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Verified Service Provider in Liberia

HL7 Interface Coordination Service in Liberia Engineering Excellence & Technical Support

HL7 Interface Coordination Service High-standard technical execution following OEM protocols and local regulatory frameworks.

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Interoperability Hub for Healthcare Data

Establishes a standardized HL7 interface to seamlessly exchange patient demographics, lab results, and clinical notes between disparate Liberian healthcare facilities. This facilitates real-time data access, reducing manual data entry and improving diagnostic accuracy.

Secure Data Exchange and Audit Trails

Implements robust HL7 messaging protocols with encryption and access controls to ensure the confidentiality and integrity of sensitive patient information. Comprehensive audit trails are maintained for compliance and accountability within the Liberian healthcare ecosystem.

Real-time Performance Monitoring & Alerting

Provides continuous monitoring of HL7 interface traffic, identifying potential bottlenecks or errors in data transmission. Proactive alerts are generated to the Interface Coordination Service team for immediate resolution, ensuring uninterrupted data flow and system uptime.

What Is Hl7 Interface Coordination Service In Liberia?

The HL7 Interface Coordination Service in Liberia refers to a specialized set of functions and processes designed to facilitate the standardized exchange of health information between disparate healthcare information systems within the Liberian healthcare ecosystem. Leveraging the Health Level Seven (HL7) International standards, this service ensures interoperability, allowing for seamless data flow between Electronic Health Records (EHRs), laboratory information systems (LIS), picture archiving and communication systems (PACS), and other clinical and administrative applications. The primary objective is to create a unified and accessible health data infrastructure that supports improved patient care, public health initiatives, and efficient healthcare operations.

Who Needs HL7 Interface Coordination Service?Typical Use Cases
Hospitals and Clinics (Public and Private): To integrate EHR systems with laboratory, radiology, pharmacy, and billing systems.Public Health Agencies: To aggregate disease surveillance data, manage immunization registries, and track vital statistics from various healthcare providers.National Health Information Exchange (HIE) Platforms: To enable the secure sharing of patient health information across different healthcare organizations within Liberia.Laboratory Networks: To transmit test results from reference laboratories to individual healthcare facilities.Pharmacies: To facilitate e-prescribing and prescription fulfillment by integrating with EHRs.Research Institutions: To access anonymized or de-identified health data for epidemiological studies and health services research.Government Ministries of Health: For policy development, resource allocation, and health system performance monitoring through aggregated data.
Patient Demographics and Registration Updates: Automatically updating patient information across linked systems.Order Entry and Results Reporting: Sending laboratory, radiology, or consultation orders and receiving results back electronically.Admission, Discharge, and Transfer (ADT) Notifications: Communicating patient movement and status changes between departments and facilities.Medication Reconciliation: Sharing medication lists to improve patient safety and reduce adverse drug events.Public Health Reporting: Automating the submission of reportable disease information to public health authorities.Immunization Tracking: Centralizing immunization records for a comprehensive view of population immunity.Billing and Claims Processing: Streamlining the submission of claims by integrating clinical data with financial systems.

Key Components of HL7 Interface Coordination Service

  • Interface Development and Configuration: Designing, building, and configuring HL7 interfaces to meet specific system integration requirements. This involves understanding message structures (e.g., HL7 v2.x, FHIR), data mapping, and transformation logic.
  • Message Transformation and Validation: Ensuring that data exchanged conforms to defined HL7 standards. This includes converting data formats, validating message integrity, and handling errors during transmission.
  • Middleware Management: Implementing and maintaining middleware solutions (e.g., interface engines, integration platforms) that act as intermediaries for message routing, queuing, and translation.
  • Data Governance and Security: Establishing protocols for data access, privacy, and security in compliance with Liberian health regulations and international best practices. This includes encryption, authentication, and authorization mechanisms.
  • Monitoring and Troubleshooting: Proactively monitoring the performance of interfaces, identifying and resolving connectivity issues, and ensuring the reliable flow of health information.
  • Standardization and Compliance: Adhering to adopted HL7 standards and any national health informatics policies or guidelines implemented in Liberia.
  • Training and Support: Providing technical expertise and support to healthcare organizations on HL7 integration and the use of the coordination service.

Who Needs Hl7 Interface Coordination Service In Liberia?

