HL7介绍-20150305

HL7标准介绍用友医疗卫生信息系统有限公司冯晗[e-mail]2015YonyouHealthcareInformationSystemCo.,Ltd目录HL7本地化使用HL7的价值HL7实施方法HL7介绍2012YonyouSoftwareCo.,Ltd.HL7V2历史Version1.0Version3开始研发2006HL7China成立Version2.0Version2.1Version2.5.1Version2.2Version2.3Version2.3.1Version2.4Version2.51987199419991988199019972000200320022007Version2.62011Version2.72012Version2.7.12014Version2.8Version2.8.1Version3CDARelease1Version3CDARelease22005ANSI批准HL7标准v2.4中文版中国加入HL7组织组织翻译HL7v2.42012YonyouSoftwareCo.,Ltd.国际标准2012YonyouSoftwareCo.,Ltd.章节划分1.Introduction2.Control3.PatientAdministration4.OrderEntry5.Query6.FinancialManagement7.ObservationReporting8.MasterFiles9.MedicalRecords10.Scheduling11.PatientReferral12.PatientCare13.ClinicalLaboratoryAutomation14.ApplicationManagement15.PersonnelManagement16.ClaimsandReimbursement17.MaterialsManagement2012YonyouSoftwareCo.,Ltd.范围患者管理Registration/MPIADT/InpatientsScheduling/OutpatientsPatientReferral临床OrdersResultsMedicalRecordsPatientCare财务其它2012YonyouSoftwareCo.,Ltd.消息结构HierarchyofMessageElementsGroups,Segments,Fields,Components,andSub-ComponentsGroupsandSegmentscancontainadditionalelementsFieldsandComponentscancontainadditionalelementsorareprimitiveelementsSub-componentsareprimitiveelements(i.e.,candatavalues)HL7MessageSegmentsGroupsFieldsGroupsSegmentsComponentSub-ComponentManyMessageEventsModelRealWorldEvents,suchasAdmit/Discharge/Transfer(ADT)ADTA04(RegisterPatient)ADTA08(UpdatePatientData)Etc.LabOrders(ORM)ORMO01(OrderMessage)LabResults(ORR)ORRO02(OrderResponse)Etc.Hundredsofmessageevents2012YonyouSoftwareCo.,Ltd.结构剖析SEQLENDTOPTRP/#TBL#ITEM#ELEMENTNAME14SIO00104SetID-PID220CXB00105PatientID3250CXRY00106PatientIdentifierList420CXBY00107AlternatePatientID-PID5250XPNRY00108PatientName6250XPNOY00109Mother’sMaidenName726TSO00110Date/TimeofBirth81ISO000100111AdministrativeSex…3780STO01541Strain38250CEO2042901542ProductionClassCodeADT^A04^ADT_A01MSHEVNPID[PD1][{ROL}][{NK1}]PV1[PV2]...[{GT1}][{IN1[IN2][{IN3}][{ROL}]}][ACC][UB1][UB2][PDA]Components:familyname(FN)^givenname(ST)^secondandfurthergivennamesorinitialsthereof(ST)^suffix(e.g.,JRorIII)(ST)^prefix(e.g.,DR)(ST)^degree(e.g.,MD)(IS)^nametypecode(ID)^namerepresentationcode(ID)^namecontext(CE)^namevalidityrange(DR)^nameassemblyorder(ID)Subcomponentsoffamilyname:surname(ST)^ownsurnameprefix(ST)^ownsurname(ST)^surnameprefixfrompartner/spouse(ST)^surnamefrompartner/spouse(ST)Subcomponentsofnamecontext:identifier(ST)&text(ST)&nameofcodingsystem(IS)&alternateidentifier(ST)&alternatetext(ST)&nameofalternatecodingsystem(IS)Subcomponentsofnamevalidityrange:daterangestartdate/time(TS)&daterangeenddate/time(TS)HL70001-AdminSexAAmbiguousFFemaleMMaleUUnknownPIDSegment2012YonyouSoftwareCo.,Ltd.消息范例-EDIMSH|^~\&|HIS||EAI||20130808155212||ADT^A04^ADT_A01|5460773|P|2.4|||AL|AL|CHNEVN|A04|20130808155212|20130808155212|01|000171^xx|20130808155212|HISPID|1|0000145900|0000145900^^^^IDCard~145900^^^^Card_No~^^^^IdentifyNO||xxx||20120617000000|F|||^^^^^^H~^^^^^^O||^^^^^^^^1862xxxx674|||||||||||||||||||||||||1^现金NK1|1PV1|1|O|^^^8149|4|||||||||2|||0||01|845590|||||||||||||||||||||||||201308081552112012YonyouSoftwareCo.,Ltd.消息范例-XMLADT_A01xmlns=urn:hl7-org:v2xmlxmlns:xsi=:schemaLocation=urn:hl7-org:v2xmlADT_A01.xsdMSHMSH.1|/MSH.1MSH.2^~\&/MSH.2MSH.3HD.1HIS/HD.1/MSH.3MSH.5HD.1EAI/HD.1/MSH.5MSH.7TS.120130808155212/TS.1/MSH.7MSH.9MSG.1ADT/MSG.1MSG.2A04/MSG.2MSG.3ADT_A01/MSG.3/MSH.9MSH.10000001/MSH.10MSH.11PT.1P/PT.1/MSH.112012YonyouSoftwareCo.,Ltd.EDIvs.XMLMSH|^~\&|LAB|767543|ADT|767543|20050201130405||ADT^A04|XX3657|P|2.4CREVN||20050201101314||||20050201095000CRPID|||1234567891||EXAMPLE^DAVID^S||19590520|M|||23MAINSTREET^^ANYTOWN^^AN108SW||01234567890CRPD1||||DRAWELBYCRPV1||0||NEW|||DRKJONESCR!DOCTYPEADT_A03SYSTEMhl7_v24.dtdADT_A01MSHMSH.1|/MSH.1MSH.2^~\&/MSH.2MSH.3CM.1LAB/CM.1/MSH.3MSH.4767543/MSH.4MSH.5ADT/MSH.5MSH.6767543/MSH.6MSH.720050201130405/MSH.7MSH.9CM_MSG_TYPE.1ADT/CM_MSG_TYPE.1CM_MSG_TYPE.2A04/CM_MSG_TYPE.2/MSH.9MSH.10XX3657/MSH.10MSH.11ID.1P/ID.1/MSH.11MSH.12ID.12.4/ID.1/MSH.12/MSHEVNEVN.220050201101314/EVN.2EVN.620050201095000/EVN.6/EVNPIDEVN.620050201095000/EVN.6/EVNPIDPID.3.LSTPID.3CX.11234567891/CX.1CX.4NHSCX.4CX.5NHCX.5/PID.3PID.3CX.1AB12345/CX.1/PID.3/PID.3.LSTPID.4.LSTPID.5.LSTPID.5XPN.1EXAMPLE/XPN.1XPN.2DAVID/XPN.2XPN.3S/XPN.3/PID.5/PID.5.LSTPID.719590520/PID.7PID.8M/PID.8PID.11.LSTPID.11XAD.123MAINSTREET/XAD.1XAD.3ANYTOWN/XAD.3XAD.5AN108SW/XAD.5/PID.11/PID.11.LSTPID.13.LSTPID.13XTN.101234567890/XTN.1/PID.13/PID.13.LSTPD1PD1.4.LSTPD1.4XCN.1DRAWELBY/XCN.1/PD1.4/PD1.4.LST/PD1PV1PV1.20/PV1.2PV1.4NEW/PV1.4PV1.7.LSTPV1.7XCN.1DRKJONES/XCN.1/PV1.7/PV1.7.LST/PV