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BizTalk HL7 Interview Questions

& Answers?
Question 1 : What is HL7?
Answer : Health Level Seven or HL7 refers to a set of international standards for transfer of
clinical and administrative data between software applications used by various healthcare
providers. 
Question 2 : What is the difference between HL7 version 2 (V2) and HL7 version 3 (V3)?
 Answer :
HL7 version 2 :

 Not “Plug and Play” – it provides 80 percent of the interface and a framework to
negotiate the remaining 20 percent on an interface-by-interface basis
 Historically built in an ad hoc way because no other standard existed at the time
 Generally provides compatibility between 2.X versions
 Messaging-based standard built upon pipe and hat encoding

HL7 version 3 :
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 Approaching “Plug and Play” – less of a “framework for negotiation”
 Many decades of effort over ten year period reflecting “best and brightest” thinking
 NOT backward compatible with V2
 Model-based standard built upon Reference Information Model (RIM) provides
consistency across entire standard

Question 3 : What are Z segments?

Answer : Z segments contain clinical or patient data that the HL7 Standard may not have
defined in other areas. Essentially, it is the “catch all” for data that does not fit into the HL7
Standard message definitions. Z segments can be inserted in any message at any time, and Z
segments can carry any data you want. In HL7 messaging, all Z segments within it start with
the letter “Z”. Z segments are one of the reasons why the HL7 Standard is sometimes called
the flexible standard. The HL7 Standard is a framework for negotiation, and Z segments is an
area ripe for negotiation between healthcare vendors and systems.
Question 4 : What does BTAHL72VXCommon project contain?
Answer : It contains Schema for MSH segent and HL7 acknowledgements.
Question 5 : What does BTAHL7231common project contain?
Answer : It contains the definitional schema referred to by all version 2.31 message
schemas.
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Question 6 : Is it required to specify schema per pipeline?

Answer : Unlike default flat file DASM that BizTalk server provides, the HL7 does not require
that a schema be specified per pipeline.
Question 7 : Is it mandatory to configure party for HL7?
Answer : Yes, you need to add a party for each application that sends data into BizTalk
server.
Question 8 : When does DASM generate acknowledgements?
Answer : If configured for Acknowledgement or if MSH.15 and MSH16 request them, the
DASM generates one or more acknowledgements.
Question 9: What consideration is to be taken while dealing with MSH entries?
Answer : Entries in MSH are case sensitive.
Question 10: HL7 accelerator runs in which mode?
Answer : HL7 accelerator runs only in 32-bit mode. (64-bit support is available in BizTalk
2013).
Question 11: Can we alter the namespace in the MSH schema?
Answer: We can, but do not alter because the HL7 parser only looks for single MSH, the
standard one that the HL7 accelerator provides.
Question 12: Can we override values in the MSH segment of the outgoing message?
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Answer: Yes, it is possible to override certain field values in MSH segment of outgoing
message.
Question 13: Why is it required to have party configured?
Answer: The HL7 parser is designed to check the party configuration for each HL7 message.
It reads the MSH.3 and checks for whether a party has been defined. If it has then HL7
parser follows the configuration supplied via HL7 configuration explorer.
Question 14: What is the difference between BTAHL72XReceive and BTAHL7XMLReceive?
Answer: Both are used to receive HL7 message but former one used to receive HL7 message
as flat file and later one to receive HL7 message as XML.
Question 15: What are the acknowledgement types defined by HL7?
Answer: The ACK code is found in the MSA-1 field of the ACK message. The following codes
are supported by HL7:
1. AA – Application Accept
2. AE – Application Error
3. AR – Application Reject

Question 16: what is a distinguished field in BizTalk server?

Answer : A pipeline is required to write Distinguished Field in the message when it is being
received on a port. Dis-assembler pipeline component such as XML and flat file disassemble
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does the task of writing the message context by the pipeline. In addition to it, custom
pipeline component might be performing the task too.
Question 17: Tell me the difference between Routing and Content Routing?
Answer: Message routing is a technique of passing through BizTalk without being processed,
whereas content routing is the technique of the message which is based on certain field
value of the schema.
Question 18: What is BizTalk Server Convoy and correlation sets?
Answer: BizTalk server detects the potential for specific race conditions, which ensures that
all correlated messages are received by the same orchestration instance. The potentiality of
these race conditions is sensed by BizTalk server. These messages are treated as a convoy.
All such messages which match with the general subscription are evaluated against the
convoy set and the matched convoys are routed through an existing port.
Question 19 : Explain me what does BizTalk provide?
Answer : BizTalk provides cost effectiveness in organizational operations. When used in
internal IT projects and can be used in externally focused solution too.
Question 20 : Tell us what is a trading partner management in BizTalk?
Answer : Information workers manage trading partner relations within organizations.
Business Activity Services include a Trading Partner Agreement Component to allow them to
3 do accordingly. TPM databases preserves information about trading relations. Information
workers create and modify the agreements with trading partners who use BizTalk Server.
Question 21 : Do you know BizTalk Servers rules Engine?
Answer : A rules engine is a software system which is used for executing one or more
business rules in a dynamic production environment. The rules might be from legal;
regulations, company policies or any other resources.
Question 22 : Tell us HL7 accelerator runs in which mode?
Answer : HL7 accelerator runs only in 32-bit mode. (64-bit support is available in BizTalk
2013).
Question 23 : Explain me what is the message type in BizTalk server?
Answer : Messages in BizTalk are data and each message must be of a selected message
type. E-Mail, Documents, Info-Paths form, large binary files, SQL records, flat files and
anything XML can be processed as messages. BizTalk is all about messages and message
oriented programming. The most common message type in BizTalk is a schema.
Question 24 : Tell us can we override values in the MSH segment of the outgoing
message?
Answer : Yes, it is possible to override certain field values in MSH segment of outgoing
message.
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Question 25 : Explain me how to use message types?

