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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Article
· Nov 29, 2022 6m read
What's HL7v2?!

HL7 (Health Level 7) is a set of technical specifications for computerized exchanges of clinical, financial and administrative data between hospital information systems (HIS). These specifications are variously integrated into the corpus of formal American (ANSI) and international (ISO) standards.

The L7 of HL7 indicates that it is a standard that operates at layer 7, in other words at the application layer, of the OSI model. This means that HL7 does not have to take into account exchange security considerations, or those of message transport (this being ensured by lower-level layers such as SSL/TLS for security or TCP for the transport of data for example). To be more precise, layer 7 supports communications for end-user processes and applications and the presentation of data for user-facing software applications. As the highest layer of the OSI model, and the closest to the end user, layer 7 provides application-specific functions such as identifying communication partners and the quality of service between them, determining resource availability, considering privacy and user authentication, and synchronizing communication, as well as connecting the application to the lower levels of the OSI model.

Returning to the HL7 standard, the HL7 version 2 standard (also known as Pipehat) was originally created in 1989 but is still being used and updated regularly, resulting in versions 2.1, 2.2, 2.3, 2.3.1, 2.4, 2.5, 2.5.1, 2.6, 2.7, 2.7.1, 2.8, 2.8.1, 2.8.2 and 2.9. The v2.x standards are backward compatible (e.g., a message based on version 2.3 will be understood by an application that supports version 2.6) and in higher versions, you will see some fields are left just for it.

Despite it being more than 30 years old, HL7v2 remains the most widely used healthcare interface standard by a large margin according to the HL7.org portal that tells that:

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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
· Aug 19, 2019
Filter by time in Routing Rule

I have a colleague that is trying to eliminate any HL7 transactions that have admit date/time of midnight from going to an downstream system within a routing rule. I have tried several different iterations of code trying to figure this out just in the routing editor. Without having to write an object script function is this possible?

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Question
· Sep 12, 2022
Routing ACKS.

I'm trying to get an ACK routed to a different process in our Test environment and here is the router setup:

I have a rule in the target router to send to an operation.

The problem I'm running into is that the HL7 ACK coming back is marked as "Discarded", so it's not even getting to the second router.

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This article will describe and include an example of how to embed an external PDF file into an HL7 segment, specifically ADT_A01:2.3.1 OBX(). This can be useful when attempting to insert pictures or other external data into an HL7 message. In this example, the name of the PDF file to be embedded is provided in the incoming HL7 message in OBX(1):ObservationValue field.

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Question
· Apr 12, 2017
Message Profiling

Hi all,

I was wondering if InterSystems offers any message profiling capabilities. What I mean by "message profiling" is essentially stats or metrics gathered from a collection of data submissions of a particular type. For instance, average number of segments <XYZ> in a specific HL7 V2 message type. Or the number of sections found in a HL7 V3 CDA documents.

Curious if there is anything like this provided "out-of-box".

Thanks!

James

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Announcement
· May 8, 2020
New Video: FHIR Update

Hi Community!

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

FHIR Update

https://www.youtube.com/embed/2rLokuiAjE8
[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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For testing purposes, I would like to create an EnsLib.HL7.Message from either a %String or a file on disk and pass it into a function in a unit test (outside of an Ensemble context). EnsLib.HL7.Parser appears to do the necessary parsing, but it also sends the message via Ensemble service rather than returning it as a value. Is there a way to leverage the parsing outside of a Ensemble service? Alternatively, is there another way to create an EnsLib.HL7.Message?

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We are seeing ERROR #5002: Cache error: <MAXSTRING>zSaveData+14 ^EnsLib.HL7.Segment.1 come up on a Routing rule when we are trying to Encoded PDF's through a DTL. In the DTL we are copying source to target. Is there a limitation on trying to copy source to target?

At the bottom of the DTL you are see that we commented out converting the Encoded PDF to a Stream, is it recommended that we always use %Stream anytime we are dealing with PDF's?

Thanks

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I need to remove content below, from PID-3/HL7 message, in IRIS. However, I need to keep the content in PID-3.1. For example, I’d need to keep only, “5050532”. Can this be done in Data Transformations? If yes, how?
Thank you!

MSH|^~\&|TEMPUS|TEMPUS LABS|EPICEMR|YRMC|20210930100824||ORU^R01|4823623379495310173|T|2.3|
PID|1||5050532^^^YRMC~09abefb8-872b-4147-8e4b-77463bb235cb^^^^TEMPUS||

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Good morning -

I am attempting to pass some HL7 content (say, a complete ADT message) from one server to another via REST/JSON - for reasons.

I can get the data across but when I try to create an EnsLib.HL7.Message object from the message in the JSON body, I end up with just the start of an HL7 msg in the resulting object. Looks like: MSH|^~\&

The start of the code accepting the data looks like this:

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Fun or No Fun - how serious is it?


Large language models are stirring up some phenomena in recent months. So inevitably I was playing ChatGPT too over last weekend, to probe whether it would be a complimentary to some BERT based "traditional" AI chatbots I was knocking up, or rather would it simply sweep them away.

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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,

It is sometimes undesirable to send a full demographic or results feed to departmental clinical systems, that only see a subset of the patients.

While some systems (paediatrics, maternity, geriatrics) can filter on patient demographics, a number of systems are for cohorts of patients that don't fit a particular criteria.

One of our system vendors has a patient index filter service that keeps a local index of relevant patient identifiers, and only forwards matching messages.

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