#HL7

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

I am having a hard time trying to figure out the following...

Within a DTC, I was able to take the a EnsLib.HL7.Message source and using

set a= $System.Encryption.Base64Encode(source.RawContent)
set encodedMessage=$Get(a)

to take the HL7 message encode it and add it to the Data Class as a string to be sent to an Operation to be sent out as a SOAP Request. 

However to make it more universal I tried doing this within a copy of EnsLib.HL7.SOAPOperation

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?

Hi everyone,

I’m new to this community and could really use some help with creating a production in InterSystems IRIS for Health Community 2024.3. I have deployed my instance using Docker.
Here’s what I’m trying to do:

1. Input: I have an HL7 file that is processed by the standard EnsLib.HL7.Service.FileService.
2. DTL Transformation: I’ve created a DTL to transform the HL7 content into a custom class like this:

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.

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.

Build and maintain interfaces to connect health information systems, including clinical applications, EHR, and other healthcare data sources.

We are attempting to setup an EnsLib.SOAP.OutboundAdapter to send an HL7 message to a vendor hosted AWS site. We have the Certificate from the vendor and defined the TLS setting. However, when we are sending the message we are receiving...

Unable to open TCP/IP socket to server hcis-staging.cbord.com:443

I have a question where I have over 30 000 records of data that I would like to send in HL7 and was looking at sending these in one bulk messages instead of individual messages in HL7.In this kind of a situation has anyone ever sent a bulk HL7 messages or is there a way of doing this other than using FHIR bundle.

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.

Profiling CCD Documents with LEAD North’s CCD Data Profiler
Ever opened a CCD and been greeted by a wall of tangled XML? You’re not alone. Despite being a core format for clinical data exchange, CCD's are notoriously dense, verbose, and unfriendly to the human eye. For developers and analysts trying to validate their structure or extract meaningful insights, navigating these documents can feel more like archaeology than engineering.

Hi all,

My team is exploring options for handling timezone offsets in DTL and we’re wondering if there are any built-in methods available — ideally low-code or no-code solutions. Specifically, we're looking for a way to adjust timestamps based on the date and whether Daylight Saving Time (DST) is in effect.

For example, if an HL7 message has an MSH-7 value of 20250518144529, it should be converted to 20250518144529-0500 (Central Daylight Time), but if the timestamp were 20250218144529, it should be 20250218144529-0600 (Central Standard Time).

Business Process is adding control characters.

Input HL7 shows no control characters in Notepad ++

Output

Code:

Hi, Community!

Do you have HL7® V2 messages that you need to convert to the HL7® FHIR® format for better integration and analysis? See how the InterSystems FHIR Transformation Service can help:

Using the FHIR Transformation Service with AWS HealthLake

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We are attempting to send HL7 messages over to CBOARD NetMenu over HTTP using SSL. We set this up using the EnsLib.HL7.Operation.HTTPOperation adapter. When we attempt to send the message we are receiving 

MSH|^~\&|||DIETOE|A6M0|202505131437||ACK^HTTP^415|00|P|2.1 MSA|AE|9165602|HTTP (N)ACK 'HTTP/1.1 415 Unsupported Media Type'

The vendor mentioned something about putting a SOAP/XML wrapper around the HL7 message but isn't that what the HTTPOperation adapter does? Why would we be getting Unsupported Media Type. How would we go about setting the Media Type for the HTTP HL7 message?

Hi Developers!

Here are the technology bonuses for the InterSystems FHIR and Digital Health Interoperability Contest 2025 that will give you extra points in the voting:

Hi group,

I am trying to take the InterSystems HL7 Interface Specialist certificate test. 

So is this an open book test? is there any Lab involved with vm?  I did the search but I am not able to find such information.

I am trying to find out more information before I actually take the test.

Thank you

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??

Hi,

We're having an issue with some messages being sent to a downstream system from Healthshare.  Part of the free text in the NTE segment is displaying with special characters on the system front-end but is not present in the HL7 message that we send to them.  We are guessing that this is a result of some of the text being copied and pasted from something like MS Word. The '?' on their system is just representing an invalid character. 

Is anyone aware of a way to prevent this occurring? We are sending the messages using the 'cp1252' encoding.

Sent from us to system

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

New at DTL. I need some pointers on this DTL

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

I added extra OBX segments and I need to renumber OBX 4 so they are sequential.

Hello Developers,

I have MacBook Pro M3 and I'm new to the IRIS for Health setup / installation with all pre-requisite / requirements so someone could please help me with detailed instructions on how to setup IRIS for Health (HL7 & FHIR) from scratch along with SQL Server? I have Windows 11 installed in parallel desktop if that's required and complete installation / setup is not possible on MacBook.

Thank you in advance.

Rushi

Hi everyone,

I'm working on a DTL that transforms an HL7 message (EnsLib.HL7.Message) to an XML document (EnsLib.EDI.XML.Document).

The target XML is based on a custom schema and has an element like:

<xs:element name="deceasedDateTime" type="xs:dateTime" nillable="true"/>

What I need is for the output to show:

<deceasedDateTime xsi:nil="true"/> when the source HL7 value is empty, for eg: 

<portalPatientUpdate xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <deceasedDateTime xsi:nil="true" />
</portalPatientUpdate>

My questions:

My attempts to add CR/LF between segments

One of the pain points for maintaining HL7 interfaces is the need to run a reliable regression test upon deployment to new environments and after upgrades. The %UnitTest class allows unit tests to be created and packaged alongside interface code. Test data can also be maintained within the unit test class, allowing for quick and easily repeatable smoke-testing and regression testing.

##Resources:

Sample with multiple Items;

MSH|^~\&|GMRC IF CONSULT|XXX^XXXXX^DNS|GMRC IF CONSULT|YYY^^DNS|20250123175341+0000|CRNR|ORM^O01^ORM_O01|Q5808332894T6790522104|T|2.3|||State|State|USA

PID|1||1013570973V041977^^^ICN^ID~1110106796^^^EDIPI^EDIPI||PROSTEST^EHR||19760902|M||||||||||129256619|678235672

ORC|NW|15207778763^XXX^GMRCIFR|||||^^^20250123175300+0000^^R||20250123175331+0000|XXX8051652^PCP1^Physician||XXX8051652^PCP1^Physician|||20250123175341+0000||YYY

I need to add an extra blank OBX segment after a segment containing text, Total Cost:

I get the OBX segment but it is in incorrect location.

It should be after the line containing Total Cost:

It needs to contain:

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|

code:

I have a segment within a Group (grp) that needs to be validated that it is populated within the message. 

When you use a Foreach within a Business Rule how should you account for the counter in the group?

For example, Epic sends their MFN message in the following format.

MSH~MFI~[~{~MFE~STF~PRA~[~ZPR~]~[~ZLK~]~[~CER~]~[~ZMG~]~[~ZTF~]~[~ZGP~]~[~ZDD~]~}~]

so, the ZLK segment might not exist until the last MFEgrp that is in the message. I need to verify if there is an Employee ID associated with the Provider in the HL7 message before I run it through the translation.

Hey Community,

Enjoy the new video on InterSystems Developers YouTube:

⏯ Introduction to OMOP Platform

Trying to start investigating an error we are seeing with multiple of the same messages getting sent to the same vendor. We receive an HL7 message with an RTF embedded from our EMR, send it through a DTL to just update the Patient Class, and then send it onto the Operation which is TCP.

We are starting to see this error message...