Microsoft PowerPoint - MFER_CDA_ f.ppt

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1 MFER CDA compatibility Masato Tanaka HL7 Japan MFER committee

2 Healthcare Data Profile Text data HL7,XML Waveform data MFER Image data DICOM,JPEG

3 MFER s three levels Level 3 Patient Name Patient ID. Level 3 Level 2 Mess. Value Event. Level 2 Level 1 Waveform. Level 1

4 MFER s three levels Patient Name Patient ID Patient History Order Treatment. Level 3 Level 2 Patient Name Patient ID. Mess. Mess. Value Value Event Event.. Level 3 Level 2 Level 1 Waveform. Level 1

5 MFER s three levels Level 3 Level 2 Patient Name Patient ID Patient History Order Treatment. Patient Name Patient ID. Mess. Mess. Value Value Event Event.. MSH ^~ & LAB JAHIS ORU^R01^ORU_R01 m n256 P 2.5 ~ISO IR87 JP ISO <cr> PID OPC-001 PID001 OTSUKA^TARO^^^^^L^A~ 大塚 ^ 太郎 ^^^^^L^I~ おおつか^たろう^^^^^L^P M <cr>. OBX TX 9A100^ECG^JC10 Atrial fibrillation AA F <cr> Level 3 OBX RP 9A100^ECG^JC10..//ecgdb.nk/H020923/01234.mwf AA F...<cr> Level 2 Level 1 Waveform. Level 1

6 MFER s three levels

7 MFER overview Header Frame (Waveform) Header Frame (Waveform) Frame (Waveform) Header Frame (Waveform)

8 Data Unit MFER TLV (Type, Length, Value) Type Class P / C Tag Number Length 0 Data length 1 Data block number Data length Value T: type=mwf_chn Value V: value=8 channel L: length=1 octet

9 Sampling attributes Sampling frequency (Interval) Sampling resolution Sampling resolution Offset ΔT Sampling frequency(interval) frequency(interval)

10 Frame attributes Data Block Frame Channel Block Sequence

11 Frame attributes Data Block Frame Channel Channel Sequence

12 Frame attributes Data Block Frame Channel Sequence Sequence

13 Frame attributes Data Block Frame Frame Channel Block Channel Sequence Sequence

14 Minimum example (using default definition) Header Channel number = 8 Waveform (using default value) Sampling freq.=1khz Resolution=1.25µV Data block=1 Sequence=length of waveform

15 Minimum example (using default definition) Header Channel number = 8 Waveform (using default value) Sampling freq.=1khz Resolution=1.25µV Data block=1 Sequence=length of waveform

16 Full definition Header Waveform

17 Full definition Header Waveform

18 E.g. HL7 V2.5 v.s. MFER with HL7 OBX 1 CD 5&CHN^^99SVL 1 1^ONE^0.5&mv^^200^- 2048&2047~2^TWO~3^THREE F...<cr> OBX 2 TS 5&TIM^^99SVL F...<cr> OBX 3 MA 5&WAV^^99SVL 1 0^0^0~1^1^1~2^2^2~3^3^3~4^4^4~5^5^5~6^6^6~7^7^7~8^8^8 ~7^7^7~6^6^6~5^5^5~4^4^4~3^3^3~2^2^2~1^1^1~0^0^0~-1^-1^-1~-2^-2^-2~-3^-3^-3~- 4^-4^-4~-5^-5^-5~-6^-6^-6~-7^-7^-7 ~-8^-8^- 8~2^2^2~3^3^3~4^4^4~5^5^5~6^6^6~7^7^7~8^8^8~7^7^7~6^6^6~5^5^5~2^2^2~3^3^3~4^ 4^4~5^5^5~6^6^6~7^7^7~8^8^8~7^7^7~6^6^6~5^5^5~4^4^4~5^5^5~6^6^6~7^7^7~8^8^8~ 7^7^7~6^6^6~5^5^5~4^4^4~3^3^3~2^2^2~1^1^1~4^4^4~5^5^5~6^6^6~7^7^7~8^8^8~7^7^ 7~6^6^6~5^5^5~4^4^4~3^3^3~2^2^2~1^1^1 8~2^2^2~3^3^3~4^4^4~5^5^5~6^6^6~7^7^7~8^8^8~7^7^7~6^6^6~5^5^5~2^2^2~3^3^3~4^ 4^4~5^5^5~6^6^6~7^7^7~8^8^8~7^7^7~6^6^6~5^5^5~4^4^4~5^5^5~6^6^6~7^7^7~8^8^8~ 7^7^7~6^6^6~5^5^5~4^4^4~3^3^3~2^2^2~1^1^1~4^4^4~5^5^5~6^6^6~7^7^7~8^8^8~7^7^ 7~6^6^6~5^5^5~4^4^4~3^3^3~2^2^2~1^1^1 F...<cr> OBX 4 CE 5&ANO^^99SVL 1 ^Channel passing through maxima F <cr> OBX 5 CE 5&ANO^^99SVL 1 ~~^Channel passing through zero F <cr> HL7 + MFER OBX RP 9A100^ECG^JC10..//ecgdb/P020923/01234.mwf AA F...<cr>