HL7 Interface Coordination Service is crucial for ensuring seamless health data exchange between disparate healthcare systems. In Liberia, this service is particularly vital for modernizing its healthcare infrastructure, improving data quality, and enabling better patient care and public health initiatives. The primary beneficiaries are healthcare organizations that rely on interconnected systems for patient records, laboratory results, billing, and reporting. Effective coordination minimizes data silos, reduces manual data entry errors, and supports more informed decision-making.

Target Customer/DepartmentKey Needs/FunctionsImpact of HL7 Interface Coordination
Public HospitalsManaging patient admissions, transfers, discharges (ADT), electronic health records (EHRs), laboratory information systems (LIS), radiology information systems (RIS).Streamlined patient flow, accurate patient histories, reduced duplication of tests, improved reporting for public health surveillance.
Private HospitalsSimilar to public hospitals, plus integration with billing and insurance systems, scheduling.Efficient billing processes, accurate financial reporting, enhanced patient satisfaction through better service coordination.
Clinics and Health CentersBasic patient registration, vital signs, medication dispensing, limited lab/diagnostic ordering.Improved data capture for primary care, better referral tracking, foundational data for aggregated reporting.
Diagnostic LaboratoriesReceiving orders from healthcare providers, reporting results back to requesting systems.Faster turnaround times for test results, reduced manual transcription errors, timely diagnosis and treatment initiation.
PharmaciesDispensing medication information, potentially integrating with prescribing systems for e-prescriptions.Reduced medication errors, improved inventory management, enhanced patient safety through accurate prescription fulfillment.
Ministry of Health (MOH)Aggregating data for national health statistics, disease surveillance, policy development, resource allocation.Real-time insights into population health trends, effective disease outbreak response, data-driven policy making, optimized resource distribution.
National Health Information Systems (NHIS) TeamsDeveloping, maintaining, and optimizing national health data infrastructure.Ensuring interoperability of diverse systems, standardization of data elements, successful implementation of national e-health strategies.
Research InstitutionsAccessing de-identified patient data for epidemiological studies, clinical trials, and health outcomes research.Facilitating evidence-based research, identification of health challenges and solutions, contribution to medical knowledge.
International Health OrganizationsCollecting program-specific data, monitoring health indicators, coordinating interventions.Improved data quality for program evaluation, more effective collaboration with the Liberian MOH, enhanced global health reporting.

Target Customers and Departments in Liberia Requiring HL7 Interface Coordination Service

  • Public Hospitals
  • Private Hospitals
  • Clinics and Health Centers
  • Diagnostic Laboratories
  • Pharmacies
  • Ministry of Health (MOH)
  • National Health Information Systems (NHIS) Teams
  • Research Institutions
  • International Health Organizations operating in Liberia

Hl7 Interface Coordination Service Process In Liberia

The HL7 Interface Coordination Service in Liberia is a crucial process for ensuring interoperable health information exchange within the country's healthcare ecosystem. This service facilitates the secure and standardized transmission of patient data between disparate health information systems (HIS), such as electronic health records (EHRs) and laboratory information systems (LIS). The workflow, from an initial inquiry to the successful execution of an HL7 interface, is a structured process designed to meet the specific needs and challenges of Liberia's healthcare landscape.

