HL7教育训练课程教材入门介绍课件.ppt

1、台灣健康資訊交換第七層協定協會 版權所有HL7教育訓練課程教材資料交換入門介紹 教育訓練委員會Education Technical Committees 秘書長 范士展 編撰講員背景講員背景lHL7 Taiwan 第二屆理事lHL7 Taiwan 第三屆秘書長lHL7 Taiwan 長期照護技術委員會召集人lHL7 Taiwan 轉診檢技術委員會副召集人lHL7 國際認證分析師-V2.5lHL7 Taiwan 教育訓練講師l東元電機智慧系統事業部 顧問l東海大學、亞洲大學 兼任講師l東海大學工業工程與經營資訊研究所 博士生講授大綱講授大綱l資訊交換緣起l資料交換架構lHL7總會介紹台灣健康資

2、訊交換第七層協定協會 版權所有資訊交換緣起資訊交換緣起位元世界位元世界 1/2l一個位元(bit)可以代表一個事實的兩個狀態，例如，電燈的“開”或“關”、性別的”男”或”女”（只有這樣子嗎？）。l兩個位元可四種狀態，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。位元世界位元世界 2/2ln個字元就具備有2n個狀態。lN=8時，稱之為位元組(Byte)。共256個狀態。l這0255個數字分別給予指定的文數字或符號，稱之為ASCII碼。American Standard Code for Information Interchange，美國訊息交

3、換標準代碼。CharDecOctHex!3300410 x21+4300530 x2b04800600 x3014900610 x31A6501010 x41B6601020 x42a9701410 x61b9801420 x62資訊的層級資訊的層級l事實 fact所關心的某一事件。描述方向、性別。l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。l資訊 information資料經過有目的處理。某人從原點(0,0)出發，收集00,00,10,00資料，得知離開原點至座標(1,3)l知識 knowledge學習所得，前往該點有哪些路徑。00,10,0

4、0,00也可到座標(1,3)。資訊重現。l智慧 wisdom可以產生新的路徑資訊創新Data medical datum12080120/80120/80 mmHg(Systolic/Diastolic)So,We need Context and Content130/90Blood-pressure資訊涵義資訊涵義l句法方面(Syntactic Aspect)描述語法、儲存或訊息傳輸的文法或語法有關。l語意方面(Semantic Aspect)資訊所呈現的意義l實用方面(Pragmatic Aspect)意圖或將被達成的目標資訊系統抽象過程資訊系統抽象過程真實世界觀點電腦世界觀點Logic

5、al Model抽象觀念實做觀念Physical Model真實 世界 電腦 世界 需求 問題 使用 操作 需求書 規格書 程式碼 相同資料、不同思考相同資料、不同思考資料來源：Niilo Saranummi,PICNIC ARCHITECTURE相同語意、不同見解相同語意、不同見解Requirement:Create a means to transport a singleindividual from home to place of work.ManagementInterpretationI TInterpretationUserInterpretation資料來源：Bentley

6、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住進了WARD NO 8BMSH|&|REGAMT|MCM|NURCAR|200005081232|ADTA01|00001|P|2.3EVN|A01|200005081230|01|200005081230PID|191919GENHOSP|253763|范范士展士展|19651031|M|407台中港路台中港路ISHPEMING台中市台中市49849”|(90

7、0)4855344|(900)4855344|S|C|10199925PV1|I|8B0601某醫院某醫院|0200JONES,GEORGE|0148ADDISON,JAMES|8B|0148ANDERSON,CARL|台灣健康資訊交換第七層協定協會 版權所有資料交換架構資料交換架構INTEROPERABILITYThe purposeSemanticinteroperabilityFunctionalinteroperabilityINTEROPERABILITYThe ability of two or more systems or components to exchange info

8、rmation 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 Reporting

9、Immunization DatabaseMaterialsManagementAgency ReportingProviderRepositoryHL7HL7HL7,X12NHL7,X12NHL7HL7DICOMIEEE MIB,ASTMX12N/HL7(Non-US only)X12NWaveformsRetail Pharmacy Orders&ReimbursementNCPDP系統整合、資訊交換模式系統整合、資訊交換模式 以往軟體整合方式以往軟體整合方式EAI連結方式連結方式點對點以資訊中心點(Information Hub)作串連連結界面數連結界面數N(N-1)/2 N連結介面程式

