#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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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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HealShare 2017

Hi dev community,

I am currently working on an interface that needs to communicate to a SOAP/ITK endpoint.

I am using the EnsLib.ITK.AdapterKit.Operation.SOAPOperation to interface with an ITK
service, but it is proving to be more complex than originally expected to set up the web client
against that particular end-point since I haven't been provided with a WSDL from ITK service side as
the vendor state they are following the ITK standard and no WSDLs are needed.

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I'm currently working on a project to run our medical device integration through ensemble.

I've noticed a potential problem with the volume of messages . The feed generates around 474K messages daily( average of 1 message per minute per device from 300+ devices).

We currently keep all our other feeds message data for 90 days and purge automatically. From what I can see is that the purge functions in Ensemble are production wide and cannot set it at the Business Operation, Service or Router level.

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Question
· Sep 7, 2018
Remove FHS segment from file

Is there any out of the box capability in Ensmeble to remove an FHS segment from a batch file? We have a client that is creating a batch of HL7 messages and they insert an FHS but there is no trailing FTS.

We are hoping to avoid custom COS code to handle this scenario.

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Question
· Sep 13, 2018
Operators as Variables

We have the need to write a function that can loop through say a field in an OBX segment within HL7 and compare it to a string passed. Is it possible to have the user enter the Operator ( >,<,=,<>) as a variable inside Cache object script? Does anyone have any examples they can share?

Thanks

Scott Roth

The Ohio State University Wexner Medical Center

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Hello,

I am trying to send a HL7 Billing Batch 2.3:FHS file out to an FTP site:

The file needs to be in Variable Length / Carriage return carriage control format--

When I send the file, the format is Fixed Length 512 Byte Record-- Not Working

The data is ok within the file-- It is just the way I am sending it out of Ensemble that is not correct.

I am thinking that it is a setting within the Operation that I am missing or not choosing correctly.

Charset-AsciiCR

Separators -|^~\&\r

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Question
· Sep 10, 2018
OBX 5 and CRLF

Hello,

I have some issues trying to store a base64 encoded stream into the obx:5 segment.

I'm using the StoreFieldStreamBase64 method in my business process to store the stream into the segment.

I'm sending the hl7 message containing my stream to an ensemble business operation (EnsLib.HL7.Operation.FileOperation) to write the message on disk.

When i'm reading it with an ensemble business service, it can't parse the stream because it contains multiple CRLF.

Why is my business operation splitting my stream into multiple newlines ?

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I'm receiving HL7 message containing the escape sequence \X00D\ indicating a carriage return. In the HL7 documentation I find that this is a valid escape sequence but when I read the intersystems documentation it states that only \X0D\ is valid.

What is the best way to work around this? I think that intersystems should change the UnescapeEx method in the EnsLib.HL7.Segment so that it complies with the standards.

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Hi -

I'm working on a project that will be dealing with depression screening and I'm not certain where any of this information would belong in the HL7v2.x world.

Can anyone suggest what the proper placement of "has this person been screened" and if so, "this was what the screening showed"?

At first thought I was thinking that this is an "Observation" of some sort (and ORU message) for the "what the screening (or perhaps testing) showed", but I'm not sure if the screening was performed yes/no qualifies as an "ordered test".

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I have a vendor that is sending me an Abbreviation in FT1:16.4.2 that I need to look up against a table to find the correct ID for.

FT1|1|||20180523161501|20180523161503|CG|1906551^Lipid Profile|||1||||||^^^ LAB&06CL|||Z00.00||00410^Knerr^Joel||721410||30100001^Lipid Profile|

But in my Business Process when I refer to request.GetValueAt("FT1:16.4.2") its not recognizing that this field contains information. Is my syntax wrong?

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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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Hi Community!

Check the new video on DC YouTube Channel:

SMART on FHIR Apps for Information Exchange

https://www.youtube.com/embed/Y8l1pQxC8iw
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Hi Community!

Join us at the FHIR event of the year in the US: the HL7 FHIR Dev Days 2018!
A unique chance to meet 400 colleagues and discuss all topics relating to your field.

InterSystems is proud to be the Host Sponsor of HL7 FHIR Dev Days for its first U.S. edition, Boston, June 19 – 21st! We support the HL7 FHIR standard as it is critical for rapid innovation. FHIR can be used as an accelerant to bring all the information that matters for a patent into a unified health record.

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Hi Community

I've just started developing for a new client and noticed that the View Raw Contents link isn't displayed when inspecting HL7 message contents in the Management Portal. Is the link missing due to:

1) a configuration setting?

2) a security setting?

3) a difference between installation on Unix Vs Windows?

And is there a way to turn it on?

I've trawled through the doco but haven't been able to find anything on this.

Thanks in advance for any help you can give

Duncan

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Question
· Mar 13, 2018
DICOM to HL7

We have a case where a vendor can send us more information in the DICOM message rather than in the HL7 result message. In theory it should be possible to take a DICOM and convert it to HL7, stupid question is has anyone done it before? Does anyone have any good examples of a DTL they did to show me how to setup the message structures and translation?

Thanks

Scott Roth

The Ohio State University Wexner Medical Center

Scott.Roth@osumc.edu

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Question
· Feb 16, 2018
CDA on Ensemble?

Hi everybody,

I love the integration of HL7 v2.x in Ensemble, it's really easy to use.

I would love to see the same about using CDA on Ensemble. I know it's a complicated standard, but it would be more easy for developers in Europe if we could use it like any other type of message instead of using at XML level and xsl transformations.

Any experiences dealing with CDA on Ensemble?

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I have an interface that does not send me specific ID's, so I am scanning the AIL3.2 (Text) field for certain characters. The Routing rule is getting pretty big with all the OR statements. Is there a way that I can define what I am searching for in the data lookup table, and not have to scan the whole field that it does by default? Is there a way that I can simplify this?

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Hi everyone,

I started working on Ensemble this year so maybe I am not implementing the right way. I'm trying to connect a Welch Allyn monitor to TrakCare. The workflow is the following:

- User scans patient number with the monitor.

- The monitor sends a QBP_Q22 message to request patient information

- Ensemble (or TrakCare) sends back a synchronous RSP_K22 containing the patient data (name, dob, sex)

- The user checks the patient's information displayed on the monitor, takes vital signs and sends them to TrakCare (via Ensemble)

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