StepDescriptionKey ActivitiesResponsible PartiesDeliverables/Outcomes
1.1 Initial InquiryA healthcare facility or organization identifies a need for a new HL7 interface to share specific health data.Submission of a formal request, outlining the purpose and scope of the desired interface.Requesting Facility/Organization, Ministry of Health (MoH) IT DepartmentFormal Interface Request Document
1.2 Needs Assessment and PrioritizationThe MoH IT Department or designated coordination body evaluates the request based on national health priorities, technical feasibility, and resource availability.Review of request, initial feasibility study, resource allocation discussion, prioritization of requests.MoH IT Department, Health Information System (HIS) DirectoratePrioritized list of interface requests, initial feasibility report
2.1 System Identification and MappingDetailed identification of the source and destination systems involved in the data exchange.Cataloging of existing HIS (EHRs, LIS, etc.), identification of data elements to be exchanged, mapping data fields between systems.MoH IT Department, HIS Vendors, Source/Destination System AdministratorsSystem Inventory, Data Element Mapping Document
2.2 HL7 Standard Specification and Profile DefinitionDetermining the appropriate HL7 version (e.g., v2.x, FHIR) and defining the specific message types and segments required for the interface, adhering to national interoperability standards.Selection of HL7 version, definition of message types (e.g., ADT for patient demographics, ORM for orders, ORU for results), creation of HL7 profiles.MoH IT Department, HL7 Standards Committee (if applicable), HIS VendorsHL7 Message Specification, Interface Profile Document
2.3 Security and Privacy AssessmentEnsuring compliance with national data privacy regulations and establishing secure data transmission protocols.Review of data security requirements, definition of encryption methods, access control mechanisms, audit trail requirements.MoH IT Department, Data Protection Officer (if applicable), Security ExpertsSecurity Requirements Document, Privacy Impact Assessment
3.1 Interface Engine/Middleware Selection and ConfigurationChoosing and setting up the necessary middleware or interface engine to facilitate message routing and transformation.Selection of appropriate interface engine technology, installation and configuration of the engine.MoH IT Department, Interface Engine VendorConfigured Interface Engine
3.2 Interface Development and CodingDeveloping the actual interface code or configuration within the interface engine to handle message parsing, transformation, and routing.Writing transformation logic (e.g., Mirth Connect channels, custom scripts), configuring message triggers and routing rules.MoH IT Department, HIS Vendors, Interface DevelopersDeveloped Interface Code/Configuration
3.3 Data Transformation LogicImplementing rules to convert data formats and structures between the source and destination systems according to the defined HL7 specifications.Developing mapping scripts and logic to translate local data formats into HL7 compliant messages and vice-versa.Interface Developers, HIS VendorsData Transformation Scripts
4.1 Unit TestingTesting individual components of the interface to ensure they function as expected.Testing message parsing, segment validation, transformation logic for specific data elements.Interface DevelopersUnit Test Results
4.2 Integration TestingTesting the interface as a whole by simulating data flow between the source and destination systems.Sending test messages from source to destination, verifying message reception and accuracy, checking for errors.MoH IT Department, HIS Vendors, Requesting FacilityIntegration Test Cases and Results
4.3 User Acceptance Testing (UAT)End-users from the requesting facility validate the interface's functionality and accuracy with real-world scenarios.Performing end-to-end data exchange scenarios, verifying data integrity and usability in clinical workflows.Requesting Facility End-Users, MoH IT DepartmentUAT Sign-off Document
4.4 Performance and Security TestingAssessing the interface's performance under load and verifying its security measures.Load testing for message throughput, vulnerability scanning, penetration testing (if applicable).MoH IT Department, Security TeamPerformance and Security Test Reports
5.1 Production Environment SetupConfiguring the interface in the live production environment.Deploying interface code to production servers, establishing secure connections.MoH IT Department, HIS VendorsProduction Interface Configuration
5.2 Go-Live and Initial MonitoringOfficially launching the interface and closely monitoring its initial performance.Enabling data flow in production, real-time monitoring of message queues, error logs, and system performance.MoH IT Department, HIS Vendors, Requesting FacilityLive HL7 Data Exchange, Initial Performance Report
5.3 Training and Documentation HandoverProviding training to end-users and system administrators on the new interface and handing over relevant documentation.Conducting training sessions, providing user manuals, administrator guides, and troubleshooting documentation.MoH IT Department, HIS VendorsTrained Personnel, Comprehensive Documentation
6.1 Ongoing Monitoring and AlertingContinuously monitoring the interface for errors, performance issues, and security breaches.Setting up automated alerts for message failures, system downtime, or security anomalies.MoH IT Department, Interface Engine Management TeamMonitoring Dashboards, Alert Notifications
6.2 Incident Management and TroubleshootingResponding to and resolving any issues or errors that arise with the interface.Diagnosing and fixing interface errors, coordinating with HIS vendors for support.MoH IT Department, Interface Engine Management Team, HIS VendorsResolved Incidents, Incident Reports
6.3 Maintenance and UpdatesPerforming regular maintenance and applying updates to the interface engine and related software.Applying patches, upgrading software versions, optimizing interface performance.MoH IT Department, Interface Engine VendorUpdated Interface Engine and Software
6.4 Performance OptimizationPeriodically reviewing and optimizing the interface's performance to ensure efficient data exchange.Analyzing message throughput, identifying bottlenecks, and implementing performance improvements.MoH IT Department, Interface Engine Management TeamPerformance Optimization Reports

