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6 2.HL7 (HL7 ) OSI 7 HL7 ( ) (HL7 ) V1.0 V V V ANSI 1992 HISPP(Healthcare Informatics Standards Planning Panel) 1994 ANSI 1994 V V2.4 V3.0 (HL7 ) HL7 HL7 HL (HL7 ) HL7OSI7( ) HL7 V2.1 V2.2 V2.3 HL7 ID ( ) ( ( ) ( ) ( ) ASTM E1238 HL7 ANSI HISPP (HISB) NCPDP( ), ACR/NEMA( DICOM), IEEE MEDIX( ), ASTM( ), ASC X12( ) CEN-TC251(European Committee for Standardization Technical Committee 251) ( HL7 ) HL JAHIS HL7 HL7 Copyright 2003 JAHIS V1.0 6

7 3. Trigger Event HL7 Message1 ADT( ) 3 Segment(record) 1 ( ) ID 3 OBR OBX Field Field components ( ) Message Delimiters Placer(Requestor) ( ) X Filler(Producer) ( ) ( ) ( ) Hospital Information SystemADT( ) Copyright 2003 JAHIS V1.0 7

11 Maximum Field Lengths Field Type Data Type Length Coded fields: CE 250 CX 250 CNE 250 CWE 250 CK 250 CN 250 Phone number field: XTN 250 Name fields XCN 250 XPN 250 XON 250 PPN 250 Address fields: XAD DT varies HL7 5.4 Data types JAHIS OPT HL7 R O C ( ) X B HL7 ( ) 2.3 HL7 ( ) 5.3 Message Delimiters 5.4 Data types JAHIS ( ) RBHL7 Japan Copyright 2003 JAHIS V1.0 11

12 R O C ( ) X B HL7 ( ) RP# N Y ( ) HL7 HL7 3 HL7 (User-defined Tables) PV1-3-Assigned patient location HL IS 0302 Point of cure JAHIS nnnn HL7 (HL7 Tables)HL7 HL7 / HL7 HL ID HL7 JAHIS HL7 nnnn nnnn (External Tables) / LOINC CE 9000 HL7 HL7 HL7 HL7 HL7 Copyright 2003 JAHIS V1.0 12

14 5.3 Message Delimiters (160D) MSH 4 MSH Delimiter values - Segment Terminator <cr> hex 0D - Field Separator 2 ID 1 Component Separator ^ 2 Repetition Separator ~ 3 Escape Character \ () (ST,TX,FT ED ) MSH 4 Subcomponent Separator & MSH ASCII (escape,invoke) ASCII ASCII TX, FT, ST CF ASCII MSH-2 \ 1 ID0 1 HL \F\ \S\ \T\ \R\ \E\ Copyright 2003 JAHIS V1.0 14

15 / HL7 FTST XT \ \ MSH-18 \H\ \N\ 16 \Xdd...dd\ / HL7 \ \ \\ \ \ \ \ \ \ \ \ \Zdd...dd\ / HL7 \ ID \ \E\ \\ \ \E\\\\\ \\\ ID \ABC\ null \X0506XY 16 05,06 XY16 \S ^ \S\ \ \ Copyright 2003 JAHIS V1.0 15

16 5.4 Data types Data Type Category / Data type Data Type Name 2-2. HL7 data types (HL7 0440) LEN Notes/Format Alphanumeric ST String 199 TX Text data FT Formatted text SRT Sort order <sort-by field/parameter (varies)> ^ <sequencing (ID)> Numerical CQ Composite quantity with units <quantity (NM)> ^ <units (CE)> MO Money <quantity (NM)> ^ <denomination (ID)> NM Numeric SI Sequence ID SN Structured numeric <comparator (ST)> ^ <num1 (NM)> ^ <separator/suffix (ST)> ^ <num2 (NM)> Identifier ID Coded values for HL7 tables IS Coded value for user-defined tables VID Version indentifier <version ID (ID)> ^ <internationalization code (CE)> ^ <international version ID(CE)> HD Hierarchic designator <namespace ID (IS)> ^ <universal ID (ST)> ^ <universal ID type (ID)> Note: Used only as part of EI and other data types. EI Entity identifier <entity identifier (ST)> ^ <namespace ID (IS)> ^ <universal ID (ST)> ^ <universal ID type (ID)> RP Reference pointer <pointer (ST) > ^ < application ID (HD)> ^ <type of data (ID)> ^ <subtype (ID)> PL Person location <point of care (IS )> ^ <room (IS )> ^ <bed (IS)> ^ <facility (HD)> ^ < location status (IS )> ^ <person location type (IS)> ^ <building (IS )> ^ <floor (IS )> ^ <location description (ST)> PT Processing type <processing ID (ID)> ^ <processing mode (ID)> Date/Time DT Date YYYY[MM[DD]] TM Time HH[MM[SS[.S[S[S[S]]]]]][+/-ZZZZ] TS Time stamp YYYY[MM[DD[HHMM[SS[.S[S[S[S]]]]]]]][+/-ZZZZ] ^ <degree of precision> Code Values CE Coded element 250 <identifier (ST)> ^ <text (ST)> ^ <name of coding system (IS)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (IS)> CNE Coded with no exceptions 250 <identifier (ST)> ^ <text (ST)> ^ <name of coding system (IS)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (IS)> ^ <coding system version ID (ST)> ^ <alternate coding system version ID (ST)> ^ <original text (ST)> CWE Coded with exceptions 250 <identifier (ST)> ^ <text (ST)> ^ <name of coding system (IS)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (IS)> ^ <coding system version ID (ST)> ^ <alternate coding system version ID (ST)> ^ <original text (ST)> CF Coded element with formatted values <identifier (ID)> ^ <formatted text (FT)> ^ <name of coding system (IS)> ^ <alternate identifier (ID)> ^ <alternate formatted text (FT)> ^ <name of alternate coding system (IS)> CK Composite ID with check digit 250 <ID number (NM)> ^ <check digit (NM)> ^ <code identifying the check digit scheme employed (ID)> ^ < assigning authority (HD)> CN CX Composite ID number and name Extended composite ID with check digit 250 <ID number (ST)> ^ <family name (FN)> ^ <given name (ST)> ^ <second and further given names or initials thereof (ST)> ^ <suffix (e.g.,jr or III) (ST)> ^ <prefix (e.g.,dr) (ST)> ^ <degree (e.g.,md) (IS)> ^ <source table (IS)> ^ <assigning authority (HD)> 250 <ID (ST)> ^ <check digit (ST)> ^ <code identifying the check digit scheme employed (ID)> ^ < assigning authority (HD)> ^ <identifier type code (ID)> ^ <assigning facility (HD)> ^ <effective date (DT)> ^ <expiration date (DT)> Copyright 2003 JAHIS V1.0 16

