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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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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?

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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.

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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...

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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.

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Question
· Jun 17
Concatenation Issue

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\.br\Specimen 2 Suspected Clinical Diagnosis

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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

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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

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