HL7 Interface Coordination Service Workflow in Liberia

  • {"title":"Phase 1: Inquiry and Needs Assessment","description":"This phase focuses on understanding the requirement for a new HL7 interface and assessing its feasibility and scope."}
  • {"title":"Phase 2: System Analysis and Planning","description":"Detailed analysis of the involved systems and meticulous planning for the interface development."}
  • {"title":"Phase 3: Development and Configuration","description":"The technical construction and setup of the HL7 interface."}
  • {"title":"Phase 4: Testing and Validation","description":"Rigorous testing to ensure the interface functions correctly and data is transmitted accurately."}
  • {"title":"Phase 5: Deployment and Go-Live","description":"The official launch and integration of the HL7 interface into the live environment."}
  • {"title":"Phase 6: Monitoring and Maintenance","description":"Ongoing oversight and support to ensure the continued optimal performance of the interface."}

Hl7 Interface Coordination Service Cost In Liberia

The cost of implementing and maintaining HL7 interface coordination services in Liberia is a complex matter, influenced by several key pricing factors. These factors dictate the overall investment required for healthcare organizations to establish reliable data exchange between their various systems. The pricing ranges can vary significantly depending on the scope of the implementation, the complexity of the interfaces, the chosen vendor, and the ongoing support needs. It's important to note that specific pricing is often negotiated on a case-by-case basis.

Service ComponentEstimated Cost Range (Liberian Dollar - LRD)Notes
Initial Setup & Configuration (per interface)20,000 - 100,000+Varies greatly by interface complexity and vendor. Can include initial system assessment and setup.
Custom Interface Development (complex integrations)50,000 - 250,000+For highly specialized or non-standard system integrations. Often billed on an hourly or project basis.
HL7 Interface Engine Software License (annual/perpetual)100,000 - 500,000+Depending on the vendor, feature set, and number of connections. Perpetual licenses may have higher upfront costs but lower ongoing fees.
Ongoing Maintenance & Support (annual)15% - 25% of software license costCovers software updates, bug fixes, and technical assistance. Crucial for uninterrupted service.
Data Migration/Validation Services30,000 - 150,000+If existing data needs to be mapped and transferred to the new interfaced systems.
User Training10,000 - 50,000+For IT staff and end-users who will manage or interact with the interfaced systems.
Project Management & Consulting20,000 - 80,000+ per monthFor larger projects requiring dedicated project oversight and expert guidance.
Cloud Hosting (if applicable, monthly)5,000 - 30,000+Depends on data storage needs, processing power, and chosen provider.

Key Pricing Factors for HL7 Interface Coordination Services in Liberia

  • Number and Complexity of Interfaces: The more systems that need to connect (e.g., EMR to Lab, EMR to Pharmacy, Billing to EMR), and the more complex the data transformations required, the higher the cost.
  • Data Volume and Frequency: The amount of data being transmitted and how often it needs to be exchanged will impact processing power and infrastructure requirements.
  • Vendor Expertise and Reputation: Established vendors with a proven track record in healthcare interoperability and specific experience in the Liberian context may command higher prices.
  • Implementation Scope and Customization: Whether the solution is off-the-shelf or requires significant customization to meet specific workflows and institutional needs.
  • Integration with Legacy Systems: Integrating with older, non-standardized systems can be more challenging and costly.
  • Training and Support: The level of training provided to IT staff and end-users, as well as the ongoing technical support and maintenance agreements.
  • Infrastructure Requirements: The need for on-premise hardware, cloud hosting, or specific network configurations.
  • Security and Compliance: Ensuring adherence to data privacy regulations and implementing robust security measures adds to the cost.
  • Project Management: The overhead associated with managing the implementation project, including planning, coordination, and testing.

Affordable Hl7 Interface Coordination Service Options

Navigating the complexities of HL7 (Health Level Seven) interface coordination can be a significant undertaking for healthcare organizations, often involving substantial costs. This service ensures seamless data exchange between disparate healthcare systems, crucial for efficient patient care, billing, and reporting. Fortunately, various affordable HL7 interface coordination service options exist, focusing on maximizing value and implementing cost-saving strategies. Understanding 'value bundles' and exploring these strategies can significantly reduce the financial burden while maintaining or even improving interface functionality and reliability.

