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National Projects Requiring HL7 Standards National Projects Requiring HL7 Standards National Projects Requiring HL7 Standards National Projects Requiring HL7 Standards


  1. National Projects Requiring HL7 Standards National Projects Requiring HL7 Standards National Projects Requiring HL7 Standards National Projects Requiring HL7 Standards ����������� ��������������� �������������������������� ����

  2. Contents 1. Health Information Exchange (HIE) 2. Clinical Information in BioBank 3. Personal Health Device (PHD) CDA (Clinical Document Architecture) (Clinical Document Architecture)

  3. Health Information Exchange � Messaging: HL7 V2.4, V2.5 � Document: Clinical Document Architecture � Registry � Registry � Cross-Enterprise Document Sharing(XDS): IHE � Document Registry Framework(DRF): ISO TS 27790 � Retrieve, Locate and Update Service (RLUS) � SOA in Healthcare

  4. HIToolkit: V2.4 Messaging Toolkit !��"��� ������������� #��� � ������ �������� �� ������ ��������� ��!��"��� UI UI #��� � ������������������� User of the User of the User of the User of the Engine Engine ����������� Tool Tool Tool Tool ������� ��������� #��� � ������ HL7 Message HL7 Message $�����% #��� � #�����% HL7 Message HL7 Message &�����%

  5. CDA Build Process Selection of document code Selection of document code ������������ ������������ ������������ ������������ and data elements and data elements 헤더 정보 템플릿 헤더 정보 템플릿 바디 정보 템플릿 바디 정보 템플릿 스타일시트 템플릿 스타일시트 템플릿 Diagnosis/ History Surgery 1.1.1. Document Code Problems Health Summary CDA가 대표하는 문서코드를 표시한다. ■ CONF-4 : ClinicalDocument는 정확히 한 개 의 code를 가진다. ■ CONF-5 :"ClinicalDocument/code"의 값은 2.16.410.1.113883.6.1-복지부 검사용어의 Medication Allergies Immunizati “34133-9” "Summarization of episode note"을 갖는다. Diagnosis ons /problem Lab test Lab test Plan of Plan of Vital sign result care Rendering Map data elements to CDA Map data elements to CDA �

  6. Document level Template Transfer of Care Transfer of Care Transfer of Care Transfer of Care ��������� Referral Note Referral Note Referral Note Referral Note LOINC: LOINC: LOINC: LOINC: �������� 34140 34140- 34140 34140 -4 - - 4 4 4 Local Local Local Local Template ID Template ID Template ID Template ID Code Code Code Code Data Element Name Data Element Name Data Element Name Data Element Name Scale Scale Scale Scale System System System System class class class class Method Method Method Method Document Document Document Document 진료의뢰서 진료의뢰서 진료의뢰서 진료의뢰서 2.16.410.1.11111.1.1 2.16.410.1.11111.1.1 2.16.410.1.11111.1.1 2.16.410.1.11111.1.1 Transfer of Care Transfer of Care Transfer of Care Transfer of Care 34140- 34140 34140 34140 - -4 - 4 4 4 Doc Doc Doc Doc {setting} {setting} {setting} {setting} {Provider} {Provider} {Provider} {Provider} Referral note Referral note Referral note Referral note 진료회신서 진료회신서 진료회신서 진료회신서 2.16.410.1.11111.1.2 2.16.410.1.11111.1.2 2.16.410.1.11111.1.2 2.16.410.1.11111.1.2

  7. Referring/Referred CDA Templates � Data Element Index- LOINC ������������� ������������� ����� ����� ������������������� ������������������� ���� ���� . . . . ������� ��������� �������������������� ������� ������������������ �������������������� ������� ����������������������� �������������������� ������� ����������� ������������������� ������� !�"��������#�$���� �������������������� . . . . �� ���� ����������#�$���� �������������������� � ����� ���%������#�$���� ��������������������� � ����� ������$���������� �������������������� �� ��� &�����'������������ �������������������� ������� �%�������()�'������� �������������������� Referring Referring Referring Referring Referred Referred Referred Referred Common Common Common Common

