王海彤haitong.wang@oracle.comHL7简介及其基于HL7的业务描述January24,2000Adomain-specific,commonprotocolfortheexchangeofhealthcareinformation.ISO-OSI通讯结构模型1Physical2DataLink3Network4TransportCommunication5Session6Presentation7Application7ApplicationFunction什么是“HL7”?HL7v3RIM发展19891996WorkonHL7RIMCommencedFrom1995to1999alotofworkwasdoneintheareasofmessagedevelopmentframework(MDF),RIMdevelopment,adoptionofstructuralvocabularyparadigm,firstv3tools,growingInternationalAffiliatecontributionstov3HL7RIMvotingFirstv3ballotsincoreareas20002003HL7RIMisexpanding-RIM,tools,vocabulary,WebtransportDSTUs-E-claims,Scheduling,CMETS,rel1,DSTUs:PatAdmin,MedRxMgmntHL7RIMis10yearsinthemaking!1987HL7formedTotalInitialMembers:14ReleasedfirstmessagingstandardDec-2003RIMacceptedasanANSIstandardMay-2009LatestRIMBallot2001HL7RIMv1.0releasedHL7v2Vs.HL7v3MessagingHL7v2MessagingHL7v3ReferenceInformationModelVocabularySharedInformationModel.Themainsignificantchangeinv3DataTypesCommonTerminologyServicesEntityIdentificationServiceAndother….从MDF到HDF语法(Syntax)vs语义(Semantics)•Syntax�structure•HL7v2.xmessage•X12message•XMLdocument•Semantics�meaning•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（Vocabulary）•Formalprocessfordefininginterchangestructures：消息结构HL7V3方法论StoryboardStoryboardInteractionApplicationRoleTriggerEventRIMD-MIMR-MIMHMDMessageExampleExampleSenderReceiverTriggersContentsInstantiateRestrictRestrictRestrictHL7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（ApplicationRoles）：•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CheckEquipmentAvailabilityPerformProcedureIneedaChestX-rayforMr.SmithOrderChestX-rayReportResultPlaceImageinRadiologistQueueInterpretStudyCheckTechnicianAvailabilityScheduleChestX-rayHL7Version3参照信息模型(ReferenceInformationModel)•Referral•Transportation•Supply•Procedure•Consent•Observation•Medication•Administrativeact•Financialact•Organization•Place•Person•LivingSubject•Material•Patient•Member•Healthcarefacility•Practitioner•Practitionerassignment•Specimen•LocationEntity0..*1Role10..*10..*ActRelationship11..*0..*1ParticipationAct•Author•Reviewer•Verifier•Subject•Target•Tracker医疗活动的基本信息结构Entity1..*0,*HealthcareActionIsinvolvedinIsinvolvedininvolvesinvolves•一个实体(PersonorOrganization)参与0到N个医疗活动•一个医疗活动涉及1到多个实体(PersonsorOrganizations)问题：如何判断这个人是一个医生还是一个病人？医疗活动的基本信息结构Entity1..*0,*HealthcareActionplaysplaysinvolvesinvolves•一个实体(人或者组织)在医疗活动中担当的角色（0..N）问题：如何表述一个医生在一个具体的医疗行为中所担任的具体的职责？比如：在一个手术中，他是主刀医生还是助手？Role•一个实体(人或者组织)担当特定的角色参与到医疗活动中（0..N）10..*Entity0..*1Role1..*10..*1ParticipationHealthcareAction医疗活动的基本信息结构•一个实体(人或者组织)在医疗活动中担当的角色（0..N）•一个实体(人或者组织)担当特定的角色承担特定的职责（0..N）•一个实体(人或者组织)担当特定的角色...
