Teleconsultation
All operations connected to a teleconsultation appointment can be automated through the flows exchanged between the facility and Rofim. The diagram below shows the possible exchanges and how they are sequenced.
Appointment Lifecycle
Data | Value |
|---|---|
Supported format |
|
Supported inbound messages |
|
Message type |
|
API endpoint |
This interface injects appointments and patients into Rofim. You can also reschedule or cancel an appointment.
When anSIU 12message is received for an unknown patient, the patient record is created automatically. There is therefore no need to implement animsflow to handle TC appointments and patient creation.
You cannot change the physician for an already scheduled appointment. Cancel the appointment and create a new one instead.
Patient demographics data
Fields not described in this section must follow the definitions provided in the Patient data / ims flow.
For teleconsultation appointments, the patient's phone number is required at minimum. To reduce the no-show rate, we recommend also sending the email address.
Visit data
Fields not described in this section must follow the definitions provided in the Visit data flow.
Appointment data
The table below lists the key data needed when booking the appointment:
| Data | Field | Format | Required | Notes |
|---|---|---|---|---|
| API key | MSH 4.1 | String | Conditional | Required when messages are collected via SFTP. |
| Physician identifier (RPPS) | AIP.3.1 | String | Conditional | Physician performing the teleconsultation. Use the value in AIP.3.1 when AIP.3.13='RPPS'. This field is required if AIL.3.9 is missing. |
| Department or service | AIL.3.9 | String | Conditional | Department in charge of teleconsultations. Required if the physician identifier is missing. |
| Appointment ID | SCH.2.1or SCH.1.1 | String | Yes | Hospital-side unique appointment identifier. Use this value in subsequent calls to refer to the appointment. Use the value in SCH.2.1 when SCH.1.1is empty, else use SCH.1.1 |
| Appointment start date | SCH.11.4 | Date/Time | Yes | Appointment date and time in HL7 Time Stamp format. If no timezone is provided, the timezone defaults to UTC. The appointment date must be in the future. |
| Appointment reason | AIS.3.1 | String | No | |
| Venue ID/IEPO | PV1.19.1 | String | No | The venue number (stay number) can be updated later via an SIU 13 or SIU 14 message. Useful for billing. |
WhenAIL.3.9is provided, the appointment is created for the corresponding department (not for a specific physician). Any physician in that department can then conduct the teleconsultation.
Message examples
MSH|^~\&|Dx Care^1.2.250.1.38.3.1.101^ISO||||20250327111205||SIU^S12|86009336|P|2.5|||||FRA|8859/1
SCH||5107514^DXPLANNING||||APT|||||1^MIN^20^202503281900||||7040^^^00001^^N|||||||||35334499^DXPLANNING
PID|||110307050^^^HOPITAL SAINT-JOSEPH&750000523&M^PI~1440494052032^^^^NNFRA~DXP0476146^^^DX_TEMPORY&DX_TEMPORY&PI^PI||TESTOC^PRENOM^^^^^D~TESTOC^PRENOM^^^^^L||19440201|M|||185 RUE R LOSSERAND^^PARIS 14^^75014^FRA||01 44 12 72 72^PRN^PH^^^^^^^^^01 44 12 72 72~0661761731^PRN^CP^^^^^^^^^0661761731~^NET^Internet^[email protected]^^^^^^^^[email protected]||||||||||Non renseigne|||||||||VALI
RGS|1
AIS|1|A|TELEANEPROCTO^TC ANESTHESIE TELECONSULTATION PROCTO^1|202503281900|202503281900||20|MIN|||1^I^L
AIL|1|A|ANEST^^^00001^^D^^^660294d13d888514c58d2b64|E
AIP|1|A|^ANESTH^PROCTO1^^^^^^ASIP-SANTE-PS&1.2.250.1.71.4.2.1&ISO^D^^^RPPS|M
ZDX|||E^ExterneTODOTODOMSH|^~\&|590780193|CLE_API_SI_SFTP|ROFIM|ROFIM|||SIU^S15|23297190|P|2.4||||||8859/1
SCH||19496254|1|||^Suppression de RDV|||||1^^001500^20250527113500^20250527115000^^^2~~~~~||||^|05000000000^ROFIMTEST^Le Docteur Helène ROFIM Test|||TEST|01689236^TEST Thomas|||||^BOOKED|23297190
PID|||500352170^MCK^^^PI||TEST^ROFIM^^^^^L||20000501|F|||1 RUE DU TEST ROFIM ^^LILLE^^59000^FRA||~~^NET^Internet^[email protected]|||U||700010548^MCK
PV1||O|||||||||||||VA||||700010548^MCK
RGS|1
AIS|1||CTL_SUIVI^une teleconsultation test ROFIM
AIL|1||TEST^^^^^^^^UF DE TEST|D^DEPARTMENT
AIP|1||05000000000^ROFIMTEST^Le Docteur Helène ROFIM test^^^^^^^^^^RPPSSending prescriptions to Rofim
| Data | Value |
|---|---|
| Supported format | HL7 2.5 to HL7 2.7 |
| Supported inbound messages | MDM or ORU |
| Message type | POST |
| API endpoint | base_url/tc/prescription |
When the full workflow is driven from the hospital EHR (DPI), you can automate the addition of a prescription to the teleconsultation.