19 E.g. HL7 V2.5 v.s. MFER with HL7 OBX 1 CD 5&CHN^^99SVL 1 1^ONE^0.5&mv^^200^- 2048&2047~2^TWO~3^THREE F...<cr> OBX 2 TS 5&TIM^^99SVL F...<cr> OBX 3 MA 5&WAV^^99SVL 1 0^0^0~1^1^1~2^2^2~3^3^3~4^4^4~5^5^5~6^6^6~7^7^7~8^8^8 ~7^7^7~6^6^6~5^5^5~4^4^4~3^3^3~2^2^2~1^1^1~0^0^0~-1^-1^-1~-2^-2^-2~-3^-3^-3~- 4^-4^-4~-5^-5^-5~-6^-6^-6~-7^-7^-7 ~-8^-8^- 8~2^2^2~3^3^3~4^4^4~5^5^5~6^6^6~7^7^7~8^8^8~7^7^7~6^6^6~5^5^5~2^2^2~3^3^3~4^ 4^4~5^5^5~6^6^6~7^7^7~8^8^8~7^7^7~6^6^6~5^5^5~4^4^4~5^5^5~6^6^6~7^7^7~8^8^8~ 7^7^7~6^6^6~5^5^5~4^4^4~3^3^3~2^2^2~1^1^1~4^4^4~5^5^5~6^6^6~7^7^7~8^8^8~7^7^ 7~6^6^6~5^5^5~4^4^4~3^3^3~2^2^2~1^1^1 8~2^2^2~3^3^3~4^4^4~5^5^5~6^6^6~7^7^7~8^8^8~7^7^7~6^6^6~5^5^5~2^2^2~3^3^3~4^ 4^4~5^5^5~6^6^6~7^7^7~8^8^8~7^7^7~6^6^6~5^5^5~4^4^4~5^5^5~6^6^6~7^7^7~8^8^8~ 7^7^7~6^6^6~5^5^5~4^4^4~3^3^3~2^2^2~1^1^1~4^4^4~5^5^5~6^6^6~7^7^7~8^8^8~7^7^ 7~6^6^6~5^5^5~4^4^4~3^3^3~2^2^2~1^1^1 F...<cr> OBX 4 CE 5&ANO^^99SVL 1 ^Channel passing through maxima F <cr> OBX 5 CE 5&ANO^^99SVL 1 ~~^Channel passing through zero F <cr> HL7 + MFER OBX RP 9A100^ECG^JC10..//ecgdb/P020923/01234.mwf AA F...<cr>

