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HL7 Tools

HL7 Tools

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4 mins READ

The HL7 Tools node converts between HL7 v2.x healthcare messages and JSON so automations can parse, generate, and acknowledge the pipe-delimited messages exchanged between hospital systems.

Overview

HL7 Tools is a built-in node for working with HL7 v2.x — the pipe-delimited message standard used across clinical systems for admissions, orders, lab results, scheduling, and more. It gives automations three capabilities: parse an inbound HL7 message into JSON for downstream processing, generate a new HL7 message from JSON data, and generate an acknowledgement (ACK) to send back to the originating system. Use it to integrate with electronic health records, lab information systems, or any hospital interface engine without hand-coding the HL7 format.

Screenshot 2026-08-29 at 14.14.57 1.png
Screenshot 2026-08-29 at 14.14.57 1.png

Operations

Choose one operation per node instance from the three available actions.

Operation

Description

Key detail

Parse

Converts an inbound HL7 v2.x message into a JSON object for use in subsequent nodes.

Permissive — accepts slightly malformed messages; does not validate strictly.

Generate

Builds a well-formed HL7 v2.x message from a JSON input.

Use when your automation needs to produce an outbound HL7 message from structured data.

Generate ACK

Builds an acknowledgement reply for an inbound message with the appropriate accept, error, or reject code.

Send back to the originating system to confirm receipt per the HL7 ACK protocol.

Parsing HL7

The Parse operation converts an HL7 v2.x message into a JSON object. HL7 Tools supports HL7 v2.x versions, with 2.5.1 as the common default, along with the standard message types — admit/discharge/transfer, orders, results, scheduling, and so on.

Two behaviors are important to understand when using Parse:

  • Permissive parsing: The node does not strictly validate the input message. It will accept slightly malformed HL7 rather than rejecting it outright. This is forgiving for real-world feeds where messages may carry minor irregularities, but it means a successful parse does not imply full HL7 compliance. Do not use a successful parse result as a compliance check.

  • Field naming: By default, parsed fields are keyed by their segment-and-position — for example, PID-5 for the patient name field in the PID segment. To get friendlier names, supply your own field mappings that translate segment-position keys into descriptive names. Keep mappings consistent: changing them changes the shape of the output JSON, which can break downstream nodes that reference specific keys.

Generating HL7 and ACKs

The Generate operation builds an outbound HL7 v2.x message from a JSON input. Provide a JSON object structured to match the target message type and the node will produce the correctly formatted, pipe-delimited HL7 string.

The Generate ACK operation builds the acknowledgement reply you send back after receiving a message. It emits an ACK message with the appropriate acknowledgement code — accept, error, or reject — depending on how you configure the node. Use Generate ACK as the return step in any integration where the sending system expects a receipt confirmation per the HL7 ACK protocol.

Note: Generate ACK is distinct from Parse. Use Parse to read an inbound message, then use Generate ACK (separately) to send the reply back. They are independent operations — configure each in its own node instance.

Notes

Keep the following in mind when using the HL7 Tools node.

  • HL7 Tools supports HL7 v2.x only; it is not designed for HL7 FHIR or v3.

  • Parsing is permissive — a successful parse does not mean the message is fully spec-compliant. Do not rely on it as a validation gate.

  • Default field keys use segment-and-position notation (for example, PID-5). Supply field mappings if downstream nodes need human-readable property names.

  • Changing field mappings changes the output JSON shape. Update any downstream references if you modify mappings after an automation is deployed.

  • Each operation (Parse, Generate, Generate ACK) is a separate node instance — you cannot combine them in a single node.

  • Generate ACK produces the acknowledgement message string; you are responsible for sending it back to the originating system via the appropriate connector.

FAQs

Does the HL7 Tools node validate that a message is spec-compliant?

No. Parsing is permissive and will accept slightly malformed messages. A successful parse means the node could read the message, not that it passes strict HL7 validation.

What HL7 version does the node support?

HL7 v2.x, with 2.5.1 as the common default. HL7 FHIR and v3 are not supported by this node.

How do I get friendly field names instead of segment-position keys like PID-5?

Supply field mappings in the node configuration. The mappings translate segment-position keys into the names you choose. Be consistent — changing mappings after deployment will change the output JSON shape and may break downstream nodes.

Do I use one node for Parse and then Generate ACK in the same step?

No. Each operation is a separate node instance. Add a Parse node to read the inbound message, then add a Generate ACK node downstream to produce the acknowledgement reply.