Trigger - ANSWER-Serves as the integration point between the application workflow
and Bridges
-generally an action in Hyperspace, like clicking a button or closing an activity
-a single, clearly defined action that a user or process can take that results in an
interface message being created and sent
An interface message contains.... - ANSWER-Data about an event (like a patient being
admitted to the hospital)
MSH-11 and MSH-12 are... - ANSWER-the HL7 processing ID and version; Epic checks
these values on an incoming message and rejects the message if they do not match the
expected values
Segment Identifier - ANSWER-Three character code that identifies what kind of data
that segment contains
PID-5 - ANSWER-patient name
NTE segment - ANSWER-can follow many different segments
Z-segment - ANSWER-custom segment for a specific implementation
Is it necessary to send empty fields following the last valued field? - ANSWER-No
Within a field do you need to send all components? - ANSWER-Only as many as are
valued
Blank fields... - ANSWER-don't file anything
, Delete character HL7 - ANSWER-double quotes " "--- tells the receiving system to
delete a piece of info it has
FHIR - ANSWER-specifies RESTful exchange method via HTTPs to access data
Other standards supported by Bridges - ANSWER-X12, FHIR, NCPDP, DICOM, and
Direct
Event (in context of outgoing message flow) - ANSWER-small set of values with the
necessary info to build the message: patient ID, patient contact, type of message, and
additional info
-contains directions for where the interface should pull the information it needs from the
database
Queue - ANSWER-storage location outside of Chronicles database structure
Event Queue is procesed by... - ANSWER-the Event Daemon
Daemon (Outgoing Message Flow) - ANSWER-process that runs in the background
without any direct user action
Event Daemon (Outgoing Message Flow) - ANSWER-pulls an event off the Event
Queue, uses the information in the event to build the message and finally deletes the
event from the event queue.
The event daemon puts the message it has built onto the data queue and adds an
instruction to the Control Queue
builds an HL7 message based on data pulled from Chronicles
Data Queue (Outgoing Message Flow) - ANSWER-contains the full text of the message
along with some additional metadata (i.e. timestamp) about message processing
Control Queue (Outgoing Message Flow) - ANSWER-a to-do list and contains very little
data
-processed by the Communications Daemon
-maintains a list of messages waiting to be processed
Comm Deamon (Outgoing Message Flow) - ANSWER-reads an instruction from the
Control Queue and copies the appropriate message off the Data Queue
-sends the message out of Epic and waits for an ACK to be reutrned
-deletes instruction from the Control Queue and proceeds to the next instruction
-sends or receives acknowledgments over a TCP/IP connection
Comm Daemon (Incoming Message Flow) - ANSWER--listens constantly for messages
coming into the system
-validates MSH-11 and MSH-12 before accepting it, storing it in the data queue, and
adding instruction to the control queue
-sends or receives acknowledgments over a TCP/IP connection
Control Queue (Incoming Message Flow) - ANSWER-processed by the Filer Daemon
Filer Daemon - ANSWER-pulls an instruction from the Control Queue, retrieves the
corresponding message from the Data Queue, and then attempts to file the message.
and Bridges
-generally an action in Hyperspace, like clicking a button or closing an activity
-a single, clearly defined action that a user or process can take that results in an
interface message being created and sent
An interface message contains.... - ANSWER-Data about an event (like a patient being
admitted to the hospital)
MSH-11 and MSH-12 are... - ANSWER-the HL7 processing ID and version; Epic checks
these values on an incoming message and rejects the message if they do not match the
expected values
Segment Identifier - ANSWER-Three character code that identifies what kind of data
that segment contains
PID-5 - ANSWER-patient name
NTE segment - ANSWER-can follow many different segments
Z-segment - ANSWER-custom segment for a specific implementation
Is it necessary to send empty fields following the last valued field? - ANSWER-No
Within a field do you need to send all components? - ANSWER-Only as many as are
valued
Blank fields... - ANSWER-don't file anything
, Delete character HL7 - ANSWER-double quotes " "--- tells the receiving system to
delete a piece of info it has
FHIR - ANSWER-specifies RESTful exchange method via HTTPs to access data
Other standards supported by Bridges - ANSWER-X12, FHIR, NCPDP, DICOM, and
Direct
Event (in context of outgoing message flow) - ANSWER-small set of values with the
necessary info to build the message: patient ID, patient contact, type of message, and
additional info
-contains directions for where the interface should pull the information it needs from the
database
Queue - ANSWER-storage location outside of Chronicles database structure
Event Queue is procesed by... - ANSWER-the Event Daemon
Daemon (Outgoing Message Flow) - ANSWER-process that runs in the background
without any direct user action
Event Daemon (Outgoing Message Flow) - ANSWER-pulls an event off the Event
Queue, uses the information in the event to build the message and finally deletes the
event from the event queue.
The event daemon puts the message it has built onto the data queue and adds an
instruction to the Control Queue
builds an HL7 message based on data pulled from Chronicles
Data Queue (Outgoing Message Flow) - ANSWER-contains the full text of the message
along with some additional metadata (i.e. timestamp) about message processing
Control Queue (Outgoing Message Flow) - ANSWER-a to-do list and contains very little
data
-processed by the Communications Daemon
-maintains a list of messages waiting to be processed
Comm Deamon (Outgoing Message Flow) - ANSWER-reads an instruction from the
Control Queue and copies the appropriate message off the Data Queue
-sends the message out of Epic and waits for an ACK to be reutrned
-deletes instruction from the Control Queue and proceeds to the next instruction
-sends or receives acknowledgments over a TCP/IP connection
Comm Daemon (Incoming Message Flow) - ANSWER--listens constantly for messages
coming into the system
-validates MSH-11 and MSH-12 before accepting it, storing it in the data queue, and
adding instruction to the control queue
-sends or receives acknowledgments over a TCP/IP connection
Control Queue (Incoming Message Flow) - ANSWER-processed by the Filer Daemon
Filer Daemon - ANSWER-pulls an instruction from the Control Queue, retrieves the
corresponding message from the Data Queue, and then attempts to file the message.