The document is then attached to the teleconsultation, and the patient is notified that a new document is available.
Documents are added to the appointment whose appointment ID matches the PV1.50.1 field.
Key data
Data | Field | Format | Required | Notes |
|---|---|---|---|---|
Appointment ID |
| String | Yes | Teleconsultation appointment identifier. Must match the |
Patient IPP/Patient ID |
| String | Yes | Use |
File |
| String | Yes |
|
|
| String | Yes | Not used. |
|
| String | Yes | Must be set to |
|
| String | Yes | Must be set to |
|
| String | Yes | Must be set to |
Unique document identifier |
| String | No | Uniquely identifies the document and lets you overwrite an earlier version. |
Message example
MSH|^~\&|T703^703^FINEJ|T703^703^FINEJ|Dx Care^1.2.250.1.38.3.1.101^ISO|HUS^670000025^FINEJ|20250324155531||MDM^T02^MDM_T02|109613093|P|2.7|||||FRA|8859/15|FRA
EVN||20250324155502
PID|1||111302354^^^HOPITAL&750000111&M^PI~DXP2172125^^^DX_TEMPORY&DX_TEMPORY&PI^PI~258049935106652^^^NIRC&NIRC&NIRC^NIRC||CO^DEE^^^^^L~EZS^EDE^^^^^D||456759|F|||1-3 RUE ^^PARIS 19^^75019^FRA^H^^75119~^^^^^TUN^BDL^^|||||||725178046^^^HOPITAL&750000111&M||||||||||||||VALI
PV1|1|U||||||||||||||||||||||||||||||||||||||||||||||||6157953725178046^^^HOPITAL&750000111&M
TXA|1|COURR|AP|||202503241554||202503241555|dupond^Name^Surname^^^^^^^^^^EI||dupond^Name^Surname^^^^^^^^^^EI|25/3456/^Dx Care^1.2.250.1.38.3.1.101^ISO|||||AU||AV|||24712|||Prescription
OBX|1|RP|COURR^Prescription||^Application^PDF^Base64^JVBERi0xLjQNCiXIycrLDQo2IDAgb2JqDQo8PC9UeXBlIC9QYWdlL1BhcmVudCAzIDAgUi9Db250ZW50cyA3IDAgUi9NZWRpYUJveCBbMCAwIDU5NS4yOTk5ODc3OSA4NDEuOTAwMDI0NDFdL1Jlc291cmNlczw8L0ZvbnQ8PC9GQUFBQUogOSAwIFIvRkF......DBFMDc2ND48RTMyNUEyNjU5MkJGQ0Q0MEJGRUUzNjg4RUQwRTA3NjQ+XT4+DQpzdGFydHhyZWYNCjEyMDAxNw0KJSVFT0YNCg==~file:///C:\E\test_0.pdf||||||F|||202503241554||dupond^Name^Surname^^^^^^^^^^EI|||||||CX PNEUMO^^^^^&750000111&M^UF^^^7014Retrieving patient questionnaires
| Data | Value |
|---|---|
| Supported format | HL7 2.7 |
| Supported outbound messages | MDM or ORU |
| Message type | GET |
| API endpoint | base_url/tc/form/retreive |
This connector retrieves the questionnaires completed by the patient before the teleconsultation. Only questionnaires that are completed and sealed by the patient are sent.
Reports are delivered as an XML file containing all HL7 messages encoded in base 64. The XML format is shown below:
<message>
<content>HL7 ORU or MDM #1 encoded in B64</content>
<content>HL7 ORU or MDM #2 encoded in B64</content>
<content>HL7 ORU or MDM #3 encoded in B64</content>
...
</message>The MDM or ORU message contains the questionnaire PDF encoded in base 64, together with business metadata that simplifies processing on the EHR side. The key fields are described below.
Localization
Examples include French-specific phone numbers, addresses, and identifiers; adjust them to your local conventions if required.
