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I would like to attach a PDF file as the "result" for a LabDaq test and have it sent out through all the HL7 interfaces. The PDF file is not generated by LabDaq but rather added as an attachment. We see a way to select to have all attachments forwarded. However, we don't want to make a universal change for all attachments but rather a specific change for select attachments. For reference, the attachments are reference lab results.

Wa Hid
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You'll need to use the Mirth (Nextgen) Connect's Attachment Handler.

There's an overview on how to use it on the User Guide or on this blog post https://kailo.tech/health-it/mirth-connect-bits/mirth-connect-attachment-handler/

The blog post should explain how you can read a file and use the base64 string on an HL7 message.