Nghien Cuu Chuan HL7 PDF

I HC QUC GIA THNH PH H CH MINH
TRNG I HC BCH KHOA

KHOA KHOA HC NG DNG
---------------ED---------------
LUN VN TT NGHIP
NGHIN CU CHUN HL7 DNG TRAO I

D LIU IN T TRONG Y KHOA V XY
DNG CHNG TRNH C BN TIN HL7
GVHD: TS. HUNH QUANG LINH

SVTH: V THANH HONG
Email : hoangquit@yahoo.com
Tp. H Ch Minh, Thng 01 Nm 2007
i
Li CM N
LI CM N
hon thnh tt lun vn ny, ngoi s n lc

ht mnh ca bn thn, cn l nh s gip t
nhng ngi khc. Ti xin chn thnh gi li cm
n n:
" Thy, TS. Hunh Quang Linh, ngi tn
tnh hng dn ti xuyn sut qu trnh
lm lun vn
" Cc Thy C trong khoa Khoa Hc ng
Dng cho em nhiu kin thc b ch
" Cc bn trong lp Vt L K Thut Y sinh
K02 thn thng, cc anh em d mn trong
cng phng tr ng vin, c v
" Xin cm n Ba, Me h tr, to iu kin
ti a cho con. Cm n anh Lim nhit
tnh gip em, v b t lun c v cho
anh
" Cm n em, Jenny, ngi yu du ca anh,
lun bn anh, ng vin, h tr trong
nhng lc anh kh khn nht
Xin c t lng bit n n mi ngi gip
ti trong sut qu trnh hon thnh lun vn.
Xin tri n,
V THANH HONG
ii
TM TT LUN VN
Lun vn tp trung nghin cu v ni dung tiu chun nh dng bn tin
HL7 phin bn 2.3.1. y l mt chun v d liu dng vn bn thng tin y
t c ng dng kh rng ri v c trin vng pht trin thnh chun
thng nht trong mng thng tin y t th gii. Ni dung ca tiu chun rt
rng (trn 1200 trang ton text), y v chi tit, hu ht mi vn lin
quan n vn bn trong thng tin y t u c th s dng chun ny. Do
gii hn v thi gian, lun vn c gii hn nghin cu chun HL7 v cu
trc bn tin Nhp vin ca bnh nhn, trn c s , mt chng trnh phn
mm c chc nng to v dch mt bn tin tun theo chun HL7 (da theo
s kin bnh nhn nhp vin) c thit k. Phn mm ny c xy
dng c th to, c v tm kim danh sch bnh nhn theo chun HL7
v c th ng dng th nghim trong cng tc qun l u vo bnh nhn
ti cc c s y t, to nn tng pht trin phn mm tng qut qun l
bnh vin theo chun HL7 trong h thng thng tin y t, c bit trong ng
dng y t t xa.
iii
www.bme.vn
MC LC
LI CM N..................................................................................................... ii
TM TT LUN VN.................................................................................... iii
MC LC.......................................................................................................... iv
CHNG 1: GII THIU U
1.1. M u ...................................................................................................... 1
1.2. Mc tiu v nhim v ca lun vn .......................................................... 2
CHNG 2: TNG QUAN
2.1. LCH S CHUN THNG TIN Y T HL7 ........................................... 3
2.2. NGUYN TC M HA TRONG HL7................................................. 6
2.2.1. Nguyn tc ......................................................................................... 6
2.2.2. V d v m ha v gii m mt bn tin HL7.................................... 6
2.3. CC KHI NIM C S TRONG HL7 ................................................ 7
2.3.1. S kin kch khi (trigger event) ........................................................... 7
2.3.2. Mi trng truyn thng...................................................................... 11
2.3.3. Bn tin .................................................................................................. 13
2.3.4. on ..................................................................................................... 14
2.3.5. Trng.................................................................................................. 14
2.3.6. K hiu phn nh bn tin (message delimiter) ................................... 18
2.3.7. Loi d liu .......................................................................................... 20
2.3.8. S dng cc trnh t thot ra trong trng vn bn ............................. 27
2.3.9. Cc quy lut kin trc d liu .............................................................. 30
2.3.10. Cu to mt bn tin qun tr bnh nhn ............................................. 32
2.4. CU TRC BN TIN NHP VIN ..................................................... 33
Bn tin ng k bnh nhn ADT/ACK (s kin A04).................................... 33
2.4.1. on mo u bn tin (MSH Message Header Segment)................. 34
2.4.2. on loi s kin (Event type segment EVN) ................................... 40
2.4.3. on xc nhn bnh nhn (Patient Identification segment PID) ..... 42
2.4.4. on thn nhn bnh nhn (Next of kin / associated parties segment
NK1) ............................................................................................................... 51
2.4.5. on thng tin nhp vin (Patient Visit segment PV1) .................... 58
2.4.6. on thng tin chn on (Diagnosis segment DG1) ...................... 63
2.4.7. on thng tin bo him (Insurance segment IN1).......................... 67
CHNG 3: PHN THC HNH: CHNG TRNH MessageHL7 v1.0.1
3.1. Gii thiu chng trnh C V TO BN TIN HL7 .................... 70
3.2. Yu cu h thng..................................................................................... 71
3.3. S dng chng trnh.............................................................................. 71
3.4. Tr gip chng trnh ............................................................................. 74
3.5. Bn lun v chng trnh ........................................................................ 75
CHNG 4: KT LUN V HNG PHT TRIN
iv
4.1. Kt lun ................................................................................................... 77
4.2. Kh nng v hng pht trin ................................................................. 78
TI LIU THAM KHO ............................................................................... 79
PH LC
PH LC A BNG HL7 V NGI DNG NH NGHA..................... 80
PH LC B LOI BN TIN ........................................................................ 98
PH LC C CC ON CA BN TIN ................................................. 101
PH LC D M NGUN CHNG TRNH ........................................... 105
v
CC T VIT TT
VD V d
LVTN: NGHIN CU CHUN HL7 V XY DNG CT C BN TIN HL7 TRNG H BK TP.HCM 2007
CHNG 1: GII THIU
1.1. M u
Trong h thng thng tin y t, c bit l h thng thng tin bnh vin, vic
lu tr nhng thng tin v bnh nhn t khi nhp vin n khi xut vin,
hay l nhp vin li nhiu ln; nhng thng tin qun l hot ng trong
bnh vin thng xuyn xy ra vi dung lng lu tr ln. Vic lu tr
bng s sch xut hin nhng bt cp nh lng thng tin lu tr qu
ln, vic tm kim kh khn, c bit l vic chia s thng tin gia cc khoa
trong bnh vin hoc gia cc bnh vin vi nhau l hu nh cha thc
hin c. Chnh v vy, cc bnh vin chuyn dn sang vic thu thp v
lu tr thng tin bng my tnh. Tuy nhin, vic nh dng cho nhng
thng tin in t ny c nhiu khc nhau gia cc bnh vin nn qu trnh
chia s thng tin gp kh khn. Do , nm 1987 mt y ban gm nhng
ngi s dng, nhng nh cung cp v nhng nh t vn trong lnh vc ny
ng u l gio s Sam Schultz ti Bnh vin trng i hc
Pennsylvania M thng nht v a ra mt chun chung cho khun dng
d liu dng vn bn gi l HL7 thun tin cho vic chia s thng tin
dng vn bn ny. Theo , mt lot cc quy tc m ha v gii m dng d
liu vn bn c nh ngha. Vic ng dng chun d liu ny em li
nhiu li ch trong cc h thng thng tin y t, c bit l lnh vc y t t
xa.
Vit Nam, vic ng dng cng ngh thng tin trong qun l bnh vin
ang tng bc pht trin, iu ny gip truy cp thng tin nhanh, h tr
cng tc chn on, thng k v nghin cu khoa hc ca cc chuyn khoa,
gim thiu ti liu lu tr hng nm cho h thng bnh vin. Tuy nhin vn
cha c mt chun thng nht chung no dng cho trao i d liu vn bn
gia cc khoa, cc bnh vin. Trong xu th hi nhp quc t nh hin nay,
SVTH: V THANH HONG 1 GVHD: TS. HUNH QUANG LINH

