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case study Application Maintenance

HL7 v2.6 ORU routing from labs to public agencies via Mirth Connect 

A US-based healthcare software provider needed a custom interface module to report Lower Respiratory Infection (LRI) data in line with regulatory and public health reporting requirements. CES designed and built a bi-directional hub-style interface using Mirth Connect, handling HL7 v2.6 ORU lab/radiology messages from multiple lab units and routing them securely to public health workflows. 

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The Challenge

Regulatory-driven LRI reporting requirement

Regulatory-driven LRI reporting requirement

Security and privacy risks in patient data sharing

Security and privacy risks in patient data sharing

Mixed formats/standards across labs, platforms, public health systems

the client

Healthcare

United States

Technology Stack

  • Mirth Connect
  • HL7 Tools
  • Visual Studio
  • Java
  • JavaScript, SQL Server

Solution Area

  • Lab & Radiology Interfaces | Application Development

the impact

Hub-style interface module for LRI reporting

Faster handling of LRI lab/radiology messages across sources

Reduced integration tickets through standard routing

Audit-ready processing via app + audit data stores

how we did it

Integration-led delivery.

Cleaner LRI reporting flow.

The Need & The Challenges
The CES Solution
Results & Business Impact

The Need

The client required a custom interface module to support LRI reporting from lab systems to public health agencies, with a design that can handle inputs from multiple lab units while meeting compliance expectations.

Challenges

  • Compliance-driven LRI reporting: The interface had to support LRI reporting aligned to regulatory standards and public agency reporting needs.
  • Security and privacy constraints: Sharing patient data across systems introduced privacy and security concerns that needed controlled exchange.
  • Disparate systems and standards: Data had to move between care coordination platforms, labs/LRIs, and public health organizations where formats and standards vary.
  • SME-driven solution approach: CES brought in healthcare SMEs to understand the reporting requirement and shape the integration approach.
  • Mirth Connect bi-directional interface module: Built the custom interface using Mirth Connect, designed as a hub to receive LRI data from multiple lab units and support public agency reporting workflows.
  • HL7 v2.6 ORU message handling (Lab + Radiology): Implemented the capability to parse, process, and route HL7 ORU messages that carry lab and radiology result payloads.
  • Architecture-aligned flow with audit support: Aligned processing to the architecture pattern: Lab Information System → HL7 interface engine → application database + audit database, across VPN-based connectivity.
  • Custom interface module delivered for LRI reporting compliance
  • Hub-style architecture supports intake from multiple lab units
  • HL7 v2.6 ORU lab/radiology routing standardized through the interface engine
  • Integration execution stabilized with implementation support and fewer ticket cycles
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LRI reporting unified. HL7 ORU routing simplified. A hub‑style Mirth Connect interface standardized HL7 v2.6 ORU routing from multi‑lab sources to public health systems for faster, compliant LRI reporting.