Health Level Seven (HL7)

Health Level Seven (HL7)
TIBCO Foresight® Products
Health Level Seven (HL7)
June 2015
Two-Second Advantage®
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Contents
Document Purpose ...................................................................................................... 3
Audience...................................................................................................................... 3
HL7 Standards............................................................................................................. 3
HL7 in TIBCO Foresight Products ............................................................................... 3
Sample Data and Instream Scripts.............................................................................. 4
Big Picture ................................................................................................................... 5
HL7 Specific Information ............................................................................................. 6
HL7 in TIBCO Foresight Products
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HL7 in TIBCO Foresight Products
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Document Purpose
This document describes how to use HL7 transactions, also known as “messages”, in TIBCO Foresight products.
Audience
This document is for users of TIBCO Foresight HIPAA products who want to use HL7 standards and already
know at least one of these TIBCO Foresight products: TIBCO Foresight® HIPAA Validator® Desktop, TIBCO
Foresight® EDISIM®, Windows versions of TIBCO Foresight® Instream®, or TIBCO Foresight® Translator.
HL7 Standards
Health Level Seven International (HL7) has data interchange standards for health information transactions. HL7
Version 2 Messaging Standards versions as listed below are supported by TIBCO Foresight validation products.
HL7 in TIBCO Foresight Products
The HL7 guidelines

2.3

2.4

2.3.1

2.5.1

2.6
are distributed with these TIBCO Foresight products:

HIPAA Validator® Desktop version 8.0.0 or later

Instream® version 8.0.0 or later – validation only.
You can use them with these modules of EDISIM® 6.10.1 or later (copy the appropriate standard, for example
HL7_26.std, from Instream’s or Desktop’s Database folder to EDISIM’s User Files\Public Guidelines
directory):

Standards Editor – including the ability to create rules

Standards Reference
HL7 does not work with EDISIM’s DocBuilder, TDG, Comparator, or Analyzer modules.
HL7 standards and guidelines can also be used with Foresight® Translator version 3.0.0 or later.
HL7 in TIBCO Foresight Products
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Sample Data and Instream Scripts
Instream
HIPAA
Validator
Desktop



Filename
Directory
Notes
HL7_ORU_R01_Clean.txt
DemoData
HL7 ORU R01 file. Used by Instream’s
V_ORUR01_HL7_Clean script.
V_ORUR01_HL7_Clean
Scripts
Validates HL7_ORU_R01_Clean.txt, an
HL7 file.
HL7 in TIBCO Foresight Products
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Big Picture
Messages
HL7 provides the following messages (referred to in the X12 community as transaction types):
 Patient Administration
 Order Entry
 Queries
 Financial Management
 Observation Reporting
 Master Files
 Medical Records/Information Management
 Scheduling (View Brief)
 Patient Referral
 Patient Care
 Clinical Laboratory Automation
 Application Management
 Personnel Management
 Claims and Reimbursement
 Materials Management
Parts of a Message
HL-7 messages:

Begin with a Start Message (MSH) segment, which contains information such as from, to, date, time, etc.

Contain no End Message segment. The end of a message is signaled when another Start Message (or Start
Batch or Start File) segment is seen, or upon end-of-file.
Start of message
Start of next message
One or more messages may be grouped into a Batch, which is explained below.
Parts of a Batch
One or more messages may be grouped into a batch. A batch:

begins with a Start Batch Segment (BHS)

is followed by one or more messages

ends with an End Batch Segment (BTS).
One or more batches may be grouped into a file. A file:

begins with a Start File Segment (FHS)

ends with an End File Segment (FTS).
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HL7 Specific Information
Users who are familiar with EDISIM, Instream, Desktop, and Translator from working with X12 EDI will find the
following differences when working with the HL7 standard.
Terminology
General terminology differences between X12 data and HL7 data are as follows:
X12
HL7
Interchange
File
Functional Group
Batch
Transaction Set
Message
Loop
Segment Group
Segment
Segment
Sub-Composite Members
Field Sub-Components
Element
Fields
Code Set
Table
Requirements Coding
The following Requirements characters are used in the Requirements field in HL7 messages:
Character
X12 Meaning
HL7 Meaning
M
Mandatory
Required
O
Optional
Optional
C
Conditional
Conditional
X
(none)
Not Used
B
(none)
Backward Compatibility
W
(none)
Withdrawn
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Sub-Composites
Composites in HL7 transactions may contain sub-composites.
Composite
Sub-composite
Codes
There will be a new Responsible Agency Code of ‘H’ in the fourth field if the .INI record to identify HL7 standards.
Enveloping
Enveloping differences between X12 data and HL7 data are as follows:
The HL7
segment…
Defined as…
Is like this segment in X12…
FSH
File Header Segment
(includes delimiter overrides)
ISA (optional)
BSH
Batch Header Segment
(includes delimiter overrides)
GS (optional)
MSH
Message Header Segment
(includes delimiter overrides)
ST
(none)
Message Trailer Segment
SE
BST
Batch Trailer Segment
GE (optional, but required if BSH is used)
FST
File Trailer Segment
IEA (optional, but required if FSH is used)
HL7 Identifier in Validation Detail File
GEN record 17021 within the validation detail file indicates the data is HL7. The “1” in front of the GEN record
number is the line number in the data file.
HL7 in TIBCO Foresight Products
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