c bit nc ta va gia nhp WTO, i hi cn c nhng h thng thng

tin y t chun ha c th nng cao kh nng chm sc sc khe cho
ngi dn, ha nhp cng vi cc h thng thng tin y t tin tin ca
nhng nc pht trin.
Do vy, mc tiu v nhim v ca lun vn c ra l:
1.2. Mc tiu v nhim v ca lun vn

Mc tiu c ra ca lun vn l kho st cng nng v cu trc ca tiu
chun nh dng bn tin thng tin y t HL7 (phin bn 2.3.1), trn c s
thit k mt chng trnh phn mm c chc nng qun l h s bnh nhn
theo chun HL7 nhm th nghim kh nng ng dng trong cng tc qun
l bnh vin hoc c s y t.
Do ni dung ca tiu chun rng (trn 1200 trang ton text) v nhiu chi
tit phc hp, t thng tin vn bn v l lch bnh nhn cho n nhng lin
kt qun l hnh nh trong chn on v iu tr, lin kt vi cc c s d
liu v ti chnh bo him v.v, lun vn ch gii hn nghin cu chun
HL7 v cu trc bn tin Nhp vin ca bnh nhn. Cho nn, cc nhim v
chnh ca lun vn c ra nh sau:
- Kho st tng quan v chun nh dng bn tin thng tin y t HL7 v s

pht trin ng dng trong mng thng tin y t.
- Kho st cu trc d liu v chun nh dng bn tin thng tin y t HL7.
- Thit k th nghim phn mm to, c v tm kim danh sch bnh

nhn theo chun HL7 v xem xt kh nng ng dng th nghim trong
cng tc qun l u vo bnh nhn cc c s y t.

