Professional Documents
Culture Documents
Informatics
CS 493 Fall 2004
September 20, 2004
Table 4-1
Data standards
Interchange
Terminologies
Knowledge Representation
Data Interchange
Standards
Message Format Standards
CHI mandates:
Healthcare Standards
HL7 Standard
HL7 Messaging
Established Standards Body (1987)
ANSI accredited (1994)
Over 1700 members
Key efforts
HL7 Philosophy
Healthcare Standards
HL7 Message Structure
Healthcare Standards
CCOW:
CCOW:
Server
Server
Visual
Integration
Server
The Clinical
Applications
The
Provider's
Workstation
The Provider
* Acknowledgement: Slide provided by Wes Rishel, Gartner Group
Technology solutions
Healthcare Standards
O'Donnell
2234444
University
Physicians
ODonnell 2234444
Furlow
6731123
Context
Manager
Patient ID
Mapper
O'Donnell
3222111
O'Donnell
Furlow
Crane
University
Physicians
3222111 2344444
-- 6731123
582233
--
General Hospital
ODonnell 3222111
Crane
58233
App A
1
Log on
Select Patient X
CM
App B
Register with CM
Register with CM
Context User P
Context User P
Context Patient X
Context Patient X
10
11
Log off
13
Context - Reset
12
Context - Reset
Single sign-on:
Web-based applications
Healthcare Standards
HL7 Version
3.0
Acknowledgement: This set of slides are adapted from:
Andrew Hinchleys Understanding Version 3 A primer on the HL7 Version 3 Communication Standard
Key Concepts of V3
methodology
Application
Trigger
Role
Storyboard
Event
HL7 Reference
Information Model (RIM)
basis for all HL7
Interaction messages
RIM
D-MIM
R-MIM
HMD
Message
Key Concepts of V3
methodology
Application
Trigger
Role
Storyboard
Storyboard
Event
RIM
D-MIM
R-MIM
HMD
Message
Key Concepts of V3
methodology
Application
Trigger
Role
Event
RIM
D-MIM
Storyboard
Storyboard
Interaction
Reference Message
Information Model are
developed for a
restricted group of
models
R-MIM
HMD
Message
Key Concepts of V3
methodology
Application
Trigger
Role
Event
RIM
D-MIM
Storyboard
Interaction
R-MIM
Storyboard
HMD
Message
Key Concepts of V3
methodology
Application
Trigger
Role
Event
RIM
D-MIM
Storyboard
Interaction
R-MIM
Storyboard
HMD
Message
Key Concepts of V3
methodology
Application
Trigger
Role
Event
RIM
D-MIM
Storyboard
Storyboard
R-MIM
HMD
Message
Key Concepts of V3
methodology
Application
Trigger
Role
Event
RIM
D-MIM
Storyboard
Storyboard
R-MIM
HMD
Message
Key Concepts of V3
methodology
Application
Trigger
Role
Event
RIM
D-MIM
Storyboard
Interaction
R-MIM
HMD
Message
Key Concepts of V3
methodology
Application
Trigger
Role
Event
RIM
D-MIM
Storyboard
Interaction
R-MIM
Storyboard
HMD
Message
Examples of R-MIM
Act Example
Prescription
classCode*: <= SPLY
moodCode*: <= ORD
statusCode: <= ActStatus
activityTime:
availabilityTime:
Entity Example
Person
classCode*: <= PSN
determinerCode*: <= INSTANCE
Name*: PN[1..1]
Addr: AD[1..1]
Examples of R-MIM
Role Example
1..1 patientPerson
Patient
classCode*: <= PAT
Id*: [0..1]
Person
classCode*: <= PSN
determinerCode*: <= INSTANCE
Name*: PN[1..1]
Addr: AD[1..1]
Examples of R-MIM
Participation Example
1..1 patient
Prescription
patientSubject
classCode*: <= SPLY
typeCode*: <= PATSBJ
moodCode*: <= ORD
statusCode: <= ActStatus
1..1 medicalPractitioner
activityTime:
author
availabilityTime:
typeCode*: <= AUT
1..1 pharmacist
performer
typeCode*: <= PRF
Examples of R-MIM
Act_Relationship Example
Prescription
classCode*: <= SPLY
moodCode*: <= ORD
statusCode: <= ActStatus
activityTime:
availabilityTime:
component
typeCode*: <= COMP
1..* prescriptionItem
PrescriptionItem
classCode*: <= SPLY
moodCode*: <= ORD
code*: CD CWE[1..1] <= DrugCode
text*: [1..1]
activityTime:
availabilityTime:
Key Concepts of V3
methodology
Application
Trigger
Role
Event
RIM
D-MIM
Storyboard
Interaction
R-MIM
Storyboard
HMD
Message
Healthcare Standards
HL7 CDA
Technology solutions
Healthcare Standards
Sample CDA
Document
Technology solutions
Healthcare Standards
Healthcare Standards
HL7 EHR
Direct
Direct
Care
Care
Supportive
Supportive
Information
Information
Infrastructure
Infrastructure
S1.0
Clinical Support
S2.0
Measurement, Analysis,
Research, Reporting
S3.0
II1.0
Care Management
Security
Ops Mgt & Comm
Information and Records Management
Care Management
Unique
Identity, Registry, and Directory
Ops Mgt & Comm
Support for Health Informatics & Terminology Standards
II2.0
II3.0
II4.0
II5.0
II6.0
II7.0
DC2.0
Clinical Decision
Support
Care Management
Interoperability
Ops Mgt & Comm
Business Rules - Administrative Functions
Care Management
Workflow
Referral
Data
PHR
Hospital
EHR-S
Referral
Data
Regional
Health Info
Exchange
Nursing
Home
EHR-S
Referral
Data
Home
Health
EHR-S
HL7 Summary
Technology solutions
Healthcare Standards
HL7 References