ＨＬ７Ｖ2.x の基礎と臨床検査データ交換実装の勘所

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みそらさわまつ
4 years ago
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1 HL7 HL7 V2.x

3 What is HL7?

6 HL7 international affiliates Argentina, Australia, Canada, China, Finland, Germany, India, Japan, Korea, Lithuania, The Netherlands, New Zealand, Southern Africa, Switzerland, Taiwan, Turkey, United Kingdom, Czech republic Copyright 2002 F.Kawamata Otsuka Pharmaceutical Co.,Ltd. 6

7 HL7 V2.x Functional coverage

10 HL7 V2.x Messages Clinical Laboratory Data Communication JAHIS Ver.2.0

11 NIST: (National Institute of Standards and Technology) JCCLS:,,, JCCLS: (Japanese Committee for Clinical Laboratory Standards) NCCLS:, ECCLS: (National Committee for Clinical Laboratory Standards) (European Council for Clinical & Laboratory Standardization) JSLM: JLAC: 10 JSLM: LOINC: Logical Observation Identifier Names and Codes ( ) (Regenstrief Institute and LOINC Committee, ) ( ): MEDIS-DC ( ) : JAHIS MEDIS-DC: ASTM E-1238: ASTM E-1394: - JAHIS: (American Society for Testing and Materials) HL7: Health Level Seven JAHIS Ver.1.0 JAHIS Ver.2.0 Copyright 2002 F.Kawamata Otsuka Pharmaceutical Co.,Ltd. 11

19 MSH PID ORC OBR OBX OBX ORC OBR ORC OBR OBX OBX OBX GOT OBX GPT OBR OBX 170cm 60 MSH PID OBR OBX OBX OBX OBX OBR GOT 10U GPT 5U file://.png 100 /.png Copyright 2002 F.Kawamata Otsuka Pharmaceutical Co.,Ltd. 19

21 HL7 HL7 Attribute Table PID Patient identification SEQ LEN DT OPT RP/# TBL# ITEM# ELEMENT NAME 1 4 SI O Set ID - PID 2 20 CX B Patient ID CX R Y Patient Identifier List 4 20 CX B Y Alternate Patient ID - PID XPN R Y Patient Name XPN O Y Mother s Maiden Name 7 26 TS O Date/Time of Birth 8 1 IS O Administrative Sex XPN B Y Patient Alias CE O Y Race R- C- O- B- X- Copyright 2002 F.Kawamata Otsuka Pharmaceutical Co.,Ltd. 21

22 Data types Data Type Name ST String TX Text data FT Formatted text NM Numeric ID Coded values for HL7 tables IS Coded value for user-defined tables HD Hierarchic designator PL Patient location TS Time stamp CE Coded element CK Composite ID with check digit Notes/Format <application identifier (IS)> ^ <universal ID (ST)> ^ <universal ID type (ID)> Used only as part of EI and other data types. <point of care (IS )> ^ <room (IS )> ^ <bed (IS)> ^ <facility (HD)> ^ < location status (IS )> ^ <patient location type (IS)> ^ <building (IS )> ^ <floor (IS )> YYYY[MM[DD[HHMM[SS[.S[S[S[S]]]]]]]][+/-ZZZZ] ^ <degree of precision> <identifier (ID)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ID)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)> <ID number (NM)> ^ <check digit (NM)> ^ <code identifying the check digit scheme employed (ID)> ^ < assigning authority (HD)> XPN Extended person name <family name (ST)> & <last name prefix (ST)> ^ <given name (ST ^ <middle initial or name (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)> TQ Timing/quantity <quantity (CQ)> ^ <interval (*)> ^ <duration (*)> ^ <start date/time (TS)> ^ <end date/time (TS)> ^ <priority (ID)> ^ <condition (ST)> ^ <text (TX)> ^ <conjunction (ID)> ^ <order sequencing> Copyright 2002 F.Kawamata Otsuka Pharmaceutical Co.,Ltd. 22

23 SEQ DT OPT RP/# ELEMENT NAME EXAMPLE 1 ST R Field Separator 2 ST R Encoding Characters ^~\& 3 HD O Sending Application 4 HD O Sending Facility 001^OHP^L 5 HD O Receiving Application 6 HD O Receiving Facility 123^OAL^L 7 TS O Date/Time Of Message CM R Message Type ORM^O01 10 ST R Message Control ID ORM PT R Processing ID P 12 ID R Version ID ID O Y/3 Character Set ASCII ~ISO IR87 20 CE O Escape Sequence ISO Encoding Example MSH ^~\& 001^OHP^L 123^OAL^L ORM^O01 ORM123 P ~ISO IR87 ISO Copyright 2002 F.Kawamata Otsuka Pharmaceutical Co.,Ltd. 23

