#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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To manage the accumulation of production data, InterSystems IRIS enables users to manage the database size by periodically purging the data. This purge can apply to messages, logs, business processes, and managed alerts.

Please check the documentation for more details on the settings of the purge task:
https://docs.intersystems.com/irislatest/csp/docbook/DocBook.UI.Page.cls?KEY=EGMG_purge#EGMG_purge_settings

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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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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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Hello community,

is anybody located in the DACH area healthcare sector working with Dedalus Orbis as patient master and uses a custom HL7 schema for parsing Orbis message structures into Health Connect?

We're facing a migration and I ask myself if I have to create a schema by myself, based on the pdf documentation given by the company. This is a tedious task, so hopefully there is somebody out there willing to share his or her experience.

Kind regards,

Martin

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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.

Open Exchange app
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Our vendor is developing an interface API on their end to capture HL7 data on a Server Port, and they require us to send a pre-defined HL7 Order message for testing every hour until the API is completely operational.

Is it possible to accomplish that in a Business Operation automatically without utilizing a service or process? The BO is a standard TCP/IP connection.

I'm manually sending the message again from the Operations right now. I do not have access to the System Operation to use the Task Manager feature.

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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.

Open Exchange app
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Hi Community,

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

⏯ Reintroducing the Operational Data Store

https://www.youtube.com/embed/Bjx90-eAMdU
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#InterSystems Demo Games entry

⏯️ Being READY to Tackle Healthcare Enterprise Challenges in a Few Clicks

Managed Cloud Solutions to Help Streamline Your Health Services.

This demo showcases composing several InterSystems Managed Cloud Services to solve various use-cases.

The video is actually built of 6 short chapters (each ~2.5 minutes long) showing each part of the story, demoing a different service.

You can watch each "chapter" individually if you're interested in a specific service, but there is value in viewing the whole composition and observing the full flow.

  • 0:00 Health Connect Cloud - Medical Device MQTT - HL7v2 for Hospital Operation Systems
  • 2:29 FHIR Server & FHIR Transformation Service - HL7v2 to FHIR & Repository for Regulation & Exchange
  • 5:21 FHIR SQL Builder - Providing standard relational access to FHIR data
  • 7:22 "FHIR IntelliChat" (see note below) - Natural human language chat with FHIR Server
  • 9:37 OMOP Solution - FHIR to OMOP transformation & OMOP database with OHDSI tools compliance
  • 12:54 InterSystems Data Studio for Health - Creating a multi data/app sources fabric

[Note the "FHIR IntelliChat" part is not an actual formal InterSystems service, it is just a demonstration of a possibility (based on this solution by @José Pereira) ]

Presenters:
🗣 @Tani Frankel, Sales Engineer Manager, InterSystems
🗣 @Keren Skubach, Senior Sales Engineer, InterSystems
🗣 @Ariel Glikman, Sales Engineer, InterSystems

https://www.youtube.com/embed/MM7GS4z3W5Y
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Studio's Find In Files finds nothing if CLS routines are included. The error is WIDE CHAR. After using ##class(%Studio.Project).FindInFiles programmatically and then ZW after the same error I strongly suspect that CodeWalkopdatecopyopt in EnsLib.InteropTools.HL7.Cloverleaf.Parser.cls is to blame. I cannot even open this class, unlike other classes from EnsLib.InteropTools.HL7.

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I have a need to create a specific Search Table outside of the EnsLib.HL7.SearchTable specifically for HL7 MFN messages in HealthShare Provider Directory.

Our Code is created in a different namespace then the main HSPD namespace and is mapped within the HSPD namespace mapping.

I created a copy of EnsLib.HL7.SearchTable, named OSU.HL7.SearchTable what all needs mapped to make this new search table available in HSPD namespace?

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Hello,

I'm trying to get the Reply Action Code to work with the error message text.

I have this ACK:

MSH|^~\&|APP|FACIL|||20250821143621||ACK|CUEACK_20250821143621|P|2.4
MSA|AE||Failed to queue message

This is some of the Action Codes I've tried:

  • E*Failed to queue message=S
  • E*Failed=S
  • E*"Failed to queue message"=S
  • :E*Failed to queue message=S
  • :?E*Failed to queue message=S

It's not suspending the message however.

What am I doing wrong?

Thank you

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Using a WSDL and the SOAP wizard I created a WebServiceClient, and Operation to send an encoded message to a Vendor. But the vendor is now sending back an HL7 in the SOAP response.

I tried updating the Operation to Extend EnsLib.HL7.Operation.ReplyStandard, but still use the EnsLib.SOAP.OutboundAdapter. When I did this it broke my Operation and would not compile with the following error...

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Is there a way to Remove specific all Addresses from a Provider.Individual.Address before reinserting the Addresses from an HL7 message in Provider Directory?

Most fields we can call %clearFields() however since Addresses come from multiple locations we need to isolate and treat Addresses from this HL7 source as a snapshot.

Thanks

Scott

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Working in healthcare IT as a young developer, especially on InterSystems TrakCare, you quickly realize one thing: it’s not just about HL7 messages or backend integrations. A huge part of making TrakCare work smoothly for hospitals comes down to how it’s configured, customized, and supported on the application side.

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Hey Developers,

Watch the video from our Tech Video Challenge:

⏯ HL7-to-FHIR integration using InterSystems IRIS

https://www.youtube.com/embed/Cm7cT26ANeo
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I am seeking work with InterSystems HealthConnect/Cache. My experience is working with Rules and DTLs, plus message search, and export of components.With 10 years of dedicated expertise in SOA and ESB platform development, I have successfully designed and implemented enterprise-level integration solutions for large organizations, driving significant improvements in system interoperability and business efficiency.I have actively developed and supported HL7 V2/V3 、FHIR、XML/JSON interfaces.I reside in China.

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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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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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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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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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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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Hi,

While HL7 Errors ACKs come back in the soap response, the HL7v2 Error ACK message is not processed.

I used the SOAP Wizard to construct my classes, but the generated code doesn't handle the HL7v2 ACK.
Does health Connect have a class that handles this?

Failing an official solution should I go ahead and make make my own classes based on EnsLib.HL7.Operation.TCPOperation, but wrapping it with the generated SOAP handling code.

How have others dealt with this?

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