20 CDA R2 R-MIM

21 CDA R2 for ECG report

22 Report

23 XML instance <recordtarget> <patientrole> <id root="2a52226f-3e5d-4231-bbb1-edc1d42bb75f" extension=" " displayable="true"/> <addr use="hp"> <streetaddressline>新宿区西落合一丁目31番地4</streetaddressline> <city/> <prefecture>東京都</prefecture> <postalcode> </postalcode> <country>日本</country> </addr> <telecom value="tel:+81(3) " use="h"/> <patient> <name use="ide"> <given>虎次郎</given> <family>新谷</family> </name> <name use="syl"> <given>とらじろう</given> <family>しんたに</family> </name> <name use="abc"> <given>torajirou</given> <family>shintani</family> </name> <administrativegendercode code="m" codesystem="3340c10a-c30d-437e-8fa1-fe82a258b2ee" displayname="男"/> <birthtime value=" "/> <maritalstatuscode code="y" codesystem="0776c095-4d a4b e4bf8d" codesystemname="maritalstatus" displayname="既婚"/> <domicile> <domicile> <name/> <addr use="hp"> <streetaddressline>西京区桂春日町1 12</streetAddressLine> <city>京都市</city> <prefecture>京都府</prefecture> <postalcode> </postalcode> <country>日本</country> </addr> </domicile> </domicile> </patient> </patientrole> </recordtarget>

24 Data type e.g. State Prefecture Birthplace domicile <recordtarget> <patientrole> <id root="2a52226f-3e5d-4231-bbb1-edc1d42bb75f" extension=" " displayable="true"/> <addr use="hp"> <streetaddressline>新宿区西落合一丁目31番地4</streetaddressline> <domicile> <city/> <prefecture>東京都</prefecture> <postalcode> </postalcode> <country>日本</country> </addr>

25 Patient name and year in Japanese <patient> <name use="ide"> <given>虎次郎</given> <family>新谷</family> </name> <name use="syl"> <given>とらじろう</given> <family>しんたに</family> </name> <name use="abc"> <given>torajirou</given> <family>shintani</family> </name> <administrativegendercode code= M codesystem= /> <birthtime value=" "/>

26 ECG report ( Full view)

27 CDA Example <recordtarget> <patientrole> <id root="2a52226f-3e5d-4231-bbb1-edc1d42bb75f" extension=" " displayable="true"/> <addr use="hp"> <streetaddressline>新宿区西落合一丁目31番地4</streetaddressline> <city/> <prefecture>東京都</prefecture> <postalcode> </postalcode> <country>日本</country> </addr> <telecom value="tel:+81(3) " use="h"/> <patient> <name use="ide"> <given>虎次郎</given> <family>新谷</family> </name> <name use="syl"> <given>とらじろう</given> <family>しんたに</family> </name> <name use="abc"> <given>torajirou</given> <family>shintani</family> </name> <administrativegendercode code="m" codesystem="3340c10a-c30d-437e-8fa1-fe82a258b2ee" displayname="男"/> <birthtime value=" "/> <maritalstatuscode code="y" codesystem="0776c095-4d a4b e4bf8d" codesystemname="maritalstatus" displayname="既婚"/> <domicile> <domicile> <name/> <addr use="hp"> <streetaddressline>西京区桂春日町1 12</streetAddressLine> <city>京都市</city> <prefecture>京都府</prefecture> <postalcode> </postalcode> <country>日本</country> </addr> </domicile> </domicile> </patient> </patientrole> </recordtarget>

Microsoft PowerPoint - HL7Jセミナー初心者木村1205.ppt

Microsoft PowerPoint - HL7Jセミナー初心者木村1205.ppt HL7 入門日本 HL7 協会理事長浜松医科大学医療情報部木村通男厚生労働省標準規格 (2012/3 現在 )( 下線は 2010 以降追加 ) 医薬品 HOT コード ICD10 対応標準病名集患者医療情報提供書 ( 患者への情報提供 ) 診療情報提供書 ( 電子紹介状 ) IHE PDI (Portable Data for Images)(DICOM 画像 CD) MFER( 心電図など波形データ