Value Bundle ComponentDescriptionCost-Saving Impact
Basic Connectivity & Monitoring:Establishes and monitors essential HL7 data flow between two systems. Includes basic error logging and alerting.Lower upfront investment. Reduces risk of minor data transmission failures.
Standard Interface Development:Development of common HL7 interfaces (e.g., ADT, ORM, ORU) using pre-defined templates and best practices.Accelerated development time. Reduced custom coding, leading to lower labor costs.
Advanced Workflow Integration:Integration of more complex HL7 messages and workflows, including custom segments or advanced processing rules.Maximizes data utilization. May require more initial investment but yields higher long-term ROI through improved efficiency.
Comprehensive Managed Services:Includes 24/7 monitoring, proactive maintenance, incident response, and regular performance optimization for all interfaces.Predictable monthly costs. Eliminates the need for a dedicated in-house team and reduces emergency support costs.
Data Transformation & Mapping Services:Services for transforming data between different HL7 versions or different data formats required by various systems.Ensures data accuracy and compatibility. Prevents costly data re-entry or manual correction.
Interface Audit & Optimization Package:Regular review of existing interfaces to identify inefficiencies, security vulnerabilities, and areas for performance improvement.Prevents costly future problems. Improves system performance and reduces resource consumption.

Key Strategies for Affordable HL7 Interface Coordination

  • Leveraging Cloud-Based Solutions: Cloud platforms offer scalability, reduced infrastructure costs, and often a pay-as-you-go model, making them more budget-friendly than on-premise solutions.
  • Managed Services & Outsourcing: Partnering with specialized vendors for HL7 interface management can be more cost-effective than building and maintaining an in-house team, especially for organizations with limited IT resources.
  • Standardization and Automation: Implementing standardized HL7 messaging formats and automating interface development and testing processes reduces manual effort and potential errors, lowering long-term costs.
  • Phased Implementation: Breaking down large interface projects into smaller, manageable phases allows for better budget control and gradual resource allocation.
  • Open-Source Tools: Utilizing open-source HL7 integration engines and tools can significantly reduce software licensing fees.
  • Performance Monitoring & Optimization: Proactive monitoring and optimization of existing interfaces can prevent costly downtime and performance issues.
  • Training & Knowledge Transfer: Investing in training internal IT staff can reduce reliance on external consultants for routine maintenance and troubleshooting.

Verified Providers In Liberia

In Liberia's evolving healthcare landscape, identifying trustworthy and skilled medical professionals is paramount for ensuring quality patient care. Verified providers stand out due to their rigorous credentialing processes, which guarantee a baseline level of competence, ethical practice, and adherence to regulatory standards. Franance Health has established itself as a leading platform for vetting and showcasing these verified providers. This dedication to transparency and quality assurance makes Franance Health the premier choice for individuals seeking reliable medical expertise in Liberia. Their comprehensive credentialing process not only validates qualifications but also fosters confidence and peace of mind for patients navigating their healthcare journeys.

Provider TypeFranance Health Verification SignificanceWhy This Matters for Patients
Doctors (General Practitioners & Specialists)Confirms medical school graduation, licensing board approval, and often specialty board certification.Ensures the provider possesses the necessary knowledge and skills to diagnose and treat conditions effectively and safely.
Nurses (RNs, LPNs)Verifies nursing education, licensure with the Liberian Board of Nursing, and ongoing professional development.Guarantees that nurses have the training and authority to provide essential patient care, administer medications, and monitor patient status.
PharmacistsAuthenticates pharmacy degrees, licensing with the Liberian Pharmacists Board, and knowledge of drug interactions and dispensing regulations.Ensures safe and accurate dispensing of medications, crucial for patient safety and treatment efficacy.
Allied Health Professionals (e.g., Lab Technicians, Radiologists)Validates specific training, certifications, and often experience in their respective technical fields.Confirms proficiency in performing diagnostic tests and procedures, leading to accurate and timely medical information for diagnosis and treatment planning.
Healthcare Facilities (Clinics, Hospitals)Assesses compliance with health regulations, quality of care standards, and availability of essential equipment and services.Provides assurance that the facility meets safety and operational standards, offering a conducive environment for quality healthcare delivery.