  8. Health Summary CDA Header � Person Identification Person Identification Person Identification Person Identification � Author Author Author Author � Custodian Custodian Custodian Custodian � Legal Authenticator Legal Authenticator Legal Authenticator Legal Authenticator � Signature Signature Signature Signature

  9. Health Summary CDA Body � Diagnosis/Problems Diagnosis/Problems Diagnosis/Problems Diagnosis/Problems � Pertinent History Pertinent History Pertinent History Pertinent History � Vital Signs, Significant Test Results Vital Signs, Significant Test Results Vital Signs, Significant Test Results Vital Signs, Significant Test Results � Medications � Medications Medications Medications Medications Medications Medications Medications � Procedure, Surgery Procedure, Surgery Procedure, Surgery Procedure, Surgery � Plan of Care Plan of Care Plan of Care Plan of Care � Allergies, Immunizations, Functional Allergies, Immunizations, Functional Allergies, Immunizations, Functional Allergies, Immunizations, Functional Status Status Status Status � Dental Care Dental Care Dental Care Dental Care

  10. CDA Registy/Repository CDA Generator using Templates OASIS ebXML OASIS ebXML OASIS ebXML OASIS ebXML Standard of Standard of CDA CDA Reg/Rep Reg /Rep Registry/Repository Registry/Repository Registry/Repository Registry/Repository CDA CDA CDA CDA ISO 27790 DRF ISO 27790 DRF ISO 27790 DRF ISO 27790 DRF DRF: Document Registry Framework

  11. Document Registry WSDL WSDL: Web Service Definition Language

  12. SNUH: Seoul National Univ. Hospital Registry server Tertiary Care Hospital Tertiary Care Hospital - Tertiary Care Hospital Tertiary Care Hospital - - - Bundang SUNH Bundang SUNH Bundang SUNH Bundang SUNH Primary Care Clinics Primary Care Clinics Primary Care Clinics Primary Care Clinics G G REPOSITORY REPOSITORY REPOSITORY REPOSITORY REPOSITORY REPOSITORY REPOSITORY REPOSITORY Secondary Care Hospitals Secondary Care Hospitals Secondary Care Hospitals Secondary Care Hospitals Health Center Health Center Health Center Health Center G G REPOSITORY REPOSITORY REPOSITORY REPOSITORY REPOSITORY REPOSITORY REPOSITORY REPOSITORY G Registry Data Registry Data Notify Message Notify Message CDA DOCUMENT CDA DOCUMENT CDA DOCUMENT CDA DOCUMENT Interface Server Interface Server Interface Server Interface Server Registry Data Registry Data Notify Message Notify Message

  13. HIS, HIE, PHRS, u-Health/e-Health HIE HIE HIE HIE HIS HIS HIS HIS PHRS PHRS PHRS PHRS u u- u u - -Health/ - Health/ Health/ Health/ e e- e e - -Health - Health Health Health Silos

  14. What information will be necessary for HIE, What information will be necessary for HIE, What information will be necessary for HIE, What information will be necessary for HIE, u- u u u - -Health, and PHRS? - Health, and PHRS? Health, and PHRS? Health, and PHRS? HIE HIE HIE HIE HIS HIS HIS HIS Silos PHRS PHRS PHRS PHRS u u u u- - - -Health/ Health/ Health/ Health/ e e e e- - - -Health Health Health Health

  15. What information should be added from HIE, u What information should be added from HIE, u What information should be added from HIE, u What information should be added from HIE, u- - - - Health, and PHRS? Health, and PHRS? Health, and PHRS? Health, and PHRS? HIE HIE HIE HIE HIS HIS HIS HIS Silos PHRS PHRS PHRS PHRS u u- -Health/ Health/ u u - - Health/ Health/ e e e e- - - -Health Health Health Health

  16. How to integrate EHRS with HIE, u How to integrate EHRS with HIE, u How to integrate EHRS with HIE, u How to integrate EHRS with HIE, u- -Health, and - - Health, and Health, and Health, and PHRS? PHRS? PHRS? PHRS? HIE HIE HIE HIE EHRS EHRS EHRS EHRS u u- u u -Health/ - - Health/ Health/ Health/ Silos e e- e e -Health - - Health Health Health PHRS PHRS PHRS PHRS

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