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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

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.

    • Systems that implement integration profiles solve interoperability problems.

  • Technical Frameworks

    • Documents that specify the Integration Profiles and the associated systems (actors) and transactions.


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




Pcd 01
PCD-01 개요


Pcd 01 communicate pcd data
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


Use case roles
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



Dec interactions
DEC Interactions

With filtering

No filtering


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



Oru r01 1
ORU_R01 정의 (1)


Oru r01 2
ORU_R01 정의 (2)


Oru r01 segment
ORU_R01 필수 Segment




Pid segment 2
PID Segment (2)





Msh segment1
MSHSegment

  • HL7 메시지의메타데이터(metadata)를포함하고 있는 세그먼트

  • 의료기기에서 전송되는 데이터와 직접적인 연관 없음


Pid segment
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


Obr segment1
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


Obx segment1
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


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


MDC 코드매핑


Hl7 message weighing scale
HL7 Message 예 (Weighing Scale)


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