HL7教育訓(xùn)練課程教材入門介紹課件

1、HL7教育訓(xùn)練課程教材資料交換入門介紹 教育訓(xùn)練委員會(huì)Education Technical Committees 秘書長 范士展 編撰講員背景HL7 Taiwan 第二屆理事HL7 Taiwan 第三屆秘書長HL7 Taiwan 長期照護(hù)技術(shù)委員會(huì)召集人HL7 Taiwan 轉(zhuǎn)診檢技術(shù)委員會(huì)副召集人HL7 國際認(rèn)證分析師 - V2.5HL7 Taiwan 教育訓(xùn)練講師東元電機(jī)智慧系統(tǒng)事業(yè)部 顧問東海大學(xué)、亞洲大學(xué) 兼任講師東海大學(xué)工業(yè)工程與經(jīng)營資訊研究所 博士生講授大綱資訊交換緣起資料交換架構(gòu)HL7總會(huì)介紹資訊交換緣起位元世界 1/2一個(gè)位元(bit)可以代表一個(gè)事實(shí)的兩個(gè)狀態(tài)，例如，電燈的

2、“開”或“關(guān)”、性別的”男”或”女”（只有這樣子嗎？）。 兩個(gè)位元可四種狀態(tài)，有下列組合：00、01、10、11。方向，00代表往前、01代表往後，10代表往右，11代表往左。 位元世界 2/2n個(gè)字元就具備有2n個(gè)狀態(tài)。N=8時(shí)，稱之為位元組(Byte)。共256個(gè)狀態(tài)。這0255個(gè)數(shù)字分別給予指定的文數(shù)字或符號(hào)，稱之為ASCII碼。American Standard Code for Information Interchange，美國訊息交換標(biāo)準(zhǔn)代碼。CharDecOctHex!3300410 x21+4300530 x2b04800600 x3014900610 x31A6501010

3、 x41B6601020 x42a9701410 x61b9801420 x62交換標(biāo)準(zhǔn)始焉！資訊的層級(jí)事實(shí) fact所關(guān)心的某一事件。描述方向、性別。資料 data此事件可以攜帶的資料。 00代表往前、01代表往後，10代表往右，11代表往左。 資訊 information資料經(jīng)過有目的處理。某人從原點(diǎn)(0,0)出發(fā)，收集00, 00, 10, 00資料，得知離開原點(diǎn)至座標(biāo)(1,3)知識(shí) knowledge學(xué)習(xí)所得，前往該點(diǎn)有哪些路徑。00,10,00,00也可到座標(biāo)(1,3)。資訊重現(xiàn)。智慧 wisdom可以產(chǎn)生新的路徑資訊創(chuàng)新但！資料(訊)交換在哪一層級(jí)從人的角度從電腦的角度Data m

4、edical datum12080120/80120/80 mmHg(Systolic/Diastolic)But, its hard to be recognized by computerSo, We need Context and Content130/90Blood-pressure資訊涵義句法方面 (Syntactic Aspect)描述語法、儲(chǔ)存或訊息傳輸?shù)奈姆ɑ蛘Z法有關(guān)。語意方面(Semantic Aspect)資訊所呈現(xiàn)的意義實(shí)用方面 (Pragmatic Aspect)意圖或?qū)⒈贿_(dá)成的目標(biāo)臺(tái)灣大勝日本 V.S. 臺(tái)灣大敗日本但！電腦傳遞的資訊是？資訊系統(tǒng)抽象過程真實(shí)世界觀點(diǎn)

5、電腦世界觀點(diǎn)Logical Model抽象觀念實(shí)做觀念Physical Model真實(shí) 世界 電腦 世界 需求 問題 使用 操作 需求書 規(guī)格書 程式碼 相同資料、不同思考資料來源： Niilo Saranummi , PICNIC ARCHITECTURE相同語意、不同見解Requirement:Create a means to transport a singleindividual from home to place of work.ManagementInterpretationI TInterpretationUserInterpretation我們需要一個(gè)訊息參考架構(gòu)資料來源：

6、 Bentley Dittman， SYSTEMS ANALYSIS AND DESIGN METHODS， 5th EditionExample Transaction住院病人 范士展 男性生於 10/31/1965於 8/5/2000 12:30 PM住進(jìn)了WARD NO 8BMSH|&|REGAMT|MCM|NURCAR|200005081232|ADTA01|00001|P|2.3EVN|A01|200005081230|01|200005081230PID|191919GENHOSP|253763|范士展|19651031|M|407臺(tái)中港路ISHPEMING臺(tái)中市49849”|(9