17 Data Type Category / Data type XCN Data Type Name Extended composite ID number and name LEN Notes/Format 250 In Version 2.3 and later, use instead of the CN data type. <ID number (ST)> ^ <family name (FN)> ^ <given name (ST)> ^ < second and further given names or initials thereof (ST)> ^ <suffix (e.g., JR or III) (ST)> ^ <prefix (e.g., DR) (ST)> ^ <degree (e.g., MD) (IS)> ^ <source table (IS)> ^ <assigning authority (HD)> ^ <name type code (ID)> ^ <identifier check digit (ST)> ^ <code identifying the check digit scheme employed (ID)> ^ <identifier type code (IS)> ^ <assigning facility (HD)> ^ <name representation code (ID)> ^ <name context (CE)> ^ <name validity range (DR)> ^ <name assembly order (ID)> Generic CM Composite No new CM s are allowed after HL7 Version 2.2. The CM data type is maintained strictly for backward compatibility and may not be used for the definition of new fields. Demographics AD Address <street address (ST)> ^ <other designation (ST)> ^ <city (ST)> ^ <state or province (ST)> ^ <zip or postal code (ST)> ^ <country (ID)> ^ <address type (ID)> ^ <other geographic designation (ST)> FN Family name <surname (ST)> ^ <own surname prefix (ST)> ^ <own surname (ST)> ^ <surname prefix from partner/spouse (ST)> ^ <surname from patner/spouse (ST)> Note: Appears ONLY in the PN and other PN-containing data types (PPN,XCN,XPN). PN Person name <family name (FN)> ^ <given name (ST)> ^ <second and further given names or initials thereof (ST)> ^ <suffix (e.g.,jr or III) (ST)> ^ <prefix (e.g.,dr) (ST)> ^ <degree (e.g.,md) (IS)> SAD Street Address <street or mailing address (ST)> ^ <street name (ST)> ^ <dwelling number (ST)> Note: Appears ONLY in the XAD data type. TN Telephone number [NN][(999)] [X99999][B99999][C any text] XAD Extended address 250 In Version 2.3 and later, replaces the AD data type. <street address (SAD)> ^ <other designation (ST)> ^ <city (ST)> ^ <state or province (ST)> ^ <zip or postal code (ST)> ^ <country (ID)> ^ < address type (ID)> ^ <other geographic designation (ST)> ^ <county/parish code (IS)> ^ <census tract (IS)> ^ <address representation code (ID)> ^ <address validity range (DR)> XPN Extended person name 250 In Version 2.3, replaces the PN data type. <family name (FN)> ^ <given name (ST)> ^ <second and further given names or initials thereof (ST)> ^ <suffix (e.g., JR or III) (ST)> ^ <prefix (e.g., DR) (ST)> ^ <degree (e.g., MD) (IS)> ^ <name type code (ID) > ^ <name representation code (ID)> ^ <name context (CE)> ^ <name validity range (DR)> ^ <name assembly order (ID)> XON XTN Extended composite name and ID number for organizations Extended telecommunications number 250 <organization name (ST)> ^ <organization name type code (IS)> ^ <ID number (NM)> ^ <check digit (NM)> ^ <code identifying the check digit scheme employed (ID)> ^ <assigning authority (HD)> ^ <identifier type code (IS)> ^ <assigning facility ID (HD)> ^ <name representation code (ID)> 250 In Version 2.3 and later, replaces the TN data type. [NNN] [(999)] [X99999] [B99999] [C any text] ^ <telecommunication use code (ID)> ^ <telecommunication equipment type (ID)> ^ < address (ST)> ^ <country code (NM)> ^ <area/city code (NM)> ^ <phone number (NM)> ^ <extension (NM)> ^ <any text (ST)> Specialty/Chapter Specific Waveform CD Channel definition For waveform data only, see HL7- Chapter 7, Section <channel identifier (*CM)> ^ <waveform source (CM)> ^ <channel sensitivity/units (*CM) > ^ <calibration parameters (*CM)> ^ <sampling frequency (NM)> ^ <minimum/maximum data values (*CM)> MA Multiplexed array For waveform data only, see HL7- Chapter 7, Section <sample 1 from channel 1 (NM)> ^ <sample 1 from channel 2 (NM)> ^ <sample 1 from channel 3 (NM)>... ~ <sample 2 from channel 1 (NM)> ^ <sample 2 from channel 2 (NM)> ^ <sample 2 from channel 3 (NM)>... ~ NA Numeric array For waveform data only, see HL7- Chapter 7, Section <value1 (NM)> ^ <value2 (NM)> ^ <value3 (NM)> ^ <value4 (NM)> ^... ED Encapsulated data Supports ASCII MIME-encoding of binary data. <source application (HD) > ^ <type of data (ID)> ^ <data subtype (ID)> ^ <encoding (ID)> ^ <data (ST)> Price Data CP Composite price In Version 2.3,replaces the MO data type. <price (MO)> ^ <price type (ID)> ^ <from value (NM)> ^ <to value (NM)> ^ <range units (CE)> ^ <range type (ID)> Copyright 2003 JAHIS V1.0 17

18 Data Type Category / Data type Data Type Name LEN Notes/Format Patient Administration/Fin ancial Information FC Financial class <financial class (IS)> ^ <effective date (TS)> Extended Queries QSC Query selection criteria <segment field name (ST)> ^ <relational operator (ID)> ^ <value (ST)> ^ <relational conjunction (ID)> QIP Query input parameter list <segment field name (ST)> ^ <value1 (ST) & value2 (ST) & value3 (ST) > RCD Row column definition <segment field name (ST)> ^ <HL7 data type (ID)> ^ <maximum column width (NM)> Master Files DLN Driver s license number <license number (ST)> ^ <issuing state, province, country (IS)> ^ <expiration date (DT)> JCC Job code/class <job code (IS)> ^ <job class (IS)> VH Visiting hours <start day range (ID)> ^ <end day range (ID)> ^ <start hour range (TM)> ^ <end hour range (TM)> Medical Records / Information Management PPN Performing person time stamp 250 <ID number (ST)> ^ <family name (FN)> ^ <given name (ST)> ^ < second and further given names or initials thereof (ST)> ^ <suffix (e.g., JR or III) (ST)> ^ <prefix (e.g., DR) (ST)> ^ <degree (e.g., MD) (IS)> ^ <source table (IS)> ^ <assigning authority (HD)> ^ <name type code(id)> ^ <identifier check digit (ST)> ^ <code identifying the check digit scheme employed (ID )> ^ <identifier type code (IS)> ^ <assigning facility (HD)> ^ < date/time action performed (TS)> ^ <name representation code (ID)> ^ <name context (CE)> ^ <name validity range (DR)> ^ <name assembly order (ID)> Time Series: DR Date/time range <range start date/time (TS)> ^ <range end date/time (TS)> RI Repeat interval Scheduling Chapter Only: <repeat pattern (IS)> ^ <explicit time interval (ST)> SCV Scheduling class value pair Scheduling Chapter Only: <parameter class (IS)> ^ <parameter value (ST)> TQ Timing/quantity For timing/quantity specifications for orders, see HL7- Chapter 4, Section 4.3. <quantity (CQ)> ^ <interval (*)> ^ <duration (*)> ^ <start date/time (TS)> ^ <end date/time (TS)> ^ <priority (ST)> ^ <condition (ST)> ^ <text (TX)> ^ <conjunction (ID)> ^ <order sequencing (*)> ^ <occurrence duration (CE)> ^ <total occurrences (NM)> Radiology ZRD Radiology medicine and film 250 * for subcomponents of these elements please refer to the definition in the text. Data types ST ( )ASCII (20 7E 16 ) almost any data at all TX leading spaces are allowed. TX ( CR/LF ) Copyright 2003 JAHIS V1.0 18

