이준화.PDF

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1 HL7 HIS/RIS-PACS - -

2 SMC PACS History SMC HL7 History SMC HL7 HL7 Messages

SMC PACS History SMC PACS History(1) 1992-1993 Planning Dec 1993 First contract (Loral) Sep 1994 PACS

3 SMC PACS History SMC PACS History(1) Planning Dec 1993 First contract (Loral) Sep 1994 PACS operation-os,ns,nr,er Feb 1996 Second contract (LM) Sep 1996 Expanded operation Dec 1997 OR PACS(SDS) Jan 1998 Filmless Hospital

4 SMC PACS History SMC PACS History(2) Dec 1998 Planning of Upgrade Apr 1999 Upgrade Proposal Oct 1999 Upgrade Contract (GE) Feb 2000 Application Training May 2000 COTS Upgrade Jun 2000 XLDB Upgrade Jul Upgrade

5 SMC PACS History SMC PACS History(3) Jan Upgrade Mar Upgrade May Upgrade Aug Upgrade Apr Upgrade Jan CSR3 Upgrade Aug 2003 Centricity 1.0 Upgrade

6 What s in PACS What s in PACS ( ) 679,886 patients registered 3,512,803 grouped exams 57,749,674 images 191 GE PACS, 95 Web PACS, 2 USPACS, Endoscopy, NM, RT

7 SMC PACS US PACS PACS NM,RT PACS LTA HIS/RIS PACS 19 MIU I/F Engine PACS Broker STS XLDB 1TB 9.8 TB+4.5TB 191 WS 6 TB Web Server 95 Web Clients MIU 5 CT 2 Digitizer 7CR,3DR 4 MR, 5 Fluoro, 3 Angio, 1 Mammo MIU Teaching File System Refer Center System

8 SMC Interface History SMC Interface History(1) Planning ACR-NEMA HL7 Message HL7 Message (V2.2) HL7 Message (V2.3) HL7 Message HL7 Message (V2.4)

9 SMC Interface SMC PACS Interface (Oracle, Sybase, MSSQL ) - HIS/RIS : Oracle ( SDS ) - Main PACS : Sybase (SMC PACS ) - Sub PACS : DB (SMC PACS ) HL7 Message. - PAT 0x0d, REF 0x0d, IMG 0x0d HL7 Message Interface

10 HIS/RIS PACS Hospital Information System(HIS) Interface Engine Radiology Information System(RIS) Clinic s Visit (Scheduling) SQL Demographics, Exam Orders and Results(Report) SQL SQL HL7 Interface Engine HL7 PACS Broker SQL PACS

11 HL7 HL7

12 HIS/RIS PACS HL7 HIS/RIS PACS Polling Patient Order Report HL7 HL7 Engine HL7 PACS Broker New Patient New Order New Report Schedule St Report St Report

13 HL7 HL7 Order Polling - Polling : 10 sec Report Polling - Polling : 10 Min Schedule Polling - Polling : 1 Day

14 HL7 Message HL7 : ORM : ORU : SIU

15 Order Message Order Message

16 Order Message Order Message (MSH) Seq Name Comment explanation 1 Field Separator Field Separator 2 Encoding Characters Encoding Characters ^~\& 3 Sending Application Sending Application SMC_RIS_PACS 4 Sending Facility Sending Facility SMC_RIS_PACS MSH 5 6 Receiving Application Receiving Facility Should be set to BROKER. Should be set to MITRA. BROKER MITRA 7 Date/Time of Message Date/Time of created Message Message Type Should be ORD^O01 ORM^O01 10 Message Control ID Accession Number R03B Processing ID Should be set to D. D 12 Version ID HL7 Version 2.3

17 Order Message Order Message (MSH)

18 Order Message Order Message (PID) Seq Name Comment Explanation 3 Internal Patient ID Alternate Patient ID PID 5 7 Patient Name Date/Time of Birth PARK O NAM ^^ Patient Sex Should be one of M, F or O. M 10 Race Asian 11 Patient Address KYEONG KI DO AHN YANG SI DONG AN KOO BOO LIM DONG

19 Order Message Order Message (PID)

20 Order Message Order Message (PV1) Seq Name Comment Explanation PV1 2 Patient Class E for emergency, I for inpatient and O for outpatient. O 8 Referring Doctor ^MOON YUNG WAN ^^ 15 ambulatory_st N

21 Order Message Order Message (PV1)

22 Order Message Order Message (ORC) Seq Name Comment Explanation 1 Order Control NW for a new order, CA for a cancelled order and SC for an order update. NW ORC 2 Placer Order Number OS O01 5 Order Status SC for a new order, IP for a cancelled order and OC for an order update. SC 7 Quantity/Timing Determines the priority of the study.(s,r) ^^^^^^R 17 Entering Organization OS OUTPATIENT

