCP Outbound Adapter, we could specify which "Local Interface" to use so that our firewall knew to use the VIP that had has been NAT'd. I don't see this option with the EnsLib.SOAP.

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.

Hi Community,
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.

Hi all,

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.

For example, if an HL7 message has an MSH-7 value of 20250518144529, it should be converted to 20250518144529-0500 (Central Daylight Time), but if the timestamp were 20250218144529, it should be 20250218144529-0600 (Central Standard Time).

Business Process is adding control characters.

Input HL7 shows no control characters in Notepad ++

Output

Code:

Method FromCerner(pRequest As EnsLib.HL7.Message) As %Status
{
    #dim tStatus As %Status = $$$OK
    #dim eException As %Exception.AbstractException
    #dim tOBXText As %String
    #dim tItemNumberCount As %Integer = 0
    #dim tItemNumberProcessed As %Integer = 0
    #dim tTotalCostSegment As %Integer = 0
    #dim tOrderType As %String
    #dim i As %Interger = 0
    #dim tOBXKey As %Integer = 0
    #dim tOBXTextChanged As %String
       ////
       Set pOutput = pRequest.

Hi, Community!

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:

Using the FHIR Transformation Service with AWS HealthLake

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'

The vendor mentioned something about putting a SOAP/XML wrapper around the HL7 message but isn't that what the HTTPOperation adapter does? Why would we be getting Unsupported Media Type. How would we go about setting the Media Type for the HTTP HL7 message?