19 FT (ST) FT (64k ) \.sp\(skip one vertical line) SRT Components: <sort-by field (ST)> ^ <sequencing (ID)> ( QIP (ST) HL ID Value Description A Asending AN Asending,case Insensitive D Desending DN Desending, case Insensitive N None CQ Components: < (NM)>^< (CE)> 1 2 ISO+ ANSI 123.7^kg kilograms is an ISO unit 150^lb&&ANSI+ weight in pounds is a customary US unit defined within ANSI+. MO Components: <quantity (NM)> ^ <denomination (ID)> 1 2 ISO-4217 MSH ^USD USD ISO 4217 NM ASCII ( ) ( ) () ASCII <12 SI ID NM Copyright 2003 JAHIS V1.0 19

20 SN Components: <comparator (ST)> ^ <num1 (NM)> ^ <separator/suffix / (ST)> ^ <num2 (NM)> > < >= <= = <> = <num1> <num2> / - <num1> - <num2> <num1> <= x <= <num2> X num1 num2 / - + /. : >^100 (greater than 100) ^100^-^200 (equal to range of 100 through 200) ^1^:^228 (ratio of 1 to 128, e.g., the results of a serological test) ^2^+ (categorical response, e.g., occult blood positivity) IDHL7 ST ID IS ST IS HL7 VID Components: <version ID (ID)> ^ <internationalization code(ce)> ^ <international version ID (CE)> 1 HL ISO US HD Components: <namespace ID (IS)> ^ <universal ID (ST)> ^ <universal ID type (ID)> Value DNS GUID HCD HL7 ISO LMN HD UID HD HL7 IS HD HD 2 ID(UID) 3 ID (UID ) UIDUID UID UID 1 UID(2 ) 3 ID 0301 ID Description ASCII UUID CEN (DICOM ) HL7 Copyright 2003 JAHIS V1.0 20

21 Value Description base64 ASCII base64 UUID DCE ID x400 X400 MHS ID x500 X , ^ISO ^GUID falcon.iupui.edu^dns 40C983F09183B A ^RANDOM LAB1 Local use only: an HD that looks like an IS data type. PathLab^UCF.UC^L A locally defined HD in which the middle component is itself structured. This can be considered the combination of 'PathLab' with the locally defined UID system "L". LAB1^ ^ISO An HD with an ISO "Object Identifier" as a suffix, and a locally defined system name. ^ ^ISO An HD consisting only of an ISO UID. EI Components: <entity identifier (ST)> ^ <namespace ID (IS)> ^ <universal ID (ST)> ^ < universal ID type (ID)> 24 (HD) 3 EI EI 24 HD HL RP Components: <pointer (ST) > ^ < application ID (HD)> ^ <type of data (ID)> ^ <subtype (ID)> ST IDHD ( ) ID ID HL7 HL Value AP AU FT IM Multipart NS SD 0191 Description Other application data, typically uninterpreted binary data (HL7 V2.3 and later) Audio data (HL7 V2.3 and later) Formatted text (HL7 V2.2 only) Image data (HL7 V2.3 and later) MIME multipart package Non-scanned image (HL7 V2.2 only) Scanned document (HL7 V2.2 only) Copyright 2003 JAHIS V1.0 21

22 Value SI TEXT TX Description Scanned image (HL7 V2.2 only) Machine readable text document (HL7 V2.3.1 and later) Machine readable text document (HL7 V2.2 only) HL Value BASIC DICOM FAX GIF HTML JOT JPEG Octet-stream PICT PostScript RTF SGML TIFF x-hl7-cda-level-one XML Subtype of referenced data Description ISDN PCM audio data Digital Imaging and Communications in Medicine Facsimile data Graphics Interchange Format Hypertext Markup Language Electronic ink data (Jot 1.0 standard) Joint Photographic Experts Group Uninterpreted binary data PICT format image data PostScript program Rich Text Format Standard Generalized Markup Language (HL7 V2.3.1 and later) TIFF image data HL7 Clinical Document Architecture Level One document Extensible Markup Language (HL7 V2.3.1 and later) PL Components: <point of care (IS)> ^ <room (IS)> ^ <bed (IS)> ^ <facility (HD)> ^ <location status (IS) > ^ <person location type (IS)> ^ <building (IS)> ^ <floor (IS)> ^ <location description (ST)> HL7 < (IS)> ^ (HD)> ^ < (IS)> ^ < (IS)> ^ < (IS)> ^ < (IS)> ^ < (ST)> ^ < (IS)> PT Components: <processing ID (ID)> ^ <processing mode (ID)> HL7 HL7 ID HL ID HL DT YYYY[MM[DD]] TM Format: HH[MM[SS[.S[S[S[S]]]]]] [+/-ZZZZ] HL7 24 HHMM[SS[.SSSS]][+/-ZZZZ] (SS) ( Copyright 2003 JAHIS V1.0 22

23 ) TM MSH MSH second before midnight in a time zone eleven and half hours ahead of Universal Coordinated Time (i.e., east of Greenwich) Eight AM, local time of the sender seconds after Nine thirty-five AM, local time of sender. TS Format: YYY[MM[DD[HHMM[SS[.S[S[S[S]]]]]]]] [+/-ZZZZ] ^ < > YYYYLLDD[HHMM[SS[.SSSS]]][+/-ZZZZ]^< > HHMM HHMM 0000 (00) HL7 ISO (E) (Y = L = D = H = M = S = ) : :01:59 on July 4, 1776 in the Eastern Standard Time zone :01:59 on July 4, 1776 in the Eastern Daylight Saving Time zone Midnight of the night extending from July 4 to July 5, 1988 in the local time zone of the sender ^D Same as prior example, but precision extends only to the day. Could be used for a birthdate.( ) HL7 HL : ( )1211 HL7 CE Components:<identifier (ST)> ^ <text (ST)> ^ <name of coding system (IS)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)> 54.21^Laparoscopy^I9^42112^^AS4 F-11380^CREATININE^I9^2148-5^CREATININE^LN 6 <text> ( ) X (ST) Copyright 2003 JAHIS V1.0 23

24 ICD-9ICD-10SNOMED HL7 nnnn HL7nnnn 3 2 CE ( ) CNE Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (IS)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (IS)> ^ <coding version ID ID(ST)> ^ < alternate coding system version ID ID(ST)> ^ <original text (ST)> 1 < > 2 X (HL ) ASTM E ID HL HL7 CE nnnn HL7 HL7nnnn ISO ISOnnnn nnnn ISO 4 CNE 5 CNE 6 CNE CE HL (HL ) Copyright 2003 JAHIS V1.0 24

25 HL7 HL7 HL CNE CNE 0396 ASTM E HL7 CE nnnn HL7 HL7nnnn HL :1. OBX (Value Type) (2 ) CNE de ID : OBX 1 NM 718-7HemoglobinLN 13.4 GM/DL N S F<cr> OBX : OBX 1 NMNumeric 718-7HemoglobinLN 13.4 GM/DL N S F<cr> OBX : OBX 1 NMNumericHL HemoglobinLN 13.4 GM/DL N S F<cr> : OBX 1 NMNumericHL70125NUMNumber99LAB 718-7Hemoglobin LN 13.4 GM/DL N S F<cr> HL LAB 1.1?h OBX 1 NMNumericHL70125NUMNumber99LAB Hemoglobin LN 13.4 GM/DL N S F<cr> user seen Decimal : OBX 1 NMNumericHL70125NUMNumber99LAB Decimal HemoglobinLN 13.4 GM/DL N S F<cr> ID OBX 1 NM NUMNumber99LAB 1.1Decimal 718-7Hemoglobin LN 13.4 GM/DL N S F<cr> Copyright 2003 JAHIS V1.0 25