CHNG 2: TNG QUAN
2.1. Lch s chun thng tin y t HL7

Tng t nh ngi ta cc nc khc nhau, c ngn ng bn a hon
ton khc nhau ch c th giao tip c vi nhau nu h c th ni mt
ngn ng chung, cc ng dng my tnh ch c th chia s thng tin nu
chng giao tip vi cng mt ti nguyn chung. i vi ngi ta hay my
tnh c th chia s d liu vi nhau, phi c:
a) cc chc nng c th giao tip vt l, VD nh ni v nghe, gi v

nhn ti liu, tp tin d liu, chia s d liu v thng tin. (iu ny c
gi l "functional interoperability" (thao tc gia cc phn chc nng)).
b) Ni mt ngn ng chung (theo cc thut ng v danh t, ng t, cu

trc ng php) v chia s cng t vng m cho php chng hiu cc
iu kin v cc qu trnh x l y khoa phc tp. (y c gi l
"semantic interoperability" (thao tc gia cc phn ng ngha)).
Mt nhm cc nh s dng h thng my tnh y t (nhng ngi sau

thit lp t chc Health Level 7) vo nm 1987 bt u pht trin ti
nguyn HL7 to ra ngn ng chung m cho php cc ng dng y t chia
s d liu lm sng vi nhau. Theo thi gian ti nguyn hot ng trung
gian HL7 tr thnh chun c cng nhn cp quc gia, quc t v ton
cu.
HL7 l ch vit tt ca tiu chun Health Level Seven (HL7), tiu chun
ny nh dng vn bn dng trao i d liu in t trong tt c cc mi
trng y t. y ban thnh lp nn chun HL7 c gi l HL7 Working
Group. HL7 khng ch ph bin trong cc tiu bang nc M, m n lan
rng ra nhiu nc khc nh c, Nht Bn, c, H Lan, New Zealand, v

Canada. Ti cc nc ny, nn y hc v chm sc sc khe rt pht trin,

ngi ta chp nhn s dng tiu chun HL7 nh l mt tiu chun duy
nht trong trao i thng tin dng vn bn trong y t.
Sau phin bn 2.2, HL7 cho xut bn phin bn 2.3 vo thng 12 nm 1994.
Phin bn 2.3 l kt qu ca hn hai nm lm vic v hng ngn gi ca
cc thnh vin hot ng HL7 t sau khi xut bn phin bn 2.2. Cc thnh
tu chnh ca n bao gm vic duy tr c s tng thch vi phin bn
2.2, sa li v m rng tiu chun.
HL7 c thit k ph hp vi cc i hi ca tiu chun ANSI (American

National Standards Institute - Vin Tiu chun Quc gia Hoa k), cc t
chc tiu chun v bn tin trong cng ngh my tnh lnh vc y t (ASTM
- American Society for Testing Materials). HL7 ang tham gia vo y ban
tiu chun thng tin y t ca ANSI (ANSIs Healthcare Informatics
Standards Board - HISB). Thng 6 nm 1994, HL7 tr thnh T chc Pht
trin Tiu chun ANSI chnh thc (ANSI Accredited Standards Developing
Organization). Phin bn HL7 2.2 c ANSI cng nhn chnh thc nm
1996 v v2.3 c ANSI cp giy chng nhn thng 5 nm 1997. Phin
bn 2.3.1 ca HL7 c ANSI cng nhn v l phin bn 2.3 c cng
b rng ri.
Nm 2006, HL7 cng b chnh thc xut bn phin bn HL7 v3.0. y l

mt phin bn mi ca HL7 c cp nht thm nhiu phn, nh b sung
phn Kin trc Ti liu Lm sng (Clinical Documents Architecture), M
hnh Thng tin Tham kho (Reference Information Model - RIM) dng
trong h thng thng tin y t bao gm: c im Loi d liu, nh dng
d liu XML, cc T kha iu khin. Tuy nhin, hin ti chun HL7
v2.3.1 vn ang thnh hnh v ph bin nhiu nht trn th gii. Trong
tng lai khng xa, ngi ta cng s dn chuyn sang chun HL7 v3.0.

