Your Mission

Let's pretend for a moment that you're an international action spy who's dedicated your life to keeping the people of the world safe from danger. You recieve the following mission:

Good day, Agent IRIS,

We're sorry for interrupting your vacation in the Bahamas, but we just received word from our London agent that a "time bomb" is set to detonate in a highly populated area in Los Angeles. Our sources say that the "time bomb" is set to trigger at 3:14 PM this afternoon.

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image

Hi Community,

In this article, I will introduce my application iris-HL7v2Gen .

IRIS-HL7v2Gen is a CSP application that facilitates the dynamic generation of HL7 test messages. This process is essential for testing, debugging, and integrating healthcare data systems. The application allows users to generate a wide variety of HL7 message types, validate their structure against HL7 specifications, explore the message hierarchy, and transmit messages over TCP/IP to production systems. These features are particularly useful in settings where compliance with HL7 standards is mandatory for interoperability between different healthcare organizations or systems.


Application Features

  • Dynamic HL7 Message Generation: Instantly create HL7 messages for a range of message types, facilitating comprehensive testing.
  • Message Structure Exploration: Visualize the structure of generated messages based on HL7 specifications.
  • Value Set Visualization View predefined sets of allowable coded values for specific fields.
  • Message Validation: Validate messages against HL7 standards to ensure compliance.
  • TCP/IP Communication: Easily transmit messages to production using TCP/IP settings.
  • Broad Message Type Support: Supports 184 different HL7 message types, ensuring versatility for various healthcare integration needs.
  • ClassMethod: Generate a Test Message by Invoking a Class Method
  • Version Support: Currently Supports HL7 Version 2.5

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Background:

This guideline provides an overview of how to design and implement a REST API interface for querying patient demographic data from an Electronic Patient Record (EPR) system using HealthConnect. The process involves sending a query request with the patient's identification number, retrieving the response from the EPR system, extracting the required patient demographic data from the HL7 message, and sending it as a JSON response to the supplier. The high-level process diagram is shown below (Screenshot 1).

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High-Performance Message Searching in Health Connect

The Problem

Have you ever tried to do a search in Message Viewer on a busy interface and had the query time out? This can become quite a problem as the amount of data increases. For context, the instance of Health Connect I am working with does roughly 155 million Message Headers per day with 21 day message retention. To try and help with search performance, we extended the built-in SearchTable with commonly used fields in hopes that indexing these fields would result in faster query times. Despite this, we still couldn't get some of these queries to finish at all.

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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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Like many others probably find themselves, we were stuck doing live data mapping in our Interface Engine that we really didn't want to do, but had no good alternative choice. We want to only keep mappings for as long as possibly needed and then purge expired rows based upon a TTL value. We actually had 4 use cases for it ourselves before we built this. Use cases:

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We are receiving the report in text format and it has special characters like ', - like that in the text. Source system is using the UTF8 encoding format hence the text is showing as ' � ' . Is there a way to convert the utf8 to actual character in the DTL.

Thank you,

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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.

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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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Hi everyone,

I'm looking for a tool that can be used as a base to create an interface that allows a non-technical user to easily forward messages.

The idea is that the user can find an already sent HL7 message and forward it by modifying specific fields of the message without needing any technical knowledge.

An example would be something similar to the Ensemble search engine, but with a less technical and much more intuitive approach and that only allows changing 1 or 2 fields.

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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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Is there any way of saving a representation of the results of a query created in the Message Viewer to a file - most obviously CSV.

We are reasonably adept at creating queries. We'd like to be able to send the output to a file, rather than resorting to cut'n'pasting from the message viewer window...

Is this possible? (on any version of Ensemble/Iris?)

Desired output to file something like:

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Question
· Apr 18
HL7 DTL formatting

I need a DTL to handle this.

Any ideas appreciated.

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

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Introduction

HL7 messages often contain multiple repeating segments such as NTE, AL1, OBX, ZTX, DG1, and others. These segments sometimes require individual processing and routing to different downstream systems. This technical paper introduces a configurable template designed to automate the splitting of these repeating HL7 segments, improving message handling and integration efficiency.

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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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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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Hey Community,

Enjoy the new video on InterSystems Developers YouTube:

Introduction to OMOP Platform

https://www.youtube.com/embed/5O9J-tRQZM8
[This is an embedded link, but you cannot view embedded content directly on the site because you have declined the cookies necessary to access it. To view embedded content, you would need to accept all cookies in your Cookies Settings]

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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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For historic reasons we've got a mix of ADT feeds coming out of our PAS (TrakCare) to a wide range of downstream systems. In particular, there are some that are direct from TrakCare to the downstream systems, and many more that pass through Ensemble as our integration engine.

This is complicating management of the integrations, and so we'd like everything to go through the integration engine. In other words move from the flow in the top of the diagram to the flow in the bottom of the diagram:

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