26 2. CNE OBX Decimal Range HL OBX CNE ID ( ID ) OBX 1 DRDecimal Range99LAB 1.1Decimal Range 718-7Hemoglobin LN 13.4 GM/DL N S F<cr> 3. HL7 ID HL7-7 OBX (OBX-3)CNE LOINC 1.0k OBX : OBX 1 NM 718-7HemoglobinLN 1.0k 13.4 GM/DL N S F<cr> LOCAL ID local ID HL7-7 OBX ( ) OBX 1 NM HemoglobinLOCAL 1.0k 13.4 GM/DL N S F<cr> 99LAB OBX 99LAB HL7-7 OBX OBX 1 NM Hemoglobin99LAB GM/DL N S F<cr> HL7 ID LN(LOINC) OBX ( ) OBX 1 NM 718-7HemoglobinLN 13.4 GM/DL N S F<cr> CWE Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (IS)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (IS)>^ <coding version ID ID(ST)> ^ < alternate coding system version ID ID(ST)> ^ <original text (ST)> 1 < > 2 myocardial (HL )- - ASTM E ID ASTM Copyright 2003 JAHIS V1.0 26

27 HL7 CE nnnn HL7 HL7nnnn ISO ISOnnnn nnnn ISO 4 CWE 5 CWE 6 CWE CWE 9 1) Coded HL ASTM E ID ASTM HL7 HL7 HL7 1a CWE SNOMED LOINC OBX 1b LOINC OBX CWE HL7 2) Uncoded IDLOINC OBX CWE Wesnerian Copyright 2003 JAHIS V1.0 27

28 3) HL7 CE CE statuses CE statuses HL7 IDLOINC OBX LCE CWE IDLOINC OBX CWE SNOMED 99LAB CWE CWE statuses HL CWE Value U UASK NAV NA NASK Description Unknown Asked but Unknown Not available Not applicable Not asked HL7 CWE CF Components: <identifier (ID)> ^ <formatted text (FT)> ^ <name of coding system (IS)> ^ <alternate identifier (ID)> ^ <alternate formatted text (FT)> ^ <name of alternate coding system (IS)> Copyright 2003 JAHIS V1.0 28

29 ( X ) 2 5 CE OBX CF 71020^CXR^CPMC 79989^\H\Description:\N\\.sp\\ti+4\Heart is not enlarged. There is no evidence of pneumonia, effusion, pneumothorax or any masses. \.sp+3\\h\impression:\n\\.sp\\.ti+4\negative chest.^cpmc CK ID Components: <ID number ID (NM)> ^ <check digit (NM)> ^ <code identifying the check digit scheme employed (ID)> ^ < assigning authority (HD)> PID-3- ID( ID) CK 2 3 Null ^6^M11^ADT01 null HL NPI Check digit algorithm in the US National Provider ldentifier ISO ISO 7064: 1983 M10 Mod 10 M11 Mod 11 Mod10 = Mod Mod Mod11 d = w = W (6 ) c = ( 1) m = 1 (d * w) d = 1 w = ( 2) c1 = m mod 11 ( 3) c1 =0 c1 =1 ( 4) c =(11c1) mod 10 : if the number is , then the mod 11 check digit = 4 m =(7*2)+(6*3)+(5*4)+(4*5)+(3*6)+(2*7)+(1*2) = = 106 Copyright 2003 JAHIS V1.0 29

30 c1 = 106 mod 11 = 7 c = (11-c1) mod 10 = 4 mod 10 = 4 CN ID Components: <ID number ID (ST)> ^ <family name (FN)> ^ <given name (ST)> ^ < second and further given names or initials thereof (ST)> ^ <suffix (e.g., JR or III) (ST)> ^ <prefix (e.g.,dr) (ST)> ^ <degree (e.g., MD) (IS)> ^ <source table (IS)> ^ <assigning authority (HD)> Subcomponents of family name: <surname (ST)> ^ <own surname prefix (ST)> ^ <own surname (ST)> ^<surname prefix from partner/spouse (ST)> ^ <surname from partner/spouse (ST)> ID 12372^RIGGINS^JOHN^""^""^""^MD^ADT ^^^^^^^ADT1 ^RIGGINS^JOHN^""^""^""^MD 1 8 ID Dr 7 MD CNID 1 Value 0297CN ID Description No suggested values defined 9 HD CX ID Components:<ID (ST)> ^ <check digit (ST)> ^ <code identifying the check digit scheme employed (ID)> ^ < assigning authority (HD) )> ^ <identifier type code ID (IS)> ^ < assigning facility (HD) > ^ <effective date (DT)> ^ <expiration date (DT)> M11ADT01MRUniversity Hospital IDCK ST NM CK ST NM ID 0203 Value Description Value Description AM MS AN NE Copyright 2003 JAHIS V1.0 30

31 Value Description Value Description BA NH BR NI BRN NNxxx DI NPI DL PEN DN PI DR PN DS PRN EI PT EN RR FI RRI GI SL GN SR HC SS JHN U LN UPIN LR VN MA VS MC WC MCN WCN MR XX XCN ID Components:<ID number ID (ST)> ^ <family name(fn)> ^ <given name (ST)> ^ <second and further given names or initials thereof (ST)> ^ <suffix (e.g., JR or III) (ST)> ^ <prefix (e.g., DR) (ST)> ^ <degree (e.g., MD) (ST)> ^ <source table (IS)> ^ <assigning authority (HD)> ^ <name type code (ID)> ^ <identifier check digit (ST)> ^ <code identifying the check digit scheme employed (ID )> ^ <identifier type code (IS)> ^ <assigning facility (HD)> ^ <name representation code (ID)> ^ <name context (CE)> ^ <name validity range (DR)> ^ <name assembly order (ID)> 1 8 ID 2 7 PN 8 1 ID XPN 0203 : 12372^RIGGINS^JOHN^""^""^""^MD^ADT ^RIGGINS^JOHN^""^""^""^MD SmithJohnJIIIDRPHDADT01 L4M11MR CM CM HL7 CE < & & > HL7 HL7 HL7 / ADaddress ZIP Copyright 2003 JAHIS V1.0 31

32 ZIP ZIP 99999[9999] A9A9A ISO3166 HL7 7 HL Value BA N BDL F C B H L M O P RH BR 0190 Description Bad address Birth (nee) (birth address, not otherwise specified) Birth delivery location (address where birth occurred) Country Of Origin Country Of Temporary Firm/Business / Home Legal Address Mailing Office Permanent Registry home. Refers to the information system, typically managed by a public health agency, that stores patient information such as immunization histories or cancer data, regardless of where the patient obtains services. Residence at birth (home address at time of birth) 8 FNfamily name Copyright 2003 JAHIS V1.0 32

33 PNperson name PN 48 ( 3 ( JIS X0202ISO 2022 HL FTST XT HL7 JIS X0201 JIS X0208 JIS X0212 ISOIR13 ISOIR14 ISOIR87 ISOIR159 HL7 ISO ISOIR HL7 ASCII JAS2020 JIS X0202 DICOM ISOIRxxx 2375 HL7 HL7 ISO ISO IR6 G0 ASCII PN XPN HL7 HL7 Copyright 2003 JAHIS V1.0 33

