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HL7 is processed in OpenMRS using the w:HAPI library. HAPI is able to parse any valid hl7 v2.5 message. In order to get the parsed message into the openmrs schema, you must register an hl7 handler.
As of version 1.6.0 build 10516, a module can register its own custom hl7 handlers.
Add a bean like this anywhere in your module's moduleApplicationContext.xml file.
<bean factory-method="getInstance"> <property name="HL7Handlers"> <map> <entry key="ADR_A19"><bean/></entry> <entry key="XXX_YYY"><bean/></entry> </map> </property> </bean>