IHE測試培訓(xùn)-IT基礎(chǔ)設(shè)施1

IT根底架構(gòu)〔PIX/PDQ/RID/CT〕宮曉東Copyright?2011NeusoftCorporationIT根底架構(gòu)概述 IT根底架構(gòu)技術(shù)框架〔ITITF,IHEITInfrastructureTechnicalFramework〕,它定義了如何應(yīng)用現(xiàn)有標(biāo)準(zhǔn)，以到達(dá)提供恰當(dāng)?shù)尼t(yī)療信息共享，優(yōu)化患者診療的集成目標(biāo)。是整個IHE集成標(biāo)準(zhǔn)中重要的組成局部。Copyright?2011NeusoftCorporationIT根底框架Copyright?2011NeusoftCorporationPIX/PDQ/RID/CTPIX介紹 概述,組成和框架,事務(wù)介紹,Case例如PDQ介紹概述,組成和框架,事務(wù)介紹,Case例如RID介紹 概述,組成和框架,事務(wù)介紹,Case例如CT介紹概述,組成和框架,事務(wù)介紹測試技巧PIX介紹PIX的概述

PIX(PatientIdentifierCross-referencing)患者ID交叉索引,在多個系統(tǒng)中同一患者不同ID之間,提供一個患者標(biāo)識的相互索引,一旦多個系統(tǒng)建立交叉索引,同一個患者即使在不同醫(yī)療域或多個信息系統(tǒng)中擁有不同的ID,也可以同時從多個系統(tǒng)中獲取其相關(guān)信息.這樣使用者(比方醫(yī)生)就可以很方便的獲取到患者更為完整的信息。Copyright?2011NeusoftCorporationPIX的組成

在IHE的PIX集成標(biāo)準(zhǔn)中，定義了三個角色〔Actors〕：PatientIdentitySource(病人標(biāo)識源)PatientIdentifierCross-referenceManager(病人標(biāo)識交叉引用管理器)PatientIdentifierCross-referenceConsumer(病人標(biāo)識交叉引用使用者)Copyright?2011NeusoftCorporationPIX框架Copyright?2011NeusoftCorporationPIX

TransactionsPIX角色間共有三個事務(wù)進行交換信息,分別是:PatientIdentityFeed(ITI-8)

ITITF-Volume2a(ITITF-2a)TransactionsPartA–Sections3.8PIXQuery(ITI-9)

ITITF-Volume2a(ITITF-2a)TransactionsPartA–Sections3.9PIXUpdateNotification(ITI-10)

ITITF-Volume2a(ITITF-2a)TransactionsPartA–Sections3.10Copyright?2011NeusoftCorporationPIX

TransactionsPatientIdentityFeed(ITI-8)Copyright?2011NeusoftCorporationHL7消息例如ADT^A01MSH|^~\&|MESA_ADT|DOMAIN1_ADMITTING|MESA_XREF|HOSPITAL|200310011100||ADT^A01^ADT_A01|10511102|P|2.3.1||||||||EVN||200310011100||||200310011043PID|||ANDERS10511^^^HIMSS2005&1.3.6.1.4.1.21367.2005.1.1&ISO^PI||ANDERS^MARIAN||19440404|F||WH|444MainSt.Seattle,WA|||||||10511-101|||||||||||||||||||||PV1||I||||||||||||||||||||||||||||||||||||||||||||||||||Copyright?2011NeusoftCorporationＰＩＤ－３.1病人病例號碼，ＰＩＤ－3.４病人標(biāo)識域HL7消息例如ADT^A08MSH|^~\&|MESA_ADT|DOMAIN1_ADMITTING|MESA_XREF|XYZ_HOSPITAL|200310011200||ADT^A08|10501108|P|2.3.1||||||||EVN||200310011200||||200310011200PID|||ABC10501^^^HIMSS2005&1.3.6.1.4.1.21367.2005.1.1&ISO^PI||Ehrxyzmedical^MARION||19380224|M||BL|5PINETREE^^WEBSTER^MO^63119|||||||10501-102|||||||||||||||||||||PV1||O||||||||||||||||||||||||||||||||||||||||||||||||||Copyright?2011NeusoftCorporationHL7消息例如ADT^A40MSH|^~\&|MESA_ADT|DOMAIN1_ADMITTING|MESA_XREF|XYZ_HOSPITAL|200310011100||ADT^A40^ADT_A39|10514106|P|2.5||||||||EVN||200310011100||||200310011043PID|||XYZ10506^^^HIMSS2005&1.3.6.1.4.1.21367.2005.1.1&ISO^PI||Ehrxyzmedical^MARION||19720908|M||BL|5PINETREE^^WEBSTER^MO^63119|||||||10501-104|||||||||||||N||||||||MRG|PIX10501^^^HIMSS2005&1.3.6.1.4.1.21367.2005.1.1&ISO^PI||||||Marion^SingletonCopyright?2011NeusoftCorporationPID-3NewPatientIDPID-5NewPatientNameMRG-1OldPatientIDMRG-6OldPatientNamePIX