34 MSH-18 ISO-IRxxx 4 MSH 1. Understanding Japanese Information Processing by Ken Lunde, O Reilly Press 2. DICOM Supplement 9 : Multi-Byte Character Set Support, ACR-NEMA 3. ANSI X3.4:1986 ASCII character set 4. ISO 646:1990 Information Processing - ISO 7-bit coded character set for information interchange 5. ISO/IEC 2022:1994 Information Technology - Character code structure and extension techniques 6. ISO 2375:1986 Data Processing - Procedure for the registration of escape sequences 7. ISO 6429:1990 Information Processing - Control functions for 7-bit and 8-bit coded character sets 8. ISO 8859 (1-9) Information Processing - 8-bit single-byte coded graphic character sets - parts ENV :1990 Information systems interconnection - European graphic character repertoires and their coding 10. ENV :1990 Information systems interconnection - East European graphic character repertoires and their coding 11. JIS X Code for Information Exchange 12. JIS X Code of the supplementary Japanese Graphic Character set for information interchange 13. JIS X Code for the Japanese Graphic Character set for information interchange 14. RFC 1468 Japanese Character Encoding for Internet Messages DICOM DICOM E1 DICOM DICOM ISO 8859 DICOM JIS X JIS X JIS X SADstreet address Copyright 2003 JAHIS V1.0 34

35 1 TN Format: [NN] [(999)] [X99999][B99999][C any text] 2 X B C After 6:00 10 (415) X CWEEKENDS XAD Components:<street address (SAD)> ^ <other designation (ST)> ^ <city (ST)> ^ <state or province (ST)> ^ <zip or postal code ZIP (ST)> ^ <country(id)> ^ < address type (ID)> ^ <other geographic designation (ST)> ^ <county/parish code/ (IS)> ^ <census tract (IS)>^ <address representation code (ID)> ^ <address validity range (DR)> 1234Easy St.Ste. 123SanFranciscoCA95123USAB SF Suite HL SMSA Name/address representation codehl XPN Components: <family name(fn)> ^ <given name (ST)> ^ < (ST)> ^ <suffix (e.g., JR or III) (ST)> ^ <prefix (e.g., DR) (ST)> ^ <degree (e.g., MD) (ST)> ^ <name type code (ID) > ^ <name representation code (ID)> ^ <name context (CE)> ^ <name validity range (DR)> ^ <name assembly order (ID)> Smith^John^J^III^DR^PHD^L ^ ^^^^^D^I~ ^ ^^^^^D^P~ NIHON^Tarou^^^^^D^A HL Value A B C D I L M N P R Name type Description Alias Name Name at Birth Adopted Name Display Name Licensing Name Legal Name Maiden Name Nickname / Call me Name/Street Name Name of Partner/Spouse (retained for backward compatibility only) Registered Name (animals only) Copyright 2003 JAHIS V1.0 35

36 S T U Coded Pseudo-Name to ensure anonymity Indigenous/Tribal/Community Name / / Unspecified 0360 Value AAS AA ABA AE AS BA BBA BE BFA BN BS BSL BT CER DIP DBA DED PharmD PHE PHD PHS MD DO HS JD MA MBA MCE MDI MED MEE ME MFA MME MS MSL MT NG SEC TS Description Associate of Applied Science Associate of Arts Associate of Business Administration Associate of Engineering Associate of Science Bachelor of Arts Bachelor of Business Administration Bachelor of Engineering Bachelor of Fine Arts Bachelor of Nursing Bachelor of Science Bachelor of Science Law Bachelor of Theology Certificate Diploma Doctor of Business Administration Doctor of Education Doctor of Pharmacy Doctor of Engineering Doctor of Philosophy Doctor of Science Doctor of Medicine Doctor of Osteopathy High School Graduate Juris Doctor Master of Arts Master of Business Administration Master of Civil Engineering Master of Divinity Master of Education Master of Electrical Engineering Master of Engineering Master of Fine Arts Master of Mechanical Engineering Master of Science Master of Science Law Master of Theology Non-Graduate Secretarial Certificate Trade School Graduate Name representation Value I A P Description Ideographic (i.e., Kanji) ( ) Alphabetic (i.e., Default or some single-byte) Phonetic (i.e., ASCII, Katakana, Hiragana, etc) (ASCII, ) XON ID Components: <organization name (ST)> ^ <organization name type code (IS)> ^ <ID number ID (NM)> ^ <check digit (NM)> ^ <code identifying the check digit scheme employed (ID)> ^ <assigning authority (HD)> ^ <identifier type code (IS)> ^ <assigning facility ID ID (HD)> Copyright 2003 JAHIS V1.0 36

37 ^ <name representation code (ID)> HL7 Health CenterL6M11HCFA 0204 Value A L D SL Description XTN Components: [NNN ] [(999 )] [X99999] [B99999] [C any text] ^ <telecommunication use code (ID)> ^ <telecommunication equipment type (ID)> ^ < address (ST)> ^ <country code (NM)> ^ <area/city code (NM)> ^ <phone number (NM)> ^ <extension (NM)> ^ <any text (ST)> (415) ORNFX Value PRN ORN WPN VHN ASN EMR NET BPN 0201 Description ( ) 0202 Value Description PH FX MD CP BP INTERNET NET X.400 X.400 NET CD Components ^ <waveform source (CM)> ^ <channel sensitivity/units (CM)> ^ <channel calibration parameters (CM)> ^ <sampling frequency (NM)> ^ <minimum/maximum data values (CM)> MA Components: <sample 1 from channel 1 (NM)> ^ <sample 1 from channel 2 (NM)> ^ <sample 1 from channel 3 (NM)>... ~ <sample 2 from channel 1 (NM)> ^ <sample 2 from channel 2 (NM)> ^ <sample 2 from channel 3 (NM)> ~ ( ) NA ( ) NM Copyright 2003 JAHIS V1.0 37

38 ED Components: <source application (HD) > ^ <type of data (ID)> ^ <data subtype (ID)> ^ <encoding (ID)> ^ <data (ST)> Value A Hex Base64 RP 0191 HL ASCII HL Description ASCII MIME( ) RFC ASCII 3 Base64 ASCII / = MIME RFC1521 Base64 24 (3 ) 6 64 HL7 0290MIME base = (1) 24 = 4 (2) 8 2 = 2 (3) 16 1 = MIME base64 Value/Code Value/Code Value/Code Value/Code 0 A 17 R 34 I 51 z 1 B 18 S 35 j C 19 T 36 k D 20 U 37 l E 21 V 38 m F 22 W 39 n G 23 X 40 o H 24 Y 41 p I 25 Z 42 q J 26 a 43 r K 27 b 44 s L 28 c 45 t M 29 d 46 u 63 / 13 N 30 e 47 v 14 O 31 f 48 w (pad) = 15 P 32 g 49 x 16 Q 33 h 50 y Copyright 2003 JAHIS V1.0 38

39 ( ) ASCII CPcomposite price &USD^UP^0^9^min^P~50.00&USD^UP^10^59^min^P~10.00&USD^UP^60^999^P~50.00&USD^AP~ &USD^PF~80.00&USD^DC Value AP DC IC PF TF TP UP 1 MO 2 ID HL Description administrative price or handling fee direct unit cost indirect unit cost professional fee for performing provider technology fee for use of equipment total price unit price, may be based on length of procedure or service NM N 3 < > TP < > < > null CE HL < > < > 6 HL7 0298CP Value P F 0298CP Description Pro-rate. Apply this price to this interval, pro-rated by whatever portion of the interval has occurred/been consumed Flat-rate. Apply the entire price to this interval, do not pro-rate the price if the full interval has not occurred/been consumed Copyright 2003 JAHIS V1.0 39

