訓練教材 1

HL7 v3???????? : 

HL7 v3???????? HL7 Taiwan ?? ??? ??? sjvann@gmail.com HL7 Taiwan Google??: http://groups.google.com/group/hl7-taiwan ??????? Education Technical Committees ????:???????????????

HL7 v3 ???? : 

HL7 v3 ???? ???? HL7?? HL7 v3?? ????

???? : 

????

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4 ?? ??????? ????: OpenEMR Intro. 4

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5 ?? 5 ????: W. Ed Hammond, Ph.D.

????????? : 

????????? ?????????(record) ?????????(analyse) ????????? (share) 6 6 ?? ?????????????

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????? 120 80 120/80 120/80 mmHg (Systolic/Diastolic) ??!???????? ??,????Context and Content 130/90 Blood-pressure 7 ??,???????????,??????????

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???? ???? (Syntactic Aspect) ????????????????????? ???? (Semantic Aspect) ???????? ???? (Pragmatic Aspect) ?????????? ?????? V.S. ?????? ?!????????? 8

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???????? ??? ??? 9

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?? ???????????????? ????: Bentley Dittman, SYSTEMS ANALYSIS AND DESIGN METHODS, 5th Edition 10

????… : 

INTEROPERABILITY ????… 11

???INTEROPERABILITY : 

Semanticinteroperability Functionalinteroperability ???INTEROPERABILITY The ability of two or more systems or components to exchange information and to use the information that has been exchanged.” [IEEE Standard Computer Dictionary: A Compilation of IEEE Standard Computer Glossaries, IEEE, 1990] 12

HL7?? : 

HL7?? 1. HL7 2.X??

???? : 

???? ???? ??? ?? ?? 10/31/1965 ? 8/5/2000 12:30 PM ???WARD NO 8B MSH|^~\&|REGAMT|MCM|NURCAR||200005081232||ADT^A01|00001|P|2.3<CR> EVN|A01|200005081230||01||200005081230<CR> PID|||191919^^^GENHOSP|253763|?^??||19651031|M|||407^????^ ISHPEMING^???^49849^””^||(900)4855344|(900)4855344||S|C|10199925<CR> PV1||I|8B^06^01^???||||0200^JONES,GEORGE|0148^ADDISON,JAMES||8B|||||| ||0148^ANDERSON,CARL|||<CR> ???? ???? HL7 ?????? HL7 ???????

HL7 ???? (V2 and V3) : 

HL7 ???? (V2 and V3) “?????????????” ??????????????????????? 15

HL7 (Health Level Seven) : 

HL7 (Health Level Seven) ISO-OSI Communication Architecture Model 1 Physical 2 Data Link 3 Network 4 Transport 5 Session 6 Presentation 7 Application HL7 16

ISO-OSI (Open System Interconnection) : 

ISO-OSI (Open System Interconnection) 17

HL7 v3?? : 

HL7 v3??

????????V2 ??? : 

????????V2 ??? V2?????? V3 ??? ???????? ??????? ????? – ???? ???????????? ?????????????? ??,??????? ???????

An HL7 V2.3 Message : 

An HL7 V2.3 Message MSH|^~\&|LABGL1||DMCRES||199812300100||ORU^R01|LABGL1199510221838581|P|2.3|||NE|NE PID|||6910828^Y^C8||Newman^Alfred^E||19720812|M||W|25 Centscheap Ave^^Whatmeworry^UT^85201^^P||(555)777-6666|(444)677-7777||M||773789090 OBR||110801^LABGL|387209373^DMCRES|18768-2^CELL COUNTS+DIFFERENTIAL TESTS (COMPOSITE)^LN|||199812292128||35^ML|||||||IN2973^Schadow^Gunther^^^^MD^UPIN||||||||||^Once||||||CA20837^Spinosa^John^^^^MD^UPIN OBX||NM|4544-3^HEMATOCRIT (AUTOMATED)^LN||45||39-49||||F|||199812292128||CA20837 OBX||NM|789-8^ERYTHROCYTES COUNT (AUTOMATED)^LN||4.94|10*12/mm3|4.30-5.90||||F|||199812292128||CA20837 A sample results message

