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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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In part I of this article, we have already learned more about HL7, its messages, structure, segments, and fields. In this part II, we will show you how to transform proprietary/custom data into HL7 using IRIS for Health. For our sample, we used the data generated by the SYNTHEA bulk data generation project (https://synthea.mitre.org/downloads). So, we will show you how to convert 1000 patients from a CSV file to HL7 v2, using the Interoperability features of IRIS for Health.

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Introduction

This article aims to explore how the FHIR-PEX system operates and was developed, leveraging the capabilities of InterSystems IRIS.

Streamlining the identification and processing of medical examinations in clinical diagnostic centers, our system aims to enhance the efficiency and accuracy of healthcare workflows. By integrating FHIR standards with InterSystems IRIS database Java-PEX, the system help healthcare professionals with validation and routing capabilities, ultimately contributing to improved decision-making and patient care.

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Question
· Nov 30, 2023
Multitransformations of HL7

This question originally appeared in the comments of the post: Making use of Multiple Sub Transforms in a main map || HL7

I'm having a similar problem trying to get PRD(1) into PV1:ReferingDoctor and PRD(2) into PV1:ConsultingDoc

Running the subtransform will populate referring doctor for the first PRD, and then the second running will delete the PV1, make a new one with only the consulting doctor populated.

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Question
· Nov 20, 2023
HL7 field for base64 in orl

Hi everyone,

It could be great if some of you have had experience in hl7 v2 messages. The question is about FHIR to hl7 v2.5 conversion. I have to translate a binary resource, encoded in base64 into an orl_o22 message. Do you have advices? Which field could be used for that datatype?
I have found some implementation using nte segment but it is limited in characters.

Thank you

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Good morning,

First of all we would like to thank you for your time reading, thinking and aswering this question.

We have been developing a Transformation to convert a source ORU_R01 to a target ORU_R01. For each OBX segment we need to check an if, and then, if it is true we just need to put this OBX and continue to the next iteration, otherwise, if it is false, we need to put (copy) the ORC + OBR + TQ1 before this OBX, and then put this OBX, and after that, the SPM.

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Hello,

First of all, thanks for your help, and time, reading this questions, and answering to this doubt.

We have the following use case: to convert a HL7 ER7 ORU_R01 v2.5 message, to a Ens.Request Message which represent it with a custom data structure (each segment is a group of Properties).

To be more precise, the target Ens.Request Message's structure looks like:

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Question
· Nov 13, 2023
Message data global

Hello,

We noticed from the integrity logs that some of the namespaces in our integration engine are using large amount of space ( ~380GB ) for the global ^EnsHL7.Segment.

We have culling implemented for large globals like MessageHeader and MessageBody.

Is it a standard process to implement culling for ^EnsHL7.Segment global and any idea about what will be the impact of adding culling to this global?

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Hello,

I have a problem attempting to store a base 64 encode stream into the OBX:5 field of a HL7 message, by using the StoreFieldStreamBase64 method.

I'm using a transformer to input the contents of a pdf within a stream container (Ens.StreamContainer). The output is a HL7 message (EnsLib.HL7.Message 2.5:ORU_R01).

The transformer is being used in a business process.

This is the code used in the transformer to encode the stream to base 64:

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Question
· Jul 3, 2023
HL7 test message generator

I am looking for an appropriate solution to generate HL7 test messages to test my production. IRIS for Health already contains many HL7 specific functions like the schema structures. Furthermore one can use transformations to build custom messages.

What I am interested in is if anyone has already created a tool or script that can be used to create any HL7 messages that meet the minimum requirements and populate all the required fields with test values. I would then like to send these test messages via TCP to a business service.

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We have this intermittent issue with a particular supplier message , just wondering if anyone has further insight around the two errors we get when we see this.

We use the out of the box TCP hl7 adapter.

We first seem to get this incomplete hl7 message resulting in an error like

Discarding leftover input 'MSH|

This is not unexpected as the final obx has not dot the description of OBX:2.2 ect. 

OBX|53|TX|NCDAC^

The next message will have the error

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We need to generate a PDF file from an HL7 message as it passes through an Ensemble production. Looking for examples, tutorials, documentation aligned to our scenario.

We are currently using Ensemble (so can't use InterSystems Reports at the moment). Thinking Zen reports...

We can get from HL7 to XML OK, following Introduction to InterSystems Health Connect - YouTube (see c.1:11:00-1:13:00)

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If you hold the InterSystems HL7 Interface Specialist certification, you can potentially get recertified and have your certification expiration date extended by five years by beta testing our new InterSystems HL7 Interface Specialist Recertification project. The project includes hands-on exercises to validate core skills for developers who use InterSystems products to build and test HL7 v2.x productions.

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Greetings.

I have a scenario in ENSEMBLE, where a business process router A is dependent on another business process router B. If B shuts down for some reason, A has to be disabled as well.

Do i need to write a custom process for B and call the call back method onShutdown or something?

Any suggestions would be appreciated.

Thanks,

Jimmy Christian.

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I have been successfully able to transform hand-written medical test results documents to HL7 ORU_R01 v2.x, then to SDA, which will be trasformed to FHIR or C-CDA.

However, I have a category of documents which contains reference range in multiple date formats, which are measured for each gestation period.
For example, below is one of the documents.

Analyte: HCG, Value: 1968, Unit: mlU/mL

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Question
· Jul 27, 2023
Rule logic

In an HL7 Business rule I am trying to block ONLY ORM messages that have a PV1:3.4 of 105 or 205 and a OBR:4 value of EP22 or CATH01.

I created the logic below but it appears to be evaluating the two fields independently instead of combined?

Here is what I had.

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How to import Custom Schemas from VSCode? They look like this:

<?xml version="1.0"?>
<Category name="ITK" description="xmlns:hl7='urn:hl7-org:v2xml' xmlns:xsi='http://www.w3.org/2001/XMLSchema-instance'" std="1">
<MessageType name='ACK' structure='ACK' returntype='ACK' description='xsi:schemaLocation="urn:hl7-org:v2xml ACK.xsd"'/>
</Category>

Instead of wrapped XML export produced by $system.OBJ:

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Hey Developers,

Watch this video to learn about InterSystems TrakCare Innovation Toolkit which is a free download that enables TrakCare users to quickly access their data in standard HL7® FHIR® format, making the system of record a system of transformation:

⏯ Introduction to the TrakCare Innovation Toolkit @ Global Summit 2022

https://www.youtube.com/embed/hIGE5GdJaTE
[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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