"Level Seven" ni n cp cao nht ca m hnh giao tip thng tin

ca T chc Tiu chun Quc t (ISO International Standards
Organization) dnh cho S kt ni trung gian ca cc h thng m (OSI
Open System Interconnection), l cp ng dng. Cp ng dng nh
ngha d liu c trao i, thi gian trao i v s lin lc ca cc li xy
ra cho ng dng. Cp 7 h tr cc chc nng nh kim tra an ninh, nh
danh tham gia, kim tra c sn, trao i vt l v quan trng nht l cu
trc trao i d liu. [2]
7 Application HL7
Function 6 Presentation
5 Session
4 Transport
3 Network
Communication
2 Data Link
1 Physical
7 Layer ISO Communication Model
Thng tin thm v m hnh 7 lp ca ISO tham kho ti:

http://Webopedia.internet.com/quick_ref/OSI_Layers.asp
Ni dung ca chun HL7 bao gm:
a) cu trc tng th ca tt c giao din bao gm giao din truy vn

chung
b) qun tr bnh nhn (nhp vin, ra vin, chuyn tuyn v ng k)
c) danh mc ch nh
d) h thng tnh vin ph
e) d liu theo di lm sng
f) mt giao din tng qut cho vic ng b ha cc tp tin tham kho
chung (tp tin ch)
g) qun tr thng tin y khoa
h) danh mc bnh nhn, danh mc ti nguyn

i) cc bn tin tham kho ca bnh nhn dng cho hi chn gia 2 vin
khc nhau
j) cc bn tin chm sc bnh nhn h tr cho vic thng tin v cc
chng bnh nan y, v cung cp chc nng cch thc thc thi lm
sng trong h thng thng tin vi tnh. [3]
2.2. Nguyn tc m ha trong HL7

2.2.1. Nguyn tc
Khun dng bn tin quy nh theo nguyn tc m ha ca HL7 gm cc
trng d liu, cc trng ny c di thay i v c ngn cch bi
mt k t ngn cch trng. Cc nguyn tc m t cch m ha ca cc
kiu d liu trong mt trng c quy nh ring. Cc trng d liu
c kt hp li thnh cc nhm logic c gi l cc on. Cc on c
ngn cch bi cc k t phn on. Mi on bt u vi mt gi tr ch 3
k t, gi tr ny c nhn dng trong mt bn tin. Cc on c th c
nh ngha nh yu cu hoc ty chn v c th cho php c lp li. Cc
trng d liu ring c tm thy trong bn tin bi v tr ca chng trong
cc on kt hp.
Tt c d liu c biu din nh cc k t hin th t mt k t chn.

B k t hin th m ASCII (American Standard Code for Information
Interchange) l b k t mc nh tr khi c s thay i trong on tiu
MSH (Message Header Segment). K t ngn cch trng phi c chn
t s thit lp k t hin th m ASCII. Tt c du ngn cch c bit khc
v cc k t c bit cng l cc k t hin th, ngoi tr k t phn on l
k t m ASCII Carriage Return (k t xung dng). [2]
2.2.2. V d v m ha v gii m mt bn tin HL7

hiu hn v cu trc ca mt bn tin HL7, chng ta nghin cu mt bn
tin HL7 in hnh nh vic 1 bnh nhn nhp vin s bao gm cc on
thng tin chnh sau:

1. on mo u bn tin:
MSH||STORE|MISSION|MINE|LAUREL|199801181007|security|ADT|MSG0
0201|||<CR>
2. on loi s kin:
EVN|01|199801181005||<CR>
3. on xc nhn bnh nhn:

PID|||PATID1234567||Doe^John^B^II||19470701|M||C|371 MAIN
AVE^SAN FRANCISCO^CA^94122-0619||45-681-2888||||||||<CR>
4. on thn nhn bnh nhn:

NK1||Doe^Linda^E||wife|<CR>
5. on thng tin nhp vin:

PV1|1|I|100^345^01||||00135^SMITH^WILLIAM^K|||SUR|ADM|<CR>
Trn y l ton b phn thng tin c m ha theo tiu chun HL7.

Gii m bn tin ny, chng ta s ln lt gii m tng on trong bn tin,
sau kt hp li ta thu c nhng thng tin sau:
Bnh nhn John B. Doe, II, c m bnh nhn l 1234567, nam gii, da
trng, sinh ngy 1 thng 7 nm 1947, sng ti 371 Avenue-Sanfrancisco,
nhp vin ngy 18 thng 1 nm 1998 hi 10 gi 05 pht sng, c bc
s William K.Smith xt nghim v iu tr. Bnh nhn c ch nh nm
vin ti ging s 01, phng 345, t chm sc 100. Phn thn nhn c
v l Linda E.Doe, bn tin c gi t Mission ti Mine sau khