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IHE PCD Integration Profiles : PCD-01 Transaction

IHE PCD Integration Profiles : PCD-01 Transaction. 경북대학교 전자전기컴퓨터학부 Device Software Lab. 이성기 도형호. 용어. Integration Profiles Describe clinical information management use cases and specify how to use existing standards (ISO/IEEE, HL7, DICOM, etc,...) to address them.

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IHE PCD Integration Profiles : PCD-01 Transaction

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  1. IHE PCD Integration Profiles: PCD-01 Transaction 경북대학교 전자전기컴퓨터학부 Device Software Lab. 이성기 도형호

  2. 용어 • Integration Profiles • Describe clinical information management use cases and specify how to use existing standards (ISO/IEEE, HL7, DICOM, etc,...) to address them. • Systems that implement integration profiles solve interoperability problems. • Technical Frameworks • Documents that specify the Integration Profiles and the associated systems (actors) and transactions.

  3. 용어 • Actor • Information systems or components of information systems that produce, manage, or act on categories of information required by operational activities in the enterprise. • Transaction • Interactions between actors that communicate the required information through standards-based messages

  4. Integration Profiles (PCD Domain)

  5. Transactions (PCD Domain)

  6. PCD-01 개요

  7. PCD-01: Communicate PCD Data • Used to communicate PCD Data • Used by the DOR(Device Observation Reporter), DOF(Device Observation Filter) and DOC(Device Observation Consumer) actors • Communicate PCD Data • From DOR to DOF or DOC • From DOF to DOC

  8. Use Case Roles • DOR: Sends PCD Data to DOF or DOC • DOF: Receives PCD Data from DOR and sends PCD Data to DOC based on defined filter predicates • DOC: Receives PCD Data form DOR and/or DOF

  9. DEC Integration Profile

  10. DEC Interactions With filtering No filtering

  11. 의료기기 데이터 흐름도 Blood pressure monitor Manager/Gateway HL7 msg (ORU_R01) Glucose meter Server Systems (HIS, CDR,LIS) 11073 Recv Send X73 to HL7 Body Composition Analyzer Observation Reporting Interface Device Interface LAB Devices

  12. ORU_R01 Message 분석

  13. ORU_R01 정의 (1)

  14. ORU_R01 정의 (2)

  15. ORU_R01 필수 Segment

  16. MSH Segment

  17. PID Segment (1)

  18. PID Segment (2)

  19. OBR Segment

  20. OBX Segment

  21. ORU_R01 Message 매핑

  22. MSHSegment • HL7 메시지의메타데이터(metadata)를포함하고 있는 세그먼트 • 의료기기에서 전송되는 데이터와 직접적인 연관 없음

  23. PID Segment • PID의 필수 필드 • PID-3: Patient Identifier List • PID-5: Patient Name • PID의 필수 필드 입력 방법 • 11073-90101(PoCT1:Analytical instrument –Point of Care Test) • PID 세그먼트에 해당하는 데이터 전송 • 11073-20601(PHD: Personal Health Device) • PID 세그먼트에 해당하는 데이터 전송하지않음 • 비표준 의료기기(Non 11073) • 기기에 따라서 PID 세그먼트에 해당하는 데이터 전송하는 경우와 전송하지 않는 경우로 나뉘어 짐 • 의료기기에서 PID 세그먼트에 해당하는 데이터가 전송되는 경우에는 HL7 메시지에 그대로 적용, 전송되지 않는 경우에는 사용자가 반드시 입력해주어야 함

  24. OBR Segment • OBR의 필수 필드 • OBR-1: Set ID • OBR-2: Placer Order Number(conditional) • OBR-3: Filler Order Number(conditional) • PCD TF does not use the ORC, the OBR-2 & 3 must be valued • OBR-4: Universal Service Identifier • OBR의 필수 필드 입력 방법 • OBR-4 • 대부분전송되는 항목(표준, 비표준) • 입력 되지 않을 경우, 사용자가 반드시 입력 • 코드값 입력 - CE(Coded Entry) 타입

  25. OBX Segment • OBX의 필수 필드 • OBX-1: Set ID • OBX-2: Value Type(conditional) • Must be value if OBX-11 is not X • OBX-3: Observation Identifier • OBX-4: Observation Sub-ID • Multiple OBX segments • OBX-5: Observation Value(conditional) & OBX-6: Units(conditional) or OBX-8: Abnormal flag • OBX-11: Observation Result Status • OBX의 필수 필드 입력 방법 • OBX-3, OBX-6 • 대부분전송되는 항목(표준, 비표준) • 입력 되지 않을 경우, 사용자가 반드시 입력 • 코드값 입력 - CE(Coded Entry) 타입

  26. 용어 코드 및 매핑 • MDC(ISO/IEEE 11073-10101:Nomenclature) 사용 의료기기: 11073 기반 • HL7 메시지에 그대로 적용 • LOINC(Logical Observation Identifiers, Names and Codes) 사용의료기기 • HL7 메시지에 그대로 적용 • Other code system & Company proprietary code 사용의료 기기 • MDC 매핑시도 • LOINC 매핑 시도 • HL7 메시지에그대로 적용: 반드시 coding system을 입력

  27. MDC 코드매핑

  28. HL7 Message 예 (Weighing Scale)

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