V3 XML Prototype - same data : 

<Labrs3P00 T="Labrs3P00"> <Labrs3P00.PTP T="PTP"> <PTP.primrPrsnm T="PN"> <fmn T="ST">Sample</fmn> <gvn T="ST">George</gvn> <mdn T="ST">H</mdn> </PTP.primrPrsnm> </Labrs3P00.PTP> <Labrs3P00.SIOO_L T="SIOO_L"> <SIOO_L.item T="SIOO"> <SIOO.filrOrdId T="IID">LABGL110801</SIOO.filrOrdId> <SIOO.placrOrdId T="IID">DMCRES387209373</SIOO.placrOrdId> <SIOO.InsncOf T="MSRV"> <MSRV.unvSvcId T="CE">18768-2</MSRV.unvSvcId> <MSRV.svcDesc T="TX">CELL COUNTS+DIFFERENTIAL TESTS (COMPOSITE)</MSRV.svcDesc> </SIOO.InsncOf> <SIOO.SRVE_L T="SRVE_L"> <SRVE_L.item T="SRVE"> <SRVE.name T="CE">4544-3</SRVE.name> <SRVE.svcEvntDesc T="ST">HEMATOCRIT (AUTOMATED)</SRVE.svcEvntDesc> <SRVE.CLOB T="CLOB"> <CLOB.obsvnValu T="NM">45</CLOB.obsvnValu> <CLOB.refsRng T="ST">39-49</CLOB.refsRng> <CLOB.clnRlvnBgnDtm T="DTM">199812292128</CLOB.clnRlvnBgnDtm> </SRVE.CLOB> <SRVE.spcmRcvdDtm T="DTM">199812292315</SRVE.spcmRcvdDtm> </SRVE_L.item> </SIOO_L.item> </Labrs3P00.SIOO_L> </Labrs3P00> V3 XML Prototype - same data

Version 3 ?? : 

Version 3 ?? ?????????????? ???????????? ????????? ???? “plug and play”??

HL7 v3?????? : 

HL7 v3?????? ???????????????????,????????????????? ?????????????????? ???????????,???????????????? ????UML????????

HL7 v3 ???? : 

HL7 v3 ???? http://www.hl7.org/v3ballot/html/index.htm ????? ?????

January 2009 ?? : 

January 2009 ??

Slide 26: 

???????,?????:Version 3 Guide ??????,???????v3?,???????????????: Reference Information Model(????????) Data Types:Abstract(???R2???????) Vocabulary(??????,??????) ??????????????????,??IT???????????2.x?????? ????????????????XML?UML?V3??????????????,?????,???????,????? ??????????????,??SOA?????,????? ????????,????????,???????????????? ?????????????2.x?????????????????? ??,??????????????? ????,??????????????Glossary?????HDF????,??????,???????? ?????XML Schema?????

???????? : 

???????? New Implementer Management Manager Project Manager Marketer Construct Site Agreement Sign a Deal Interface Developer Interface Analyzer Interface Programmer Develop Interface HL7 Standard Developer

An HL7 Version 2.X Spec : 

An HL7 Version 2.X Spec Common Specs

Contents of Existing HL7 V2.3 : 

Contents of Existing HL7 V2.3 Trigger events Actions or occurrences Messages Information content Segments Repeating structures Data elements Data representation

An HL7 Version 3.X Spec : 

An HL7 Version 3.X Spec Common Specs Implementable Message Specification EDIFACT* *Future Consideration Implementable Message Specification OLE/CORBA Implementable Message Specification XML/ER7/… HL7 Reference Model

HL7 Modeling : 

HL7 Modeling Abstractions: Activities(Use Case Model) Objects (Information Model) Communication (Interaction and Message Models) Version 2.x focused its energies at the communication level and covered the other abstractions only loosely in the specifications.

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???? HL7 v3 ???? : 

???? HL7 v3 ???? ???: HL7 v3???????