Immediate Hiring
Position Overview
The HL7 Interface Engineer is responsible for the comprehensive management of healthcare interoperability solutions focusing on laboratory diagnostics data exchange. This specialist will design, develop, implement, monitor, and maintain HL7 interfaces between our Harvest Laboratory Information System (LIS) and various external healthcare systems including healthy systems, physician practice EHRs, reference laboratories, and insurance / billing platforms.
Key ResponsibilitiesLIS & Interface Administration
- Develop and maintain bidirectional HL7 v2.x interfaces (primarily v2.5.1) between Harvest LIS and diverse EMR / EHR systems (Epic, Cerner, Meditech, Allscripts, athenahealth, eClinicalWorks)
- Configure and map complex laboratory order codes (LOINC, CPT, proprietary codes) across systems to ensure accurate test ordering and resulting
- Implement customized interface solutions for specialized workflows, including reflexive testing, microbiology culture / sensitivity reporting, and genetic / molecular testing results
- Monitor interface message queues and resolve transmission errors within established SLAs (
- Manage complex interface routing logic based on message content (test type, physician, facility, insurance)
- Configure and maintain LIS system settings including :
Practice / Client configurations with customized requisition forms and result delivery preferences
Location hierarchies and specimen collection sites
User security profiles and role-based access control
Order choice dictionaries with associated billing codes and reference ranges
Mirth Connect & Secure Data Transfer Management
Serve as primary administrator for Mirth Connect Enterprise interface engine (version 4.1+)Design, develop, and deploy new Mirth channels using JavaScript for transformation logicOptimize existing Mirth channels for performance, scalability, and error recoveryConfigure custom channel destinations based on message content and business rulesImplement advanced message transformation between formats (HL7 v2.x, FHIR, XML, JSON, CSV, database)Develop specialized data handling for non-standard laboratory data (genetics reports, PDF documents)Create and maintain comprehensive channel documentation and configuration managementImplement high-availability configuration with active / passive Mirth nodes and automatic failoverConfigure secure data transfer protocols :Site-to-site VPN connections with healthcare partnersSFTP / FTPS servers with PGP encryption for batch transfersTLS-secured MLLP connections for real-time messagingREST and SOAP web service endpoints with OAuth2 authenticationMapper Script Development & Vendor Integration
Develop and optimize JavaScript mapper scripts for Harvest LIS and Mirth ConnectCreate custom mapper functions for specialized data transformation requirements :Complex specimen handling instructionsAnatomic pathology and cytology reportingResults with interpretive comments and abnormal flagsReference range management across different patient populationsDebug and optimize complex mapper logic to ensure data integrityDevelop quality assurance processes for interface deployments including test plans, validation protocols, and acceptance criteriaWork directly with EMR vendors to configure and troubleshoot integration pointsCoordinate with reference laboratories for outbound testing interfaces (LabCorp, Quest, Mayo Medical Laboratories)Manage interface specifications documentation and maintain accurate interface inventoryMonitoring, Maintenance & Support
Implement proactive monitoring of all interface channels with automated alertingDevelop custom dashboards for real-time interface performance metricsProvide 24 / 7 on-call support for critical interface issues (rotation schedule)Conduct regular interface audits to ensure data integrity and complianceParticipate in change management processes for all interface modificationsDevelop and maintain disaster recovery procedures for all interface systemsCreate and maintain comprehensive documentation for all interfacesTechnical RequirementsHL7 Interface Requirements
Message Types : Expertise implementing and troubleshooting specific laboratory message pairs :
ORM / ORU (Orders & Results) for routine laboratory testingOML / ORL for microbiology and specialized testingADT (A01, A04, A08) for patient demographics managementDFT for laboratory billing transactionsMDM for text reports and PDF document exchangeSegment Expertise : Advanced knowledge of laboratory-specific segments :
OBR (Observation Request) configuration for test orderingOBX (Observation Result) for discrete and formatted text resultsSPM (Specimen) for complex specimen handling requirementsNTE for comments and interpretive reportingPV1 / PV2 for patient encounter contextImplementation Experience :
Z-segment development for laboratory-specific data requirementsImplementation of LOINC, SNOMED, and CPT coding in interfacesManagement of abnormal flags, reference ranges, and critical value alertsComplex specimen identification and handling across systemsResults authentication and signature requirementsMirth Connect Requirements
Minimum 3+ years experience with Mirth Connect interface engine (v3.8 or higher)Advanced JavaScript programming for custom channel logic and transformationsExperience with Mirth Connect Enterprise features :Channel groups and dependenciesCode templates and librariesHigh-availability configurationEnhanced monitoring and alertingAbility to develop custom Mirth extensions as neededLaboratory Information System Experience
Prior experience with Harvest LIS preferred (minimum 2 years)Understanding of laboratory workflow including :Order entry and specimen accessioningResults review and release processesQuality control and regulatory requirementsBilling and coding for laboratory servicesExperience with laboratory instrumentation interfaces (Roche, Abbott, Beckman Coulter, Siemens)Additional Technical Skills
Network protocol knowledge (TCP / IP, HTTP / S, SSH, TLS)XML and JSON data structure expertiseREST API development and integrationSystem monitoring tools (Prometheus, Grafana)Version control systems (Git)Experience with secure healthcare data exchange protocolsQualifications
5+ years experience in healthcare interface developmentHL7 certification preferred (HL7 v2.x Specialist or equivalent)Mirth Connect certification preferredExperience with laboratory workflows and LIS systemsStrong problem-solving and analytical thinking skillsExcellent communication skills to work with technical and non-technical stakeholders