7、00)4855344|(900)4855344|S|C|10199925PV1|I|8B0601某醫(yī)院|0200JONES,GEORGE|0148ADDISON,JAMES|8B|0148ANDERSON,CARL|真實(shí)世界電腦世界HL7 訊息參考結(jié)構(gòu)HL7 國際認(rèn)證分析師資料交換架構(gòu)INTEROPERABILITYThe purposeSemanticinteroperabilityFunctionalinteroperabilityINTEROPERABILITYThe ability of two or more systems or components to exchange inf

8、ormation and to use the information that has been exchanged.”IEEE Standard Computer Dictionary: A Compilation of IEEE Standard Computer Glossaries, IEEE, 1990 Healthcare TodayHealthcare Information SystemClinical SystemImages, picturesBedside InstrumentsBilling, claimsreimbursementAdverse Events Rep

9、ortingImmunization DatabaseMaterialsManagementAgency ReportingProviderRepositoryHL7HL7HL7, X12NHL7, X12NHL7HL7DICOMIEEE MIB,ASTMX12N / HL7 (Non-US only)X12NWaveformsRetail Pharmacy Orders & ReimbursementNCPDP系統(tǒng)整合、資訊交換模式以往軟體整合方式EAI連結(jié)方式點(diǎn)對(duì)點(diǎn)以資訊中心點(diǎn) (Information Hub) 作串連連結(jié)界面數(shù)N(N-1) / 2 N連結(jié)介面程式侵入式 (Invasiv

10、e) 程式撰寫l 非侵入式 (Non-Invasive) 程式撰寫 l 對(duì)世界知名系統(tǒng)開發(fā)了現(xiàn)成的連結(jié)器 (Adaptor)整合層面資料層、連結(jié)層資料層、連結(jié)層、流程層因應(yīng)未來變動(dòng)低高適合對(duì)象l 內(nèi)部系統(tǒng)數(shù)少、對(duì)即時(shí)性需求不高l 內(nèi)部系統(tǒng)數(shù)多、對(duì)即時(shí)性需求高資料來源： 資訊與電腦 2001.12 點(diǎn)對(duì)點(diǎn)的架構(gòu)連結(jié)點(diǎn)增加到某一層度時(shí)，Session的量、交換實(shí)作點(diǎn)會(huì)大增.介面引擎架構(gòu)以Interface Engine為中心，可減少Session的量，並且增加穩(wěn)定度及延展性HL7總會(huì)介紹/Whats HL7Health Level Seven is one of several American

11、National Standards Institute (ANSI) -accredited Standards Developing Organizations (SDOs) operating in the healthcare arena. Members of Health Level Seven are known collectively as the Working Group, which is organized into technical committees and special interest groups. The technical committees a

12、re directly responsible for the content of the Standards. Special interest groups serve as a test bed for exploring new areas that may need coverage in HL7s published standards.MoreinformationTCSIGHL7s MissionHL7 is an international community of healthcare subject matter experts and information scie

13、ntists collaborating to create standards for the exchange, management and integration of electronic healthcare information. HL7 promotes the use of such standards within and among healthcare organizations to increase the effectiveness and efficiency of healthcare delivery for the benefit of all. Wha

14、t Does the Name HL7 MeanLevel Seven refers to the highest level of the International Organization for Standardization (ISO) communications model for Open Systems Interconnection (OSI) - the application level. The application level addresses definition of the data to be exchanged, the timing of the i

15、nterchange, and the communication of certain errors to the application. The seventh level supports such functions as security checks, participant identification, availability checks, exchange mechanism negotiations and, most importantly, data exchange structuring. HL7 (Health Level Seven)ISO-OSI Com

16、munication Architecture Model 1Physical 2Data Link 3Network 4TransportCommunication 5Session 6Presentation 7ApplicationFunctionHL7Meetings When?Plenary1 per yearFall (Northern Hemisphere)What is itWorking Group2 per yearWinter & Spring (Northern Hemisphere)What are theyInternational Meetings - IHICE

17、ducational MeetingsOff Schedule MeetingsMeeting - WhatTutorialsCommittee MeetingsAdministrative MeetingsTechnical Steering CommitteeBoard of Directors Education CommitteePublications CommitteeProcess Improvement CommitteeElectronic Services CommitteeMarketing CommitteeRibbons:BoardStaffCommittee Cha

18、irBenefactorMentorInternationalStudentSupporterGuestFacilitatorSpeakersPress10 yr. Organization Member10 yr. Benefactor Member2007 HL7 Publishing CalendarBallotsThe end product of a ballot process is a document. The document could stand on its own. However, most balloted documents are a part of a pu

19、blished Standards Document (e.g., HL7 2.6, HL7 3.0, etc.)BallotsDocuments can be:Reference：Content is harmonized during HL7 meetings or approved by the HL7 Board. It is not subject to ballot acceptance.Informative：Content is balloted by the general membership. However, it is not considered to be a structural part of the Standard but only supporting information.Normative：Content is balloted by the general membership and is considered a structural component of the HL7 Standard. Negative ballots m