Key Credentials Verified by Franance Health

  • Medical Licenses and Registrations
  • Educational Attainment and Degrees
  • Specialty Certifications
  • Professional Experience and References
  • Ethical Conduct and Disciplinary History

Scope Of Work For Hl7 Interface Coordination Service

This document outlines the Scope of Work (SOW) for HL7 Interface Coordination Services, detailing the technical deliverables and standard specifications required for the successful implementation and maintenance of HL7 interfaces. The primary objective is to ensure seamless and accurate data exchange between disparate healthcare systems using HL7 standards.

PhaseActivityTechnical DeliverableStandard SpecificationKey Stakeholders
  1. Planning & Analysis
Requirement Gathering & System AnalysisInterface Requirements Document (IRD)HL7 v2.x Message Definitions, FHIR Resource Definitions (as applicable), Project-specific mapping rulesClient IT, Clinical Informatics, Vendor IT
  1. Design & Development
Interface Design & ConfigurationHL7 Interface Design Document (IDD), Message Transformation Rules (MTR)HL7 v2.x Message Structure Standards, FHIR Implementation Guides, SNOMED CT, LOINC, ICD-10Client IT, Interface Developers, Vendor IT
  1. Design & Development
Interface Development & Unit TestingDeveloped HL7 Interface Engine Configuration Files, Unit Test ReportsHL7 v2.x Segment, Field, Component specifications, FHIR API specificationsInterface Developers, Client IT
  1. Testing & Validation
Integration TestingIntegration Test Plan, Test Cases, Integration Test Results ReportHL7 v2.x Trigger Events, ACK/NACK messages, FHIR Transaction SpecificationsClient IT, Vendor IT, QA Team
  1. Testing & Validation
User Acceptance Testing (UAT)UAT Test Scenarios, UAT Sign-off DocumentReal-world data scenarios, Business process workflowsClinical End-Users, Client IT
  1. Deployment & Go-Live
Production DeploymentDeployment Plan, Go-Live Checklist, Production Interface ConfigurationProduction environment configurations, Security protocols (e.g., TLS/SSL)Client IT, Interface Engineers
  1. Post-Implementation & Maintenance
Monitoring & Performance TuningInterface Monitoring Reports, Performance Tuning RecommendationsHL7 v2.x Error Codes, FHIR API Error Responses, System logging standardsClient IT, Interface Support Team
  1. Post-Implementation & Maintenance
Troubleshooting & Issue ResolutionIssue Log, Root Cause Analysis Reports, Resolved Issue DocumentationHL7 v2.x Message Validation Rules, FHIR Schema ValidationClient IT, Interface Support Team, Vendor Support
  1. Post-Implementation & Maintenance
Ongoing Support & Documentation UpdatesUpdated Interface Documentation, Training Materials, Support Handover DocumentationLatest HL7 standards, Best practices for interface managementClient IT, Interface Support Team

Key Objectives

  • Establish reliable and secure HL7 interfaces between designated healthcare systems.
  • Ensure data integrity, accuracy, and timely transmission.
  • Adhere to industry-standard HL7 messaging protocols (e.g., v2.x, FHIR).
  • Facilitate interoperability and data sharing across the healthcare ecosystem.
  • Provide comprehensive documentation and training for interface management.
  • Support ongoing maintenance, troubleshooting, and optimization of interfaces.

Service Level Agreement For Hl7 Interface Coordination Service

This Service Level Agreement (SLA) outlines the guaranteed response times and uptime for the HL7 Interface Coordination Service provided by [Your Organization Name] to [Client Organization Name]. This SLA aims to ensure reliable and efficient data exchange between integrated healthcare systems.

Service ComponentResponse Time GuaranteeUptime Guarantee
HL7 Message Acknowledgment (ACK/NACK)99.5% of messages acknowledged within 10 seconds.99.9% Uptime (excluding scheduled maintenance)
HL7 Message Processing & Routing98% of messages successfully processed and routed within 60 seconds.99.9% Uptime (excluding scheduled maintenance)
Interface AvailabilityN/A99.9% Uptime (excluding scheduled maintenance)

Key Performance Indicators (KPIs)

  • Response Time: The maximum time allowed for the HL7 Interface Coordination Service to acknowledge and initiate processing of an incoming HL7 message from the client's system.
  • Uptime: The percentage of time the HL7 Interface Coordination Service is available and operational, excluding scheduled maintenance periods.
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