Answer : 1. Right click messages in the orchestration View Tab to create a new message,
you have four choices for the Message Type Property
2. Expand Multi- Part Message type’s and then choose Create New Multipart Message Type.
3. Name your Multipart message type and then expand it so that you can see its message
part_1 member.
4. Set the Message Body Part property to true so that it acts just like a regular message.
Question 26 : What are the persistence points?
Answer :
1. The procedure of saving your running orchestration states ate certain point is called
persistence. 2. Orchestration Engine persist a running instance which is based on the design
of orchestration.
3. There are few events or stages which triggers the persistence operation called persistence
points.
Question 27 : Tell us the different Components of BizTalk server?
Answer :

4 Following are the different components of BizTalk server.

1. Receive Port – Listening Messages
2. Adapters – Interchanging Information with External Systems.
3. Pipeline, Dissembler and subcomponents.
4. Message –Box – Internal XML messages published and consumed by users.
5. BizTalk orchestration Engine - Processes internal XML messages and republishes them to
message box.
6. Send Port – Consumes internal XML messages, converts them to wire messages by the
connected pipeline and assembler.
7. Adapter – Conveys wire messages to the target.
Question 28 : Do you know what consideration is to be taken while dealing with MSH
entries?
Answer : Entries in MSH are case sensitive.
Question 29 : Tell me is it mandatory to configure party for HL7?
Answer : Yes, you need to add a party for each application that sends data into BizTalk
server.
Question 30 : Tell us differences between BizTalk server and Web services?
Answer : 1. BizTalk is a service while a Web service is standard for ethical practice.
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2. BizTalk is a services rendered by Microsoft whereas Web Services is developed by many

organizations.
3. BizTalk is an application built for an enhancing the efficiency of an organization’s internal
operations, whereas Web services are small application using UDDI so that general users
may access them as and when they are in need.
4. A service like BizTalk is empowered by Web services, whereas Web services are a neutral
platform.
Question 31 : What is Content Based Routing?
Answer : Content based Routing offers the flexibility for users who prefer to route messages
based on envelope or on receive port configuration properties. Routing can be carried out
based on information contained in the envelope of the file or even configuration
information from the receive location. Any BizTalk server business process involves
receiving, processing and sending messages. Some messages do not require intensive
processing in orchestration. They can benefit from an effortless and efficient solution better
known as Content based routing.
Question 32 : Do you know what is the difference between BTAHL72XReceive and
BTAHL7XMLReceive?
Answer : Both are used to receive HL7 message but former one used to receive HL7
message as flat file and later one to receive HL7 message as XML.
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Question 33: Explain me is it required to specify schema per pipeline?
Answer : Unlike default flat file DASM that BizTalk server provides, the HL7 does not require
that a schema be specified per pipeline.
Question 34: Tell us what is the purpose of BAM in BizTalk Server?
Answer : Purpose of deriving up-to-date metrics and key performance indicators from BAM
databases, Business integration tools are used. The forecasting of process trends by uses
and monitors processes in real time scenario is done by using BI tools. Users get alerts for
situations which need their intervention for preventing undesirable outcome for
encouraging beneficial results, a mechanism is provided by BAM.
Question 35: Tell us when does DASM generate acknowledgements?
Answer : If configured for Acknowledgement or if MSH.15 and MSH16 request them, the
DASM generates one or more acknowledgements.
Question 36: Do you know what is BizTalk server 2000?
Answer : BizTalk server 2000 is based on the BizTalk framework. It provides the
infrastructure and tools to enables B2B e-commerce integration.
Question 37: Please explain what is promoted property in BizTalk Server?
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Answer : The promotional of prompted fields properties is done in the message context by a
pipeline called receive pipeline at the time when a message is received on a port. This task is
performed by dis-assembler pipeline component (XML or a flat file dis-assembler) In
addition to it; custom pipeline component could also be performing it.
Question 38: Explain me what is BAM in BizTalk Server?
Answer : Business data and process milestones are captured by Business Activity Monitoring
system which is a module in Biz Talk. Business decision makers are allowed by BAM for
gaining insight for their in-flight process.
Question 39: Tell me what is message type in BizTalk server?
Answer : BizTalk sets a message context property called BTS Message Type. This is a
concentration of the document name space and Rot Node Name in other words Message
Type is a BizTalk system property that is promoted inside a Pipleine. It is made up of
Documents Name Space and Root Node Name.
Question 40: Do you know what is BizTalk business process configuration?
Answer : We can set parameters for an orchestration that implements a business process,
which professional analysts might not be able to create, as they are used to practice with
traditional methods. Parameters for creating an orchestration can be defined to enable
developers to configure it. An information worker sets the parameters using TPM services
by specifying their values in the agreement.
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Question 41: Do you know what BizTalk enables for organizations?
Answer : BizTalk enables large scale organizations to integrate and operate business
procedure by exchanging business documents between applications across the
organizational boundaries.

Question 42: Please explain what is direct Binding in Biz Talk Server?
Answer : Direct Binding is the process through which messages are sent from one
orchestration to another. It is also utilized for sending messages into the message box. It is
indispensable in the Microsoft’s publish and subscribe system in BizTalk for sending
messages amongst orchestration.
Question 43: Tell us can we alter the namespace in the MSH schema?
Answer : We can, but do not alter because the HL7 parser only looks for single MSH, the
standard one that the HL7 accelerator provides.

Useful blogs to read latest news or updates about HL7:

1. https://blog.hl7.org/
2. https://datica.com/blog/
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3. https://blogs.perficient.com/tag/hl7/
4. https://hl7onlinetraining.blogspot.com/

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