40 FCfinancial class 0064 Value 0064 Description No suggested values defined 1 QSCquery selection criteria SQL WHERE 1 QIP 1 (ST) 2 : HL Relational operator EQ NE LT GT LE GE CT GN 0209 Value Equal Not Equal Less than Greater than Less than or equal Greater than or equal Contains Generic 3 4 HL Relational conjunction AND OR 0210 Note Default LTGTLE GE ANDOR QIPquery input parameter list 1&2&3 Copyright 2003 JAHIS V1.0 40

41 1 HL7 3.nn.mm Z MSH2 1 HL &2& < ><> < ><1& 2&...> RCDrow column definition HL7 HL PID-5 3 HL7 QIP 1 2 HL HL7 DLNdriver s licence number Components: <license number (ST)> ^ <issuing srate,province, country (IS)> ^ <expiration date (DT)> JCCjob code/class Components: <job code (IS)> ^ <job class (IS)> VHvisiting hours 2 HL HL HL Copyright 2003 JAHIS V1.0 41

42 Value SAT SUN MON TUE WED THU FRI 0267 Description Saturday Sunday Monday Tuesday Wednesday Thursday Friday PPN Components: <ID number (ST)> ^ <family name (FN)> ^ <given name (ST)> ^ <second and further given name or initials thereof (ST)> ^ <suffix (e.g., JR or III) (ST)> ^ <prefix (e.g., DR) (ST)> ^ <degree (e.g., MD) (ST)> ^ <source table (IS)> ^ <assigning authority (HD)> ^ <name type code (ID)> ^ <identifier check digit (ST)> ^ <code identifying the check digit scheme employed (ID )> ^ <identifier type code (IS)> ^ <assigning facility (HD)> ^ < date/time action performed (TS)> ^ <name representation code (ID)> ^ <name context (CE)> ^ <name validity range (DR)> ^ <name assembly order (ID)> TS XCN DR 2 TS RI HL CM ! 2 1 HHMMHHMMHHMM ! SCVscheduling class value pair HL7 Copyright 2003 JAHIS V1.0 42

43 0294 Parameter Class Description: Valid Values 24 HHMM 24 HHMM OK= NO= I OK= NO= OK= NO= OK= NO= OK= NO= OK= NO= OK= NO= 2 TQ Components: <quantity (CQ)> ^ <interval (CM)> ^ <duration (ST)> ^ <start date/time (TS)> ^ <end date/time (TS)> ^ <priority (ST)> ^ <condition (ST)> ^ <text (TX)> ^ <conjunction (ID)> ^ <order sequencing (CM)> ^ <occurrence duration (CE)> ^ <total occurrences (NM)> Priority component (ST) ( R ) S = A = S R = P = C = T = PRN = As Needed T( ) Format: TS<integer> = TM<integer> = TH<integer> = TD<integer> = TW<integer> = TL<integer> = Copyright 2003 JAHIS V1.0 43

44 ZRD ZRD ZRD (ST) (ST) (IS) (NM) (CE) Subcomponents< > & < > & < > & > & < > & < > TAB CAP G MG MCG L ML UNT AMP BAG BTL HON KO PCK SHT VIL MERIT-9 Ver1.1 name of coding system MR9P.SHT&&MR9P (NM) ZRD 8001^ ml OBX 1 ZRD CT.02.00&MED^ ^JJ ^ ml^L O CT OBX 1 ZRD NM.02.00&MED^ ^JJ ^ (67Ga)^L O Copyright 2003 JAHIS V1.0 44

46 5.5 JSHR Observation Identifier Value Description HBs HCV TPHA STS TB TB HIV HTLV-I MRSA BUN Observation Value Value Description U SV Severe MO Moderate MI Mild U Unknown A A B B O O AB AB * OBX-11 I Copyright 2003 JAHIS V1.0 46

47 5.6 OBX NTE ID OBX OBX ( X ) ( ) HL7 ID (71 ) ID( OBR OBR4 ID ID) X ID X ID(CPT ) IMP ( 71020&IMP ) ID OBR OBX 3 &IMP&REC & 7-1. Observation ID suffices Coded Results Suffix Type Diagnostic Impression IMP CE Recommendation REC CE Confirming Procedures CNP CE Procedure Medication MED CE Anatomic Site ANT CE Device/Instrument / DEV CE Serial # Device/Instrument / SER ST Bulk Text Reports Gross Or General Description Of The Study GDT TX or FT Microscopic Or Secondary Description 2 MDT TX or FT Technician's Comment TCM TX or FT Addendum Note ADT TX or FT Other Diagnosis Onset Date/Time ITM TS Diagnosis Resolution Date/Time RTM TS Comparison Study CMS CE Comparison Date/Time CMT TS Comparison Results CMR CE Comparison Change CMC CE Predicted Value PRD ST Percent Predicted PPR ST After Drug Observed AFD ST Predicted Value After Drug ADP ST Percent Predicted After Drug APP ST Timing Information TIM TS Channel Definition Data CHN CD Waveform Digital Data WAS NA or MA Waveform Annotation ANO CE Radiology Film ZFM ZRD ID Diagnostic impressions (IMP) IMP CE OBX 1 Copyright 2003 JAHIS V1.0 47

48 CE 2 ( ) OBX Recommendations (REC) REC CE 6 ( ) REC Confirming procedure (CNP) OBX IMPOBX OBX 3 ID Procedure medication (MED) MED OBX3 ( ) OBX OBX3 1 ( ) OBX5 2 Anatomic site (ANT) 1 ANT(OBX3 ) OBX Devices (DEV) OBX3 DEV CE 2 Serial# Device / Instrument / (SER) Gross or general description (GDT) EKG Copyright 2003 JAHIS V1.0 48

49 Secondary or microscopic description 2 (MDT) 2 OBX3 MDT Technician comment (TCM) OBX3 TCM Addendum note (ADT) Diagnosis (problem) onset date-time ( ) (ITM) Diagnosis (problem) resolution date-time ( ) (RTM) Comparison study (CMS) ( ID CMS OBX ) OBX ID Comparison date-time (CMT) Comparison results (CMR) ( ) Comparison change (CMC) ( ) Predicted (PRD) AS &PRD Percent of predicted (PPR) ( )/( ) &PPR After drug observed (AFD) ID AFD AS &AFD Predicted value after drug (ADP) ADP &ADP Copyright 2003 JAHIS V1.0 49

50 Percent predicted after drug (APP) APP AS &APP Timing Information (TIM) TIM OBX ID 1 ID WAV TIM Channel Definition Data (CHN) CHN OBX 1 OBX-5 Waveform Digital Data (WAV) WAV OBX ( / (ADC) ) WAV (CHN OBX ) ID CHN WAV WAV ( OBX ) WAV ( ) WAV NA( ) MA( ) NA MA 1 ( ) 2 ( ) Waveform Annotation (ANO) ANO OBX ( ) ANO (CHN OBX ) ID CHN ANO ANO CE Annotations Value Description SAS etc Copyright 2003 JAHIS V1.0 50

52 (QRY/ADR) QRY ADR QRY/ADR QRFNTE QRY/ADR - A19 A19 QRY/ADR QRY Query MSH Message Header QRD Query Reader [QRF] Observ Result/Record Response [{NTE}] Notes and Comments (for QRD) ADR ADT Response MSH Message Header MSA Message Acknowledgment QRD Query Definition { PID Patient Identification PV1 Patient Visit [ PV2 ] Patient Visit - Additional Info. [{AL1}] Allergy Information } [ DSC ] Continuation Pointer [ ] { } MSH MSA PID 1 PID Copyright 2003 JAHIS V1.0 52

53 6.2 (ADT/ACK) ADT ADT/ACK (A01A02A04A06A07A08A11 A12) A01 A02 A04 A06 A07 A08 A11 A12 A04 A08 ADT/ACK ADT ADT Message MSH Message Header PID Patient Identification PV1 Patient Visit [ PV2 ] Patient Visit - Additional Info. [{ AL1 }] Allergy Information ACK General Acknowledgment MSH Message Header MSA Message Acknowledgment [ ERR ] Error [ ] { } MSH PID Copyright 2003 JAHIS V1.0 53

54 6.3 (OSQ/OSR) (OSQ) (OSR) OSQ/OSR Q06 Q06 OSQ OSQ Order Status Query MSH Message Header QRD Query Definition [ QRF ] Query Filter [ DSC ] Continuation Pointer OSR OSR Order Status MSH Message Header MSA Message Acknowledgement [ERR] Error [{NTE}] Notes and Comments (for ERR) QRD Query Definition [QRF] Query Filter [NTE] Notes and Comments (for QRD,QRF) [ PID Patient Identification PV1 Patient Visit [{AL1}] Allergy Information { ORC Order Common { OBR Observations Request { OBX Observation/Result [NTE] Notes and Comments (for OBX) } } } ] [ DSC ] Continuation Pointer :[ ] { } MSH ( ) QRDQRFNTEfor QRD,QRF Copyright 2003 JAHIS V1.0 54

56 6.4 (ORM/ORR) (ORM) (ORR) ORM ( ) O01 O01 ORM ORM General Order Message MSH Message Header [ {NTE} ] Notes and Comments (for Header) PID Patient Identification [ {NTE} ] Notes and Comments (for Patient ID) [ PV1 Patient Visit [ PV2 ]] Patient Visit 2 [{ AL1 }] Allergy { ORC Order Common [ OBR Observation Request [ { NTE } ] Notes and Comments (for OBR) [{ OBX Observation/Result [ { NTE } ] Notes and Comments (for Results) }] ] } [ ] { } MSH ( ) PID1 1 MSH ORR - O02 O02 ORR ORR General Order Acknowledgment Message Copyright 2003 JAHIS V1.0 56

57 MSH Message Header [ {NTE} ] Notes and Comments (for Header) PID Patient Identification [ {NTE} ] Notes and Comments (for Patient ID) [ PV1 Patient Visit [ PV2 ]] Patient Visit 2 [{ AL1 }] Allergy { ORC Order Common [ OBR Observation Request [ { NTE } ] Notes and Comments (for OBR) [{ OBX Observation/Result [ { NTE } ] Notes and Comments (for Results) }] ] } [ ] { } Copyright 2003 JAHIS V1.0 57

58 6.5 (QRY/ORF) (QRY) ORF QRY/ORF R02R04 R02 R04 QRY/ORF QRY Query MSH Message Header QRD Query Definition QRF Query Filter NTE Notes and Comments ORF Observational Report MSH Message Header MSA Message Acknowledgment QRD Query Definition [ QRF ] Query Filter { [ PID Patient ID [{NTE}] ] Notes and Comments { [ ORC ] Order Common OBR Observation request [{NTE}] Notes and comments { [OBX] ObservationResult [{NTE}] Notes and Comments } {[CTI]} Clinical Trial Identification } } [ DSC ] Continuation Pointer [ ] { } CTI HL7 QRD QRF PID ID 1 1 Copyright 2003 JAHIS V1.0 58

59 6.6 (ORU/ACK) (ORU) R01 OBR (OBR-25) (OBR ) : I : A, R, F (ORU) ORU/ACK - R01 R01 ORU Observational Results MSH Message Header { PID Patient Identification [{ NTE } ] Notes and Comments( for PID) [ PV1 ] Patient Visit { [ ORC ] Order Common OBR Observations Request [{ NTE } ] Notes and Comments( for OBR) [{ OBX Observation/Result [{ NTE } ] Notes and Comments( for OBX) }] } } [ DSC ] Continuation Pointer ACK MSH MSA Acknowledgment Message Header Message Acknowledgment :[ ] { } MSH PID 1 Copyright 2003 JAHIS V1.0 59

60 6.6.2 (ORU) ORU/ACK - R01 R01 ORU/ACK ORU Observational Results MSH Message Header { PID Patient Identification [{ NTE } ] Notes and Comments( for PID) [ PV1 ] Patient Visit { [ ORC ] Order Common OBR Observations Request [{ NTE } ] Notes and Comments( for OBR) [{ OBX Observation/Result [{ NTE } ] Notes and Comments( for OBX) }] } } [ DSC ] Continuation Pointer ACK MSH MSA Acknowledgment Message Header Message Acknowledgment :[ ] { } MSH PID1 PID OBR ORC Copyright 2003 JAHIS V1.0 60

61 MSH - Message Header Segment MSH MSH SEQ LEN DT OPT Japan RP/# ITEM # ELEMENT NAME NOTE 1 1 ST R R Field Separator 2 4 ST R R Encoding Characters HD O O Sending Application HD O O Sending Facility HD O O Receiving Application HD O O Receiving Facility 7 26 TS O R Date/Time Of Message / 8 40 ST O O Security 9 13 CM R R Message Type ST R R Message Control ID 11 3 PT R R Processing ID VID R R Version ID NM O O Sequence Number ST O O Continuation Pointer 15 2 ID O O Accept Acknowledgment Type 16 2 ID O O Application Acknowledgment Type 17 3 ID O N Country Code ID O R Y Character Set CE O O Principal Language of Message ID O O Alternate Character Set Handling Scheme ID O O Conformance Statement ID Optionality R - required O - optional C - conditional on the trigger event or on some other field(s) X - not used with this trigger event B - left in for backward compatibility with previous versions of HL7 JapanJAHIS R - required O - optional C - conditional on the trigger event or on some other field(s) X - not used with this trigger event B - left in for backward compatibility with previous versions of HL7 N - not used useally. use only on the site Repetition N - no repetition Y - the field may repeat an indefinite or site determined number of times (integer)- the field may repeat up to the number of times specified in the integer MSH MSH-1 Field Separator (ST) ID (MSH-2- ) (ASCII 124) MSH-2 Encoding Characters (ST) ^~\& (ASCII 94,126,92 and 38) Copyright 2003 JAHIS V1.0 61

62 MSH-3 Sending Application (HD) MSH-4 Sending Facility (HD) MSH-5 Receiving Application (HD) MSH-6 Receiving Facility (HD) MSH-7 Date/time Of Message (TS) MSH-8 Security (ST) MSH-9 Message Type (CM) Components: <message type (ID)> ^ <trigger event (ID)> 1 HL HL Message type ( ) Value ACK ADR ADT ORF ORM ORR ORU OSQ OSR QRY Value A01 A02 A04 A06 A07 A08 A11 A12 A19 O01 O02 Q06 R01 R02 R04 Description General acknowledgment message ADT response (ADT) ADT message (ADT) Observation Result/Record Response Order message Order acknowledgment message Observ result/unsolicited Order status query Order status response Query, original Mode 0003 Event type ( ) Description ADT/ACK -Admit a patient (ADT)/ACK - ADT/ACK - Transfer a patient (ADT)/ACK - ADT/ACK - Register a patient (ADT)/ACK - ADT/ACK - Transfer an outpatient to inpatient (ADT)/ACK - ADT/ACK - Transfer an inpatient to outpatient (ADT)/ACK - ADT/ACK - Update patient information (ADT)/ACK - ADT/ACK - Cancel admit (ADT)/ACK - ADT/ACK - Cancel transfer (ADT)/ACK - QRY/ADR - Patient query ORM Order message ORR Order response ORM OSQ/OSR - Query for order status ORU Unsolicited transmission of an observation QRY Query for results of observation ORF Response to query; transmission of requested observation MSH-10 Message control ID ID (ST) Copyright 2003 JAHIS V1.0 62

63 MSH-11 Processing ID ID (PT) Components: <processing ID (ID)> ^<processing mode (ID)> Value D P T Processing ID ID Description Debugging Production Training Value A R I T not present Processing mode Description Archive Restore from archive Initial load Current processing, transmitted at intervals(scheduled or on demand) Not present (the default, meaning current processing) MSH-12 Version ID ID (VID) ID ID2.4 Value Description 2.0 Release 2.0 September D Demo 2.0 October Release 2.1 March Release 2.2 December Release 2.3 March Release May Release 2.4 November Version ID ID MSH-13 Sequence Number (NM) MSH-14 Continuation Pointer (ST) MSH-15 Accept Acknowledgment Type (ID) HL MSH-16 Application Acknowledgment Type (ID) HL Accept/application acknowledgment conditions Value AL NE ER SU Description Always Never Error/reject conditions only / Successful completion only MSH-15MSH-16 ( null) MSH-17 Country Code (ID) Copyright 2003 JAHIS V1.0 63

64 ISO 3166 MSH-18 Character Set (ID) HL Value ASCII Description Character sets The printable 7-bit ASCII character set. ( ) 8859/1 The printable characters from the ISO 8859/1 Character set 8859/2 The printable characters from the ISO 8859/2 Character set 8859/3 The printable characters from the ISO 8859/3 Character set 8859/4 The printable characters from the ISO 8859/4 Character set 8859/5 The printable characters from the ISO 8859/5 Character set 8859/6 The printable characters from the ISO 8859/6 Character set 8859/7 The printable characters from the ISO 8859/7 Character set 8859/8 The printable characters from the ISO 8859/8 Character set 8859/9 The printable characters from the ISO 8859/9 Character set ISO IR14 Code for Information Exchange (one byte) (JIS X ) ISO IR87 Code for the Japanese Graphic Character set for information interchange (JIS X ) ISO IR159 Code of the supplementary Japanese Graphic Character set for information interchange (JIS X ) : 7-bit ASCII PNXPN Null single-byte character set (ASCII (ISO IR-6)) ( ISO-IR 6, ISO-IR 13, ISO-IR 14, ISO-IR 100, etc.) ( ISO IR87) ISO-IR 6 (ISO 646) or ISO-IR 14 (JIS X )G0 ~ISO IR87 JIS ~ISO IR159 MSH-19 Principal language of message (CE) ISO 639 MSH-20 Alternate character set handling scheme (ID) ISO MSH-21 (ID) HL7 5 HL Conformance statements Conformance statements Value Description Copyright 2003 JAHIS V1.0 64

65 : HL HL7 7.2 NTE - Notes and Comments Segment NTE NTE NTE SEQ LEN DT OPT Japan RP/# TBL# ITEM # ELEMENT NAME NOTE 1 4 SI O O Set ID - NTE ID-NTE 2 8 ID O O Source of Comment FT O O Y Comment CE O O Comment Type Optionality R - required O - optional C - conditional on the trigger event or on some other field(s) X - not used with this trigger event B - left in for backward compatibility with previous versions of HL7 JapanJAHIS R - required O - optional C - conditional on the trigger event or on some other field(s) X - not used with this trigger event B - left in for backward compatibility with previous versions of HL7 N - not used useally. use only on the site Repetition N - no repetition Y - the field may repeat an indefinite or site determined number of times (integer)- the field may repeat up to the number of times specified in the integer NTE NTE-1 Set ID - NTE ID-NTE (SI) : NTE NTE-2 Source Of Comment (ID) : 0105 Source Of Comment Value L P O Description Ancillary (filler) department is source of comment Orderer (placer) is source of comment Other system is source of comment NTE-3 Comment (FT) : NTE-4 Comment type (CE) Components<identifier (ST)> ^ <text (ST)> ^ <name of coding system (IS)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (IS)> Copyright 2003 JAHIS V1.0 65

66 Comment type Comment type Value PI AI GI 1R 2R GR RE DR Description Patient Instructions Ancillary Instructions General Instructions Primary Reason Secondary Reason General Reason Remark Duplicate/Interaction Reason / Copyright 2003 JAHIS V1.0 66

67 7.3 PID - Patient Identification Segment PID PID SEQ LEN DT OPT Japan RP/# ITEM# ELEMENT NAME NOTE 1 4 SI O O Set ID - Patient ID ID 2 20 CX B B Patient ID (External ID) ID( ID) CX R R Y Patient ID (Internal ID) ID( ID) 4 20 CX B B Y Alternate Patient ID - PID ID XPN R R Y Patient Name XPN O N Y Mother's Maiden Name 7 26 TS O R Date/Time of Birth 8 1 IS O R Sex XPN B N Y Patient Alias CE O N Y Race XAD O O Y Patient Address 12 4 IS B N County Code XTN O O Y Phone Number - Home XTN O O Y Phone Number - Business CE O N Primary Language CE O O Marital Status CE O N Religion CX O O Patient Account Number ST B N SSN Number - Patient SSN DLN O N Driver's Lic Num - Patient CX O O Y Mother's Identifier CE O N Y Ethnic Group ST O N Birth Place 24 1 ID O N Multiple Birth Indicator 25 2 NM O N Birth Order CE O N Y Citizenship CE O N Veterans Military Status CE B B Nationality TS O O Patient Death Date and Time 30 1 ID O O Patient Death Indicator 31 1 ID O O Identity Unknown Indicator IS O O Y Identity ReliabilltyCode TS O O Last Update Date/Time HD O O Last Update Facility CE C C Species Code CE C C Breed Code ST O O Strain CE O O Production Class Code Optionality R - required O - optional C - conditional on the trigger event or on some other field(s) X - not used with this trigger event B - left in for backward compatibility with previous versions of HL7 JapanJAHIS R - required O - optional C - conditional on the trigger event or on some other field(s) X - not used with this trigger event B - left in for backward compatibility with previous versions of HL7 N - not used useally. use only on the site Repetition N - no repetition Y - the field may repeat an indefinite or site determined number of times (integer)- the field may repeat up to the number of times specified in the integer Copyright 2003 JAHIS V1.0 67

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ＨＬ７Ｖ2.4における患者管理　～患者移動通知を中心として～

ＨＬ７Ｖ2.4における患者管理　～患者移動通知を中心として～ ( ) 2 18 etc ( ) 3 18 ( ) 4 18 ( ) 5 18 ( ) 6 18 HL7 ( ) 7 18 HL7 ( ) 8 18 ( ) 9 18 ( ) 10 18 HL7 etc ( ) 11 18 ( ) 12 18 ( ) 13 18 ( ) 14 18 ( ) 15 18 ( ) 16 18 - - - - - - ( ) 17 18 ( ) 18 18 1 / 3 HL7V2.4