25 SEQ DT OPT RP/# ELEMENT NAME EXAMPLE 3 CX R Y Patient ID list ID PID001 5 XPN R Patient Name Yamada^Tarou^^^^^L^A~ ^ ^^^^^L^I~ ^ ^^^^^L^P 7 TS Date/Time of Birth IS Sex M Encoding Example PID OPC-001 PID001 ^ ^^^^^D^I~ ^ ^^^^^D^P~NIHON^Tarou^^^^^D^A M XPN < > ^ < > ^ < > ^ > ^ < > ^ < > ^ < > ^ < > Value Description Value Description A I ( ) L A ( ) D P (ASCII, ) M C Yamada^Tarou^^^^^L^A~ ^ ^^^^^L^I~ ^ ^^^^^L^P Copyright 2002 F.Kawamata Otsuka Pharmaceutical Co.,Ltd. 25

26 SEQ LEN DT OPT RP/# ITEM# ELEMENT NAME 2 1 IS R Patient Class 3 80 PL O Assigned Patient Location 4 2 IS O Admission Type 7 60 XCN O Y Attending Doctor 8 60 XCN O Y Referring Doctor 9 60 XCN O Y Consulting Doctor 10 3 IS O Hospital Service PL O Temporary Location 15 2 IS O Y Ambulatory Status XCN O Y Admitting Doctor 18 2 IS O Patient Type CK O Visit Number CE O Diet Type 39 2 IS O Servicing Facility TS O Admit Date/Time / TS O Discharge Date/Time / Copyright 2002 F.Kawamata Otsuka Pharmaceutical Co.,Ltd. 26

27 SEQ DT OPT RP/# ELEMENT NAME EXAMPLE 1 ID R Order Control NW 2 EI C Placer Order Number EI C Filler Order Number 4 EI O Placer Group Number ID O Order Status 6 ID O Response Flag 7 TQ O Quantity/Timing 8 CM O Parent 9 TS O Date/Time of Transaction XCN O Entered By 11 XCN O Verified By 12 XCN O Ordering Provider 13 PL O Enterer's Location 14 XTN O Y/2 Call Back Phone Number 15 TS O Order Effective Date/Time Encoding Example ORC NW Copyright 2002 F.Kawamata Otsuka Pharmaceutical Co.,Ltd. 27

28 SEQ DT OPT RP/# ELEMENT NAME EXAMPLE ORM ORU 2 EI C Placer Order Number EI C Filler Order Number ^OAL 4 CE R Universal Service ID 5F ^HSV^JC10 6 TS B Requested Date/time TS C Observation Date/Time # CQ O Collection Volume * 11 ID O Specimen Action Code * 13 ST O Relevant Clinical Info. 14 TS C Specimen Received Date/Time * CM O Specimen Source * / 023^^JC10 16 XCN O Y Ordering Provider ^~ ^ 22 TS C Results Rpt - Date/Time ID O Diagnostic Serv Sect ID ID OAL 25 ID C Result Status + F 27 TQ O Y Quantity/Timing 28 XCN O Y/5 Result Copies To 32 CM O Principal Result Interpreter + ^ 34 CM O Y Technician + ^ 37 NM O Number of Sample Containers * 1 39 CE O Y Collector's Comment * Copyright 2002 F.Kawamata Otsuka Pharmaceutical Co.,Ltd. 28

32 SEQ DT OPT RP/# ELEMENT NAME EXAMPLE 1 SI O Set ID - Observational Simple 2 ID R Value Type NM 3 CE R Observation Identifier 5F ^HSV-1 ^JC10 4 ST C Observation Sub-ID 5 * C Y Observation Value CE O Units 7 ST O References Range ID O Y/5 Abnormal Flags 9 NM O Probability 10 ID O Y Nature of Abnormal Test 11 ID R Observ Result Status F 12 TS O Date Last Obs Normal Values 13 ST O User Defined Access Checks 14 TS O Date/Time of the Observation CE O Producer's ID 16 XCN O Responsible Observer 17 CE O Y Observation Method Copyright 2002 F.Kawamata Otsuka Pharmaceutical Co.,Ltd. 32

33 OBX-2 OBX-5 NM NM NM <100 NM +4.5E+3 4.5E E+3 ST ST <100 <100 ST CE ^ SN <^100 < SN <^1E+2 <1E+2 < SN >^100 > SN >=^100 >= SN ^2^ SN ^2^-^3 2~3 SN ^1^:^128 1:128 SN ^1^/^3 1/3 Copyright 2002 F.Kawamata Otsuka Pharmaceutical Co.,Ltd. 33

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

ＨＬ７ Ｖ2.x の基礎と臨床検査データ交換実装の勘所

ＨＬ７Ｖ2.x の基礎と臨床検査データ交換実装の勘所