(全6章)hl7 v3基础 foundation完整版

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1、王海彤haitong.wang@oracle.comHL7简介及其基于HL7的业务描述什么是“HL7”?Adomain-specific,commonprotocolfortheexchangeofhealthcareinformation.7ApplicationFunction6Presentation5Session4Transport3NetworkCommunication2DataLink1PhysicalISO-OSI通讯结构模型January24,2000HL7v3RIM发展HL7RIMisexpa

2、nding-RIM,tools,vocabulary,WebtransportDSTUsHL7formedTotalInitialReleasedHL7RIMvoting-E-claims,Scheduling,CMETS,rel1,firstmessagingFirstv3ballotsDSTUs:PatAdmin,MedRxMgmntMembers:14standardincoreareas198719892000200319962001Dec-2003WorkonHL7RIMMay-2009CommencedHL7RIMv1.0RIMaccept

3、edreleasedLatestRIMBallotasanANSIFrom1995to1999alotofworkwasdoneintheareasofmessagestandarddevelopmentframework(MDF),RIMdevelopment,adoptionofstructuralvocabularyparadigm,firstv3tools,HL7RIMis10growingInternationalAffiliateyearsinthecontributionstov3making!HL7v2Vs.HL7v3SharedInf

4、ormationHL7v2Model.ThemainHL7v3significantchangeinv3MessagingMessagingReferenceInformationModelVocabularyDataTypes从MDF到HDFCommonTerminologyServicesEntityIdentificationServiceAndother….语法(Syntax)vs语义(Semantics)•Syntaxàstructure•HL7v2.xmessage•X12message•XMLdocument•Semanticsàmean

5、ing•ICD/CPT/SNOMED-CTcodesets•HL7v3message语义交互的支柱NecessarybutnotSufficient•Commonmodelacrossalldomains-of-interest:通用信息模型•Conceptsandrelationships•InformationmodelvsDatamodel•Robust,formalDataTypeSpecification:数据类型•Methodologyforbindingvaluesetstoconcept-basedterminologies:词汇库（V

6、ocabulary）•Formalprocessfordefininginterchangestructures：消息结构HL7V3方法论ApplicationTriggerRIMRoleEventInstantiateSenderReceiverStoryboardD-MIMTriggersRestrictExampleInteractionR-MIMRestrictExampleHMDRestrictStoryboardContentsMessageHL7模型交互模型HL7V3方法论•为一个特定的消息捕获所有相关信息：•应用程序角色（Applica

7、tionRoles）：•发送和接收系统的责任：•触发事件（TriggersEvents）：•发送消息的原因•业务场景(Storyboard):•定义对于系统用户发生了什么事情医疗行为/事务IneedaChestX-rayOrderReportforChestResultMr.SmithX-rayScheduleInterpretChestStudyX-rayPlaceCheckImageinTechnicianRadiologistAvailabilityQueueCheckPerformEquipmentProcedureAvailabilityHL

8、7Version3参照信息模型(ReferenceInformationModel)ActRe