Receiving and Processing Messages
  • 12 Dec 2023
  • 5 Minutes to read
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Receiving and Processing Messages

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Article summary

Module Details
Modified in Versionv8.11, v8.17
Core or Github ModuleCore
Restart Required No
Steps ExposedYes
Step Location HL7
Settings Location Settings are configured and defined for each interface
Prerequisites

The HL7 module allows users to send, receive, and add business processing logic to HL7 messages through an interface. Processing can be applied when messages are received at various stages via processing Flows. Three processing Flows can handle messages: Pre-processing Flow, Process Flow, and Post Processing Flow.






Receiving Messages

Once a Receiver has been enabled, new messages will display under the Recent Messages Report found on the left side of the Interface Dashboard. 

Messages that have an error will display under Open Tasks.

To display a message, Right-click one of the messages in the recent list and select View HL7 Message. The message type will be listed on the left, along with the message text.


Processing Messages

Three Flows are created for each HL7 Interface. These are the Pre Process, Process, and Post Process Flows, where each can be configured to define how the interface will process received messages. 


To view these Flows, select either the List or Columns Page from the top of the interface folder.


Pre Process Flow

The Pre Process Flow gets the HL7 message as text before the message is parsed into an actual HL7 object. This Flow allows the user to manipulate and evaluate messages before fully processing them.

Since this Flow works with the text of the HL7 Message, any of the standard String and Rule steps will work. There are also Flow steps that deal with HL7 text that is in the ER7 format.

Flow StepStep Description
Add Segment At PositionInserts the specified text (assumed to be a segment) at a position in a String[] of segments.
Clean Special Chars Before Segment StartRemoves newline and carriage return characters.
For Each Segment Array in EnvelopeTakes the main text from the HL7 Message and gives each Message as a String[] of segments one at a time.
Get Data From Segment By PositionGets data from a segment by the position of the data in the segment
Get Data From Segment By Position In MessageGets data from a segment by the position of the data in the Message
Get First Segment By TypeReturns the first segment from the Array of Segments by Segment Type
Get Segment PositionGets the position or index of a specific segment.
Get Segments By TypeGets all segments by a specific Segment Type 
Join Messages Into EnvelopeTakes a list of String values and converts it into a String with Message Separator characters between each Message
Join Segments Into MessageTakes a list of String values and converts it into an HL7 Message with segment separator characters between each segment
Remove All Segments By TypeRemoves all the segments with the matching String type
Replace Data In Segment By PositionSubstitutes new data in a segment by the position value
Replace Data In Segment By Position In MessageSubstitutes new data in a segment by the position value in a Message
Split Envelope Into MessagesSplits an Envelope into a String[] with the Message Separator character
Split Message Into SegmentsSplits a Message into a String[] of segments with the segment separator character

Message Passthrough

In addition, steps that contain a Stage input, such as Send Message to Interface or Send Raw Message To Interface, can select the pass-through stage. This stage allows messages to be sent to an emitter or interface directly after completing the step, avoiding any changes from the Process or Post Process Flow.


Process Flow

The Process Flow is configured as a centralized location to distribute messages. 

Below are some example use cases for the Process Flow:

  • Stop messages and assign tasks to people (alerts, corrections, notifications)
  • Transform messages using databases, web services, math, text manipulation
  • Store messages in other systems
  • Transform message data
  • Have other users manually correct message data
  • Compare message data to other systems
  • Merge messages
The Flow includes an input for an HL7 Envelope structure, which can hold multiple HL7 messages. The structure can be viewed in the Data Explorer panel in the Flow Designer.


The Process Flow also has specific steps when designing the Flow. These steps can be found under HL7 > Processing Steps in the Toolbox.

Flow StepDescription
For Each Abstract Message In EnvelopeIterates through all of the HL7 Messages in the Envelope and allows users to work with one Message at a time until the work is complete. (Used with the Cast Message as Another Message Type step which lets users treat a Message as another Type)
For Each Message In EnvelopeSimilar to the For Each Abstract Message in Envelope except that the Message Types that are expected to be processed are specified, and each Message Type received separate paths to modify Message in the workflow.
Sent to InterfaceAllows the user to send a message directly to an Interface at a specific Stage (Pre-Processing, Processing, Post-Processing, Emitter) of the processing.
Get Value from Segment by PositionAllows the user to get a value from a segment by the position using numbers or dots (i.e., 3 or 3.2)

Post Process Flow

The Post Process Flow behaves as the counterpart to the Pre Process Flow. It takes the raw HL7 text that the Process Flow has passed through and is used to emit nonstandard messages. This Flow is mainly used to manipulate text in a message before being sent to an emitter.


When the HL7 module is installed, a dashboard labeled Search is made available within the HL7 Interfaces folder. This dashboard is designed to help users quickly and easily locate specific HL7 messages.


With the Search dashboard, users have the ability to filter messages based on three key criteria. They can select the specific Interface ID that the message was sent through. This is useful for organizations that have multiple interfaces that are sending and receiving HL7 messages. Secondly, define a specific time frame within which the message was sent. This helps narrow down the search results to a specific period, which can be especially helpful when searching through large volumes of messages. Finally, filter by the message data itself. This can be done using various criteria such as patient ID, message type, or any other relevant data that the message contains.


The Search dashboard is an essential tool for efficiently and effectively locating specific HL7 messages within a larger healthcare system.


Feature Changes

DescriptionVersionDT
Adding a Search Dashboard to the HL7 Interfaces folder.8.11[DT-037350
Added an option to auto-ignore NACK messages
8.17
[DT-039534]

For further information on Modules, visit the Decisions Forum.

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