10、連結介面程式侵入式(Invasive)程式撰寫l 非侵入式(Non-Invasive)程式撰寫 l 對世界知名系統開發了現成的連結器(Adaptor)整合層面整合層面資料層、連結層資料層、連結層、流程層因應未來變動因應未來變動低高適合對象適合對象l 內部系統數少、對即時性需求不高l 內部系統數多、對即時性需求高資料來源：資訊與電腦 2001.12 點對點的架構l連結點增加到某一層度時，Session的量、交換實作點會大增.介面引擎架構l以Interface Engine為中心，可減少Session的量，並且增加穩定度及延展性台灣健康資訊交換第七層協定協會 版權所有HL7總會介紹總會介紹What

11、s HL7lHealth Level Seven is one of several American National Standards Institute(ANSI)-accredited Standards Developing Organizations(SDOs)operating in the healthcare arena.lMembers of Health Level Seven are known collectively as the Working Group,which is organized into technical committees and spec

12、ial interest groups.The technical committees are 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 MissionlHL7 is an international community of healthca

13、re subject matter experts and information scientists collaborating to for the,and of healthcare information.lHL7 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.What Does the Name

14、HL7 MeanlLevel Seven refers to the highest level of the International Organization for Standardization()communications model for Open Systems Interconnection()-the application level.lThe application level addresses of the data to be exchanged,the timing of the interchange,and the communication of ce

15、rtain errors to the application.lThe seventh level such functions as security checks,participant identification,availability checks,exchange mechanism negotiations and,most importantly,data exchange structuring.HL7(Health Level Seven)1 Physical 2 Data Link 3 Network 4 Transport 5 Session 6 Presentat

16、ion 7 ApplicationMeetings When?lPlenary1 per yearFall(Northern Hemisphere)What is itlWorking Group2 per yearWinter&Spring(Northern Hemisphere)What are theylInternational Meetings-IHIClEducational MeetingslOff Schedule MeetingsMeeting-WhatlTutorialslCommittee MeetingslAdministrative MeetingsTechnical

17、 Steering CommitteeBoard of Directors Education CommitteePublications CommitteeProcess Improvement CommitteeElectronic Services CommitteeMarketing CommitteeRibbons:BoardStaffCommittee ChairBenefactorMentorInternationalStudentSupporterGuestFacilitatorSpeakersPress10 yr.Organization Member10 yr.Benefa

18、ctor Member2007 HL7 Publishing CalendarBallotslThe end product of a ballot process is a document.lThe document could stand on its own.However,most balloted documents are a part of a published Standards Document(e.g.,HL7 2.6,HL7 3.0,etc.)BallotslDocuments can be:：Content is harmonized during HL7 meet

19、ings or approved by the HL7 Board.It is not subject to ballot acceptance.：Content is balloted by the general membership.However,it is not considered to be a structural part of the Standard but only supporting information.：Content is balloted by the general membership and is considered a structural c

20、omponent of the HL7 Standard.Negative ballots must be resolved.(DSTU)：Content is balloted by the general membership as the draft of a future standard which will,following a pre-specified period of evaluation and comment(usually 2 years),be expeditiously incorporated into normative standard.Other Res

21、ources HL7 Standards：HL7各項標準書清單各項標準書清單 Plenary Meeting Materials：每年會員大會之簡：每年會員大會之簡報下載區報下載區 HIMSS Presentations：HL7人員參加人員參加HIMSS之之簡報簡報 HER Technical Committees Home Page：HER官方首頁官方首頁 Opt-in Document Center：文件下載區：文件下載區 List Services Welcome Center：TC/SIG的文件的文件自動通知伺服器自動通知伺服器HL7 StandardsPlenary Meeting MaterialsHIMSS PresentationsHER HomepageOpt-inDocumentCenterList Services Welcome Center台灣健康資訊交換第七層協定協會 版權所有感謝聆聽 HL7教育訓練課程教材入門介紹下一場：訊息結構與規則說明下一場：訊息結構與規則說明