Key data
Data | Field | Format | Required | Notes |
|---|---|---|---|---|
Patient IPP/Patient ID |
| String | Yes | |
Functional unit |
| String | Conditional | Not required to create the patient, but may be needed for report and billing flows. Can be updated later when acts (MDM, Referral, TC, TCA...) are created. |
Venue ID/IEPO |
| String | Conditional | Patient stay number. Not required for patient creation but may be needed for reports and billing. Can be updated later when acts (MDM, Referral, TC, TCA...) are created. |
Appointment ID |
| String | Yes | Teleconsultation appointment identifier. Must match the |
Unique document identifier |
| Structure | Yes | Questionnaires can be resent and updated for the facility. The
|
Message example
TODO
Retrieving documents uploaded by patients
| Data | Value |
|---|---|
| Supported format | HL7 2.7 |
| Supported outbound messages | MDM or ORU |
| Message type | GET |
| API endpoint | base_url/tc/doc/retreive |
This connector retrieves documents uploaded by the patient. MDM and ORU messages include a signed link that remains valid for 15 minutes so the facility can download the uploaded file.
Upon reception, the facility must fetch the file via an HTTP GET before the link expires.
The responses are returned as an XML file containing all HL7 messages encoded in base 64. The XML format is shown below:
<message>
<content>HL7 ORU or MDM #1 encoded in B64</content>
<content>HL7 ORU or MDM #2 encoded in B64</content>
<content>HL7 ORU or MDM #3 encoded in B64</content>
...
</message>Key data
Data | Field | Format | Required | Notes |
|---|---|---|---|---|
Patient IPP/Patient ID |
| String | Yes | |
Functional unit |
| String | Conditional | Not required to create the patient, but may be needed for report and billing flows. Can be updated later when acts (MDM, Referral, TC, TCA...) are created. |
Venue ID/IEPO |
| String | Conditional | Patient stay number. Not required for patient creation but may be needed for reports and billing. Can be updated later when acts (MDM, Referral, TC, TCA...) are created. |
Appointment ID |
| String | Yes | Teleconsultation appointment identifier. Must match the |
Unique document identifier |
| Structure | Yes | Documents can be resent and updated for the facility. The
|
Observation type |
| String | Yes | Set to |
File link |
| String | Yes | Signed link to the file. |
Message example
TODO
Accepted file types
Patients can upload files in the following formats:
video/mp4
video/quicktime
video/x-msvideo
video/x-ms-wmvThe maximum file size is 128 MB.
File sandboxing and security
Every file is scanned by Rofim's antivirus. However, the facility must protect itself against documents uploaded by patients by:
- Scanning files with an antivirus before storing them.
- Sandboxing how healthcare professionals open the file (to prevent
code/scriptexecution on their workstations).
Retrieving teleconsultation reports
| Data | Value |
|---|---|
| Supported format | HL7 2.7 |
| Supported outbound messages | MDM or ORU |
| Message type | GET |
| API endpoint | base_url/tc/report/retreive |
This connector retrieves the reports completed by the physician at the end of the teleconsultation.
Reports are delivered as an XML file containing all HL7 messages encoded in base 64. The XML format is shown below:
<message>
<content>HL7 ORU or MDM #1 encoded in B64</content>
<content>HL7 ORU or MDM #2 encoded in B64</content>
<content>HL7 ORU or MDM #3 encoded in B64</content>
...
</message>The MDM or ORU message contains the report PDF encoded in base 64, together with business metadata that simplifies processing on the EHR side. The key fields are described below.
Key data
Data | Field | Format | Required | Notes |
|---|---|---|---|---|
Patient IPP/Patient ID |
| String | Yes | |
Functional unit |
| String | Conditional | Not required to create the patient, but may be needed for report and billing flows. Can be updated later when acts (MDM, Referral, TC, TCA...) are created. |
Venue ID/IEPO |
| String | Conditional | Patient stay number. Not required for patient creation but may be needed for reports and billing. Can be updated later when acts (MDM, Referral, TC, TCA...) are created. |
Appointment ID |
| String | Yes | Teleconsultation appointment identifier. Must match the |
Unique document identifier |
| Structure | Yes | Reports can be resent and updated for the facility. The
|
Message example
TODO
Billing
This interface retrieves acts that have been performed and are ready for billing. Every new act completed since the previous call is returned.
| Data | Value |
|---|---|
| Supported format | HPRIM XML 1.04 or 2.1 |
| Supported outbound messages | HPRIM XML |
| Message type | GET |
| API endpoint | base_url/tc/billing/retreive |
Reports are delivered as an XML file containing all HPRIM XML messages encoded in base 64. The XML format is shown below:
<message>
<content>HPRIMXML #1 encoded in B64</content>
<content>HPRIMXML #2 encoded in B64</content>
<content>HPRIMXML #3 encoded in B64</content>
...
</message>Key data
TODO
Message example
<?xml version="1.0" encoding="UTF-8"?>
<message>
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</content>
</message>TODOUpdated 13 days ago