23 Order Message Order Message (ORC)

24 Order Message Order Message (OBR) Seq Name Comment Explanation 2 Placer Order Number Primary identifier OS O01 3 Filler Order Number Accession Number R03B Universal Service ID ^ RG5500^HIP 13 Relevant Clinic Info Not available OBR Ordering Provider Placer Field ^MOON YUNG WAN ^^ Diagnostic Serv Sect ID CR 27 Quantity/Timing Determines the priority ^^^^^^R 31 Reason for Study << Designated >> Postop F/U, << Both AP, Lt LAT Lauenstein view, Rt LAT Lauenstein view >> 36 Scheduled Date/Time

25 Order Message Order Message (OBR)

26 PACS Report Message Report Message

27 Report Message Report Message (MSH) Seq Name Comment explanation 1 Field Separator Field Separator 2 Encoding Characters Encoding Characters ^~\& 3 Sending Application Sending Application RIS2PACS_RPT 4 Sending Facility Sending Facility SMC_RIS_PACS MSH 5 6 Receiving Application Receiving Facility Should be set to BROKER. Should be set to MITRA. BROKER MITRA 7 Date/Time of Message Date/Time of created Message Message Type Should be ORU^R01 ORU^R01 10 Message Control ID Accession Number R03A Processing ID Should be set to D. D 12 Version ID HL7 Version 2.3

28 Report Message Report Message (MSH)

29 Report Message Report Message (PID) Seq Name Comment Explanation PID 3 Internal Patient ID Alternate Patient ID Patient Name PARK JUNG SOOK ^^

30 Report Message Report Message (PID)

31 Report Message Report Message (ORC) Seq Name Comment Explanation ORC 1 Order Control Should be RE RE 2 Placer Order Number 17

32 Report Message Report Message (ORC)

33 Report Message Report Message (OBR) Seq Name Comment Explanation 2 Placer Order Number 17 3 Filler Order Number Accession Number R03A OBR 4 22 Universal Service ID Results Date/Time ^ RU1010^ABDOMEN & KIDNEY US Diagnostic Serv Sect ID Modality US 25 Result Status F 32 Principal Result Interpreter ^CHUN YONG HWAN,M.D.^^

34 Report Message Report Message (OBR)

35 Report Message Report Message (OBX) Seq Name Comment Explanation 1 Set ID - OBX Set ID - OBX 1 2 Value Type Value Type TX 3 Observation Identifier Observation Identifier R^REPORT^L OBX ABDOMEN & KIDNEY US 2002/09. Liver size parenchymal echogenicity. Liver lobe focal lesion. GB, biliary tree, visible pancreas, spleen kidney. ascites. OPINION : No demonstrable abnormality

36 Report Message Report Message (OBX)

37 Schedule Message Schedule Message

38 Schedule Message Schedule Message (MSH) Seq Name Comment explanation 1 Field Separator Field Separator 2 Encoding Characters Encoding Characters ^~\& 3 Sending Application Sending Application SCH_PAT_VISIT 4 Sending Facility Sending Facility SMC_RIS_PACS MSH 5 6 Receiving Application Receiving Facility Should be set to BROKER. Should be set to MITRA. BROKER MITRA 7 Date/Time of Message Date/Time of created Message Message Type Should be SIU^S12 SIU^S12 10 Message Control ID Uniquely identities this message. SCH.OS Processing ID Should be set to D. D 12 Version ID Should be set to

39 Schedule Message Schedule Message (MSH)

40 Schedule Message Schedule Message (SCH) Seq Name Comment Explanation SCH 5 Schedule ID Schedule ID EP^EXAMPULL^L 11 Appointment Timing ^^^

41 Schedule Message Schedule Message (SCH)

42 Schedule Message Schedule Message (PID) Seq Name Comment Explanation 3 Internal Patient ID PID 4 Alternate Patient ID Patient Name LEE JUNG HONG 8 Patient Sex Should be one of M, F or O. M

43 Schedule Message Schedule Message (PID)

44 Schedule Message Schedule Message (PV1) Seq Name Comment Explanation 2 Patient Class Should be E for emergency, I for inpatient and O for outpatient. O PV1 4 Admission Type Should be A for accident, E for emergency, L for labor and delivery and R for routine. R 8 Referring Doctor ^PARK MIN JONG

45 Schedule Message Schedule Message (PV1)

46 HIS/RIS Oracle PACS Sybase : SUN250(solaris2.6) PACS broker DELL (win2000 server) : UNIX C

47 Order : 2600 /Day : 2200 /Day : 4600 /Day

48 TFS (Teaching File System) Refer Center ADT Message Order Cancel Message

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