hl7 v3 教育訓練系列教材

HL7 v3HL7 v3 教育訓練系列教材教育訓練系列教材

HL7 Taiwan 協會秘書長范士展

[email protected]

HL7 Taiwan Google 論壇 :http://groups.google.com/group/hl7-taiwan

教育訓練委員會Education Technical Committees

版權所有：台灣健康資訊交換第七層協定協會

Reference Reference Information ModelInformation Model

1. 資訊模型概念2. RIM 模型架構3. RIM 模型詳述4. 定義範例

資訊模型概念

資訊模型語言類別定義事情：

表達在領域中重要性觀念觀念 = 在你事業範疇中之事務

或想法重要性 = 多樣 ( 重複 ) 交易

的主體類似在資料庫中”記錄”的定義。

Patient

name : PNDOB : Dateaddress : AD

類別名稱

類別屬性• 屬性是對我們有興趣的事，記錄下資料。• 屬性是對應於該類別才有的內容值。• 屬性有名稱與資料型態。• 類似在資料庫紀錄的欄位。

Patient

name : PNDOB : Dateaddress : AD Patient

name = John DoeDOB = 10-Apr-1966address = Calgary

Patientname = Jane SmithDOB = 1-Oct-1956address = Toronto

Patientname = Bart SimpsonDOB = 5-Sep-1975address = Springfield

資訊模型語言類別定義事情物件是衍生案例

對類別個體的定義有確定值指派給屬性會有不變的辨識值 ( 主鍵值 ) 類似資料庫中的一筆記錄

Patient


Doctor

name : PNspecialty : CDphone : TEL

seeks care at

provides care for0..*

1..*

資訊模型語言類別定義事情物件是衍生案例相關事情連結

描述某事情會以甚麼方式與其他事情連結

關聯角色名稱

基數 (cardinality) or 重複性 (multiplicity)

Patient


Doctor


seeks care at


1..*

資訊模型語言類別定義事情物件是衍生案例相關事情連結

描述某事情會以甚麼方式與其他事情連結

“Every Patient … seeks care at … 1 to many … Doctors”

以英文方式閱讀關聯：

“Every Doctor … provides care for ... zero to many … Patients”

資訊模型語言類別定義事情物件是衍生案例相關事情連結連結類別補充說明關聯

關聯的屬性更多關聯性

Patient


Doctor


seeks care at


1..*

Encounter

type : CVtime : IVLTSreason : CD

資訊模型語言類別定義事情物件是衍生案例相關事情連結連結類別補充說明關聯

關聯的屬性更多關聯性

Patient


Doctor


1

1..*

Encounter


1

0..*

Information Modeling Language 類別定義事情物件是衍生案例相關事情連結連結類別一般化類別

Patient

gender : CDdonor : BLV.I.P. : BL

Doctor

specialty : CDphone : TELprivileges: CV

Person


1

1..*

Encounter


1

0..*

一般化類別可簡化模型共用相同觀念表達應用領域之邏輯真實性相對的是特殊化類別

Information Modeling Language 類別定義事情物件是衍生案例相關事情連結連結類別一般化類別反身關聯

Patient

gender : CDdonor : BLV.I.P. : BL

Doctor

specialty : CDphone : TELprivileges: CV

Person


1

1..*

Encounter


1

0..*

0..10..1

follow-up

反身關聯是一個類別的案例結構chain (predecessor-successor,) hierarchy (parent-child,) or network

RIM 模型架構

六個核心物件 Act - Actions

Order, Observe, Encounter, Account

Entity - People, Places, Things Person, Location, Blood

Role Patient, Location of

Care, Specimen.

Act_Relationship Connects Acts.

Participation Connects Roles to Acts.

Role_Link Connects Roles.

RIM 類別關係

Act

Act_Relationship

Entity Role

Participation

Role_Link

Non CoreNon CoreNon Core

particip

ates in

playshas

scopes has targethas

sourcehas

targethas

source

Roles 與 Entities 之關聯 “ Played and Scoped”

Doctor Patient

DowntownHospital

Uptown Hospital

Joe Smith

Plays Plays

ScopedBy

ScopedBy

Acts 與 Roles 之關聯 Relations and Participants

Acts are related to other acts via

ActRelationShips.

Entities in Roles participate in acts via Participations.

RIM 之 UML 模型 ( 簡圖 )

RIM 之編碼概念

RIM 之限制式概念

RIM 模型詳述

類別說明類別名稱此類別擁

有之屬性

此類別有關聯者

此類別之父類別

此類別之子類別

此類別之狀態圖

此類別定義說明

屬性說明所屬類別屬性名稱資料型態重複性

強制性

概念領域

定義說明

許多屬性有概念領域

AcknowledgementMessageCodeAcknowledgementType

ActClassActCode

…ValueSetStatus

VocabularyDomainQualifierX_ActMoodPermPermrq

注意：這部分是改版甚多詳細描述請參考【 Data Type 與Vocabulary 】

屬性可以有 Mandatory( 強制性 )屬性有 Cardinality( 重複性 )

Mandatory Flag: If an attribute is

Mandatory, it must be valued

or your message is not

valid V3.

