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HL7 is a hairy beast, and by far your best bet is to look at using a pre-built interface engine

that takes care of the problem for you. Something like Mirth Connect, which is a Java based
system for receiving, decoding, routing, and firing events based on HL7 messages. Mirth is
free software and open source under the Mozilla Public License and being based on Java it
runs on most major OS or your can purchase dedicated hardware appliances to interface with
HL7 devices. It can be used to transform HL7 messages between different systems and also
works well for converting from HL7 to other protocols (TCP, SQL/ODBC, File, JMS, FTP,
 How does the process flow work? An example would be great – rohit Mar 12 '10 at 19:44
 You setup Channels, Filters, and routes using a Javascript like language to process
incoming messages. You create template messages to match input messages and capture
values or to design output messages.

Yes mirth uses javascript. It is made with Rhino engine. Which also means you can write
your program in JAVA as well as Javascript. Tool provides very effective functionality to
connect from one end system to another, parse incoming data, receives acknowledgement
from the end system etc.

We need to use javascript for other interoperability/storing/retriving functionality. The

Javascript used is not unobtrusive javascript or framework driven javascript.

You will be given much liberty to write functions, that can be used in multiple channels, or
for single channel and execute whatever you do in Java the same can be implemented via
Javascript inside Mirth as well.

Here are some of tutorials to start learning how to use javascript and Mirth Tool:
 1.Abstract
 2.Introduction
 3.Literature survey
 4.Aim of the project

5.Existing System

6.Proposed System

7.System architecture(Methodology)


 9.Hardware and s/w requirements

 10.References



Existing system

Proposed system

Scopes and objectives

System requirements



Existing System

Disadvantages of Existing System

Proposed System

System architecture

Softwarre requirements

Proposed system.
In the proposed sytem for existing properitary hospital management system and hl& interface
is developed to exchange patient information between the medical devices and the Hms
application A graphical user interface is developed in which the data is taken from the
medical device and then the message is parsed using the Hl7 parser and then the data is
transformed to the HMS Database. In the proposed system we use open source integration
engine in which we can deploy channels to transfer/receive the messages between systems.

Typical healthcare organizations

have many proprietary heterogeneous information

However, using the HL7 standard alone
does not ensure system interoperability. The HL7 standard offers a wide range of
options. Trading partners, without prior agreement, are not likely to implement
options that are compatible. As a result, interoperability is stifled and
organizations are left to employ their own ad hoc solutions. Conformance message
profiles provide the solution to this problem. Message profiles define a standard
template that provides a precise definition of the data exchanged between
applications in a common format. Defining a set of message profiles for
controlling message exchanges establishes a well defined communications
interface among organizations and facilitates interoperability. We present a
methodology based on message profiles for defining, implementing, and testing
HL7 interfaces. We demonstrate how the use of message profiles improve system
interoperability and present a collection of tools that we have developed to
facilitate the use of message profiles

The purpose of the project entitled as “HOSPITAL MANAGEMENT SYSTEM” is to computerize the Front Office
Management of Hospital to develop software which is user friendly simple, fast, and cost – effective. It deals
with the collection of patient’s information, diagnosis details, etc. Traditionally, it was done manually. The
main function of the system is register and store patient details and doctor details and retrieve these details as
and when required, and also to manipulate these details meaningfully System input contains patient details,
diagnosis details, while system output is to get these details on to the screen. The Hospital Management
System can be entered using a username and password. It is accessible either by an administrator or
receptionist. Only they can add data into the database. The data can be retrieved easily. The data are well
protected for personal use and makes the data processing very fast

The aim of this study is to develop middleware which can connect to commercial monitoring
devices in order to transmit ECG signal and vital signs together with patient demographics.
Then data packets from monitoring devices are parsed to extract HL7 compatible data.
critical patient data is often interspersed in multiple data storage systems. Data can even
reside in different systems from different vendors, and these systems also employ different
versions. A healthcare delivery organization is to achieve a unified view of patient
information despite these variances. In this regard, HL7 is highly recommended for
organizations that seek interoperability between internal systems and external data from
public healthcare agencies. HL7 messaging standard will improve quality, efficiency and
effectiveness of healthcare delivery and sharing medical information [7-9]. The Integrating
Health Enterprise initiative (IHE) proposed an implementation framework so called
integration profiles in healthcare enterprises. An integration profile leverages health
informatics standards to facilitate integration of heterogeneous system in clinical workflows.
We have developed a middleware that consist of a set of library functions to support data
transmission from medical devices to arbitrary information systems. nterprise. In this
approach, the interoperability is achieved by physically transferring the information through
electronic media such as floppy disks or magnetic tapes. In this case, middleware provides
health care professionals access to real-time and stored physiological data from most
healthcare networking. In our middleware package, this mode of interoperability means that
data (in a known format) has to be transferred from one system to another by HL7 messages.
However, the focus is only on the content and structure of information exchange that are
implemented with available vital signs monitoring device (Spacelabs Healthcare mCare300).
Using HL7 standard is necessary for interoperability. Thus, middleware can provide health
care professionals access to real-time and stored physiological data from any network
connection. All vital sign data can be stored and retrieved to and from EMR.

In this paper, a new middleware framework developed for the Health Information System
(HIS) rightsizing project of National Taiwan University Hospital (NTUH) is proposed.
National Taiwan University Hospital (NTUH) owns about 2,000 beds for inpatients and
serves approximately 8,000 outpatients a day. The hospital uses multiple information systems
to manage patients’ demographic data, medical records, equipments, and facilities, as well as
pharmaceutical events occurred daily within the hospital, for examples: outpatient
registrations, emergency treatments, laboratory results, etc. In addition, the systems keep
tracking routines, activities regarding auditing, billing and accounting. These systems
together form the NTUH healthcare information system (HIS).The framework is basically a
Service-Oriented Architecture (SOA). Challenges as formatting complex medical information
as well as integrating heterogeneous systems in the hospital are addressed by introducing
HL7 and Web services standard into our framework. Finally, the performance of a operating
HIS based on our framework is analyzed and presented to evaluate the efficiency of our
design A modern middleware framework is designed to make o newly developed HIS
available, scalable, robust, of high performance. In order to integrate different platforms and
databases, a multi-tiered Service-Oriented Architecture (SOA) is chosen while HL7 standard
is wildly adapted to cover all data exchange [9, 10]. Hence, the transition from the legacy
system into the new one can be applied smoothly. Furthermore, the proposed framework
treats all services as independent modules that can be hot-swapped without interrupting the
whole system. This enables the new systems to be deployed and configured in the highest
degree of flexibility.The HL7/Web service framework has successfully provided an effective
solution for the challenges of integrating various and heterogeneous information systems
while developing a large scale HIS. A new HIS based on the proposed framework is
developed and currently serving about 8,000 outpatients a day in NTUH.