TransactionsPIXQuery(ITI-9)Copyright?2011NeusoftCorporationHL7消息例如QBP^Q23(QPD-4為空,沒有指定查詢標(biāo)志域)發(fā)送消息：MSH|^~\&|MESA_PIX_CLIENT|MESA_DEPARTMENT|MESA_XREF|XYZ_HOSPITAL|200603121200||QBP^Q23|10501108|P|2.5||||||||QPD|QRY_1001^QueryforCorrespondingIdentifiers^IHEDEMO|QRY10501108|56321A^^^WESTCLINIC|空||||RCP|I||||||返回消息：MSA|AA||QAK|111069|OK|Q23^GetCorrespondingIDs^HL7nnnn|1|QPD|Q23^GetCorrespondingIDs^HL7nnn|111069|112234^^^METROHOSPITAL|PID|||66532^^^SOUTHLAB~112234^^^METROHOSPITAL||Smith^John||19630423|M||C|N2378SouthQPD-4為空不指定要查詢的標(biāo)識域QPD-3指定的標(biāo)示域的病人ID注意：返回的PID-3不包括的標(biāo)識域ID〔56321A^^^WESTCLINIC〕。HL7消息例如QBP^Q23(QPD-4不為空,指定查詢標(biāo)志域)發(fā)送消息：QPD|Q23^GetCorrespondingIDs^HL7nnnn|111069|112234^^^METROHOSPITAL|^^^WESTCLINIC~^^^SOUTHLAB|RCP||I|返回消息：MSA|AA||QAK|111069|OK|Q23^GetCorrespondingIDs^HL7nnnn|1|QPD|Q23^GetCorrespondingIDs^HL7nnn|111069|112234^^^METROHOSPITAL|^^^WESTCLINIC~^^^SOUTHLAB|PID|||56321A^^^WESTCLINIC~66532^^^SOUTHLAB||Smith^John||19630423|M||C|N2378SouthQPD-4不為空，指定要查詢的標(biāo)識域PIX

TransactionsPIXUpdateNotification(ITI-10)Copyright?2011NeusoftCorporationHL7消息例如ADT^A31MSH|^~\&|MESA_ADT|XYZ_ADMITTING|MESA_OP|XYZ_HOSPITAL|200511031045||ADT^A31^ADT_A05|12102104|P|2.3.1||||||||EVN||200511031045||||200511031045PID|||PAM12102^^^HIMSS2005&1.3.6.1.4.1.21367.2005.1.1&ISO^PI||JACKSON^SARAH||19601014|F||WH|14WILLOW^^LADUE^MO^63124||(314)555-1234|(314)555-4444||||12102-001||MODOTJ12102|||||||||||Y|AL|20051103||||||PV1||N|||||||||||||||||V12102^^^ADT1|||||||||||||||||||||||||200511031045|||||||V|Copyright?2011NeusoftCorporationNoApplicableCase例如〔PIX_FEED_Berlin〕Case例如〔PIX_FEED_Berlin〕PDQ介紹PDQ的概述

PDQ(PatientDemographicsQuery)病人信息查詢。在一個機構(gòu)內(nèi)分布的多個醫(yī)療域可以使用特定的查詢語法,向患者信息中心效勞器查詢患者信息,查詢結(jié)果可以直接被使用者所使用,結(jié)果包括患者的人口學(xué)根本信息,甚至可以包括就診相關(guān)信息.Copyright?2011NeusoftCorporationPDQ的組成在IHE的PDQ集成標(biāo)準(zhǔn)中，定義了兩個角色〔Actors〕：PatientDemographicsSupplier(患者根本信息提供者)PatientDemographicsConsumer(患者根本信息使用者)Copyright?2011NeusoftCorporationPDQ框架

Copyright?2011NeusoftCorporationPDQ

TransactionsPDQ角色間共有兩個事務(wù)進行交換信息,分別是:PatientDemographicsQuery(ITI-21)

ITITF-Volume2a(ITITF-2a)TransactionsPartA–Sections3.21PatientDemographicsandVisitQuery(ITI-22)

ITITF-Volume2a(ITITF-2a)TransactionsPartA–Sections3.22Copyright?2011NeusoftCorporationPDQ

TransactionsPatientDemographicsQuery(ITI-21)Copyright?2011NeusoftCorporationHL7消息例如QBP^Q22發(fā)送消息:QPD|Q22^FindCandidates|111069|@PID.5.1.1^SMITH~@PID.5.1.2^JOHN~@PID.8^M|80|MATCHWARE|1.2||^^^METROHOSPITAL~^^^SOUTHLAB|RCP||I|20^RDＱＰＤ－３

查詢條件QPD-8指定標(biāo)識域HL7消息例如接收消息:MSA|AA|8699|QAK|111069|OK|Q22^FindCandidates^HL7nnnn|3|QPD|Q22^FindCandidates^HL7nnn|111069|@PID.5.1^SMITH~@PID.5.2^JOHN~@PID.8^M|80|MATCHWARE|1.2||^^^METROHOSPITAL~^^^SOUTHLAB|PID|||66785^^^METROHOSPITAL~66532^^^SOUTHLAB||Smith^John||19630423|M||C|N2378SouthStreet^^Madison^WI^53711|QRI|95||MATCHWARE1.2|PID|||87443^^^METROHOSPITAL~651189^^^SOUTHLAB||Smith^Jon||19470606|M||C|124SecondStreet^^Madison^WI^53711|QRI|90||MATCHWARE1.2|PID|||43266^^^METROHOSPITAL~81209^^^SOUTHLAB||Smithy^John||19901210|M||C|W11234BayDrive^^Lodi^WI^53555|QRI|85||MATCHWARE1.2|HL7消息例如QBP^Q22必需支持的查詢條件:Copyright?2011NeusoftCorporationHL7消息例如

補充:除了文檔中規(guī)定的要支持的查詢條件外,在IHE測試的case中還要支持以下幾個查詢條件:

PID.6Mother'sMaidenName

PID.13HomePhoneNumber

Copyright?2011NeusoftCorporationPDQ

Transactions

PatientDemographicsandVisitQuery(ITI-22)

Copyright?2011NeusoftCorporationHL7消息本卷須知QBP^ZV1

發(fā)送消息: @PV1.2^ORCP|ICopyright?2011NeusoftCorporation病人就診查詢條件HL7消息例如接收消息:QPD|CREALIFE_PDQ|QRY123456|@PV1.2^I||||QAK|QRY123456|OK|CREALIFE_PDQ|2||PID|||Lalainne1.1^^^HIMSS2009&1.3.6.1.4.1.21367.2009.1.2.300&ISO^PI||TRENTON^Lalainne|Brown^Bonnie|20030103|F|||515ASTERST^^Escondido^CA^92135||555-123-4567|||||||||||Y|1||||||||20030130|23PV1||I|||||||||||||||||||||||||||||||||||||||||||||||PID|||CREALIFE^^^IHENA&1.3.6.1.4.1.21367.2009.1.2.300&ISO^PI||TRENTON^JAY||19240202|F|||343-12-2216111MICHIGANAVE.^CHICAGO^IL^60501|||||||10501-102||||||||||||||||PV1||I|||||nnnn^aa|ttt^qq|sss^ss||||||||dddd||||||||||||||||||||||||||||||||HL7消息例如

Copyright?2011NeusoftCorporationCase例如〔PDQ_Multiple_Query〕

Case例如〔PDQ_Multiple_Query〕

雙胞胎測試數(shù)據(jù)

RID介紹RID的概述

RID(RetrieveInformationforDisplay)通過一種簡單快捷的只讀方式獲取必要的患者信息，這些信息對于患者提供更好的醫(yī)療效勞是很重要的，RID支持HL7-CDA，PDF，JEPG等主流的文檔格式。同時，為了臨床需要，該標(biāo)準(zhǔn)還支持讀取某些以病人為中心的關(guān)鍵信息，促進了工作流程的自動化，使之更為流暢。Copyright?2011NeusoftCorporationRID的組成

在IHE的RID集成標(biāo)準(zhǔn)中，定義了兩個角色〔Actors〕：Display(顯示)InformationSource(信息源)Copyright?2011NeusoftCorporationRID框架Copyright?2011NeusoftCorporationRID

TransactionsRID角色間共有兩個事務(wù)進行交換信息,分別是:RetrieveSpecificInformationforDisplay[ITI-11]

ITITF-Volume2a(ITITF-2a)TransactionsPartA–Sections3.11RetrieveDocumentforDisplay[ITI-12]

ITITF-Volume2a(ITITF-2a)TransactionsPartA–Sections3.12Copyright?2011NeusoftCorporationRID

TransactionsRetrieveSpecificInformationforDisplay[ITI-11]Copyright?2011NeusoftCorporationRID請求例如Copyright?2011NeusoftCorporationRID請求例如Copyright?2011NeusoftCorporationRID請求例如://<location>/IHERetrieveSummaryInfo?requestType=SUMMARY&patientID=99998410^^^%26mlhlife%26DNS&lowerDateTime=2003-01-01T00:00:00&upperDateTime=2003-01-01T23:59:59&mostRecentResults=1Copyright?2011NeusoftCorporationRID

TransactionsRetrieveDocumentforDisplay[ITI-12]Copyright?2011NeusoftCorporationRID請求例如Copyright?2011NeusoftCorporationRID請求例如://<location>/IHERetrieveDocument?requestType=DOCUMENT&documentUID=1.2.3&preferredContentType=application%2fpdfCopyright?2011NeusoftCorporationRID模式RID共有三種交互模式,分別是:

RetrieveSpecificInformationforDisplayProcessFlowRetrieveaDocumentProcessFlowRetrieveSummaryInformationforDisplayandRetrieveseveralDocumentsProcessFlowCopyright?2011NeusoftCorporationRID模式一Copyright?2011NeusoftCorporationRID模式二Copyright