Cardinality: How many?

(0..1)(1..1)(1..3)(1..*)

Roles 以 Class Code 特殊化 Examples:

LIC – Licensed Entity PROV – Healthcare Provider ASSIGNED – Assigned

Entity NOK – Next of Kin GUAR – Guarantor PAT – Patient IDENT – Identified Entity SDLOC – Service Delivery

Location SPEC - Specimen

Concept Domain

用 RoseTree 查

查 Vocabulary

Entity 與 Role 相似

Act

classCode: CS moodCode: CS id: SET<II> code: CD statusCode: SET <CS> etc.

V3 最重要的類別 -Acts

Acts 有 Class Code ENC - Encounter OBS - Observation (lab) SBADM - Substance Administration (pharmacy -

admin) SPLY - Supply (pharmacy - dispense)

Acts 有 States Code

Acts 有 Moods Code Proposal

PRP Order/Request

RQO Promise

PRMS Event

EVN

你為什麼不整理你的房間 ?

快去整理房間 !

我會的 !

房間已整理完畢 .

Mood 範例 Appointment

APT Definition - DEF

from master file Event Criterion - EVN.CRT

precondition, such as “if pain”

今天的房間整理安排下午三時

“整理房間” 指把床整理好 , 把衣服放在洗衣機 ,

及把玩具收拾好 .

如果你想吃冰淇淋 , 那你趕快把房間整理好… .

Acts 可以有 Codes 外部編碼系統

如 LOINC 編碼 HL7 編碼

例如： Encounter Type are Act Codes.

Encounter TypeInpatient

EmergencyAmbulatory

Home Health

<code code="1554-5" codeSystemName="LN" displayName="Serum Glucose“/>

Acts 有 Ids:

II:•identifier that uniquely identifies a thing or object.•Examples include medical record number, order id, service catalog item id, etc.•Usually based on ISO Object Identifier (“OID”)

•OID Registry: http://www.hl7.org/oid/index.cfm

Not to be confused with code – which describes the KIND of Act.

Properties of the II Data Type

<hl7:id root="2.16.840.1.113883.19.3.2409" extension="12345" >

Act Relationships 的類型 COMP - has component PERT - has pertinent info SEQL - is sequel OPTN - has option FLFS - fulfills RSON - has reason INST - instantiates PRCN - has precondition OUTC - has outcome SUCC - succeeds RPLC - replaces OCCR - occurrence REFV - has reference values AUTH - authorized by COST - has cost GOAL - has goal PREV - has previous instance

Participation Describes the involvement of an entity in an act. The entity is playing a role

(Joe Smith plays doctor). The role participates in an act. Examples:

Author [of an order]

(Ordering Doctor)

Admitter [of an encounter]

(Admitting Doctor)

Types of Participations AUT - author ENT - data entry person CBC - call back contact PATSBJ - patient subject ADM - admitter PRF - performer ATND - attender CNS - consentor DIS – Discharger SPC - specimen LOC - location ELOC - entry location DST - destination DEV - device TPA - therapeutic agent CSM - consumable RESPROV - responsible provider

定義範例

Adam’s Emergency:

Adam Everyman 在 2006/5/2 早上 10 點，經由救護車送達 Good Health Hospital 的急診處。 Everyman 先生呼吸道疼痛及心跳加速的症狀。值班醫師 Eric Emergency ，認為他需要被緊急處理，並且要求胸腔科的 Dr. Penny Puffer 醫師前來會診。Adam 已經完成掛號。

Quiz: Adam’s Emergency

定義主要的 Act(focal Act): Act.classCode = Act.Code = Act.Status = Act.Mood = Act.effectiveTime =

Adam 扮演甚麼角色 ? Role.classCode =

Penny 與 Eric 都是扮演醫師角色 . 他們是如何參與 Adam’s Emergency Encounter? Eric’s Participation.Type = Penny’s Participation.Type =

Adam 是經由救護車來到醫院。他的交通工具應以 Act 表達。那如何用 ActRelationShip 來表達此交通工具與他此次就診的關係？ ActRelationship.Type =

Quiz: Adam’s Emergency

定義主要的 Act (focal Act): Act.ClassCode = “ENC” Act.code =“EMER” Act.Status =“active” Act.moodCode =“EVN” Act.effectiveTime = “200605021000”

Adam 扮演甚麼角色 ? Role.classCode =“PAT ”

Penny 與 Eric 都是扮演醫師角色。他們是如何參與 Adam’s Emergency Encounter? Eric’s Participation.typeCode =“ATND” Penny’s Participation.typeCode =“CON”

Adam 是經由救護車來到醫院。他的交通工具應以 Act 表達。那如何用 ActRelationShip 來表達此交通工具與他此次就診的關係？ ActRelationship.typeCode =“ARR”

感謝聆聽 Reference Information ModelReference Information Model

下一場： Data Type 與 Vocabulary

hl7 v3 教育訓練系列教材

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