HL7 Messages (2024)

HL7 messagestransmit data between disparate systems. An HL7 message consists of a group ofsegmentsin a defined sequence, with these segments or groups of segments being optional, required, and/or repeatable (referred to asHL7 cardinality).

TheHL7message type defines the purpose for the message being sent and is present in every HL7 message. Message types are identified by a three-character code and are used in conjunction with a trigger event. An HL7trigger eventis a real-world event that initiates communication and the sending of a message and is shown as part of the message type. Both the message type and trigger event are found in the MSH-9 field of the message.

HL7 Messages (1)

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For example, the MSH-9 field might contain the valueADT-A01. This means thatADTis the HL7 message type, and A01 is the trigger event. In theHL7 Standard, an ADT-A01 message is known as a “patient admit” message.

Each message type and trigger event within a specific HL7 version has a defined format. There are some message types and triggers that have the exact same format, such as ADT-A01, ADT-A04, ADT-A05 and ADT-A08. But in many cases, the formats vary widely.

Defining an HL7 Message (examples)

HL7 Messages (2)

Most commonly used HL7 message types include:

  • ACK– General acknowledgement
  • ADT– Admit, Discharge, Transfer
  • BAR – Add/change billing account
  • DFT– Detailed financial transaction
  • MDM– Medical document management
  • MFN – Master files notification
  • ORM– Order (Pharmacy/treatment)
  • ORU– Observation result (unsolicited)
  • QRY – Query, original mode
  • RAS – Pharmacy/treatment administration
  • RDE– Pharmacy/treatment encoded order
  • RGV – Pharmacy/treatment give
  • SIU– Scheduling information unsolicited

For a full list of all HL7 message types, refer to Appendix A of theHL7 V2 Standard.

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HL7 Messages (2024)

FAQs

What is the message of HL7 results? ›

An HL7 Observation Result (ORU) message contains information about a patient's clinical observations and is used in response to an order generated in a clinical system (HL7 ORM message).

What is a typical HL7 message? ›

A typical HL7 V2 message has a 3 character string identifier, such as ACK (Acknowledgement), ADT (Send Demographic Update), or RSP (Return Immunization History). The trigger of a V2 message is a real-life event that necessitated communication, such as patient admission into a clinical facility.

How many maximum segments can a HL7 message contain? ›

There is no limit on the number of segments an HL7 message can have.

What is the average size of HL7 messages? ›

For the T4 workload as described previously in this document, each inbound HL7 message generates roughly 50KB of data, which can be broken down as described in Table 2.

Is HL7 human readable? ›

HL7 messages are in human-readable (ASCII) format, though they may require some effort to interpret. This section describes the contents of an HL7 message and how an HL7 message is organized.

What is HL7 for dummies? ›

HL7 stands for Health Level Seven, and the framework defines how messages are packaged and transported in clinical systems. HL7, meaning in healthcare, an HL7 message is a group of octets transmitted as a unit from a source to a destination.

Is HL7 outdated? ›

x and HL7 v3, are becoming increasingly outdated in the face of emerging technologies and data exchange requirements.

How to read HL7 message? ›

An HL7 message is made up of SEGMENTS. Each SEGMENT is like a sentence in a paragraph. Each SEGMENT is made up of a group of fields that contains one specific category of information, such as patient information, next-of-kin/contact information, etc.

Is HL7 widely used? ›

HL7 standards support clinical practice and the management, delivery, and evaluation of health services, and are recognized as the most commonly used in the world. For more information about the HL7 standards process, please read Understanding the Standards Process.

What are the limitations of HL7? ›

Limitations of HL7 are 1) its difficulty of expression of clinical findings, signs, and symptoms, which comprise electronic medical records, all because of lack of adequate code of these items, and 2) its being a description of fixed timing of examination results, not being a sequence of episode of the patient.

How are HL7 messages transmitted? ›

Although HL7 can be transmitted using a variety of transport protocols, the most common transport method for real time point-to-point interfaces is LLP. For systems which require batch HL7 processing, FTP is typically utilized.

What is the difference between HL7 and FHIR? ›

While HL7 employs transport layer security for data protection, FHIR extends its security measures by incorporating both transport layer security and SSL. And it also uses a specific authorization protocol for more secure information exchange between doctors and patients.

Is HL7 a messaging standard? ›

HL7 is the messaging standard that enables interoperability and helps healthcare providers deliver better care. Health Level Seven (HL7) is a set of international standards used to provide guidance with transferring and sharing data between various healthcare providers.

How many hospitals use HL7? ›

HL7 standards arguably are the most widely implemented and used standards with HL7 V2 and V3 standards. HL7 V2. x is more popular as it is implemented in 35 countries worldwide, within 95% of the healthcare organizations in the USA, and it was accredited in 1994 [21] by the American National Standards Institute [29].

Is HL7 mandatory? ›

That's where HL7, with its mandatory guidelines, steps in to provide a standardized protocol that streamlines how healthcare software solutions converse. It ensures uniformity not just in language, but also in content and structure regardless of what type of APIs or communication paradigms an organization utilizes.

What is the significance of HL7? ›

HL7 is pivotal for EHRs (Electronic Health Records) because it standardizes data formats and protocols, ensuring accurate, seamless communication between different healthcare systems. This interoperability enhances patient care quality, preventing data discrepancies or losses.

What is the order message in HL7? ›

The HL7 ORM-O01 message functions as a general order message that is used to transmit information about an order. There is only one type of ORM message – the ORM-O01 message. Trigger events for the ORM-O01 message involve changes to an order such as new orders, cancellations, information updates, discontinuation, etc.

What is HL7 reporting? ›

Health Level Seven (HL7) is a standard for medical informatics exchange between healthcare providers. Its applicable area includes order entry of many kinds, test result reporting, prescriptions, Admit/Discharge/Transfer of patient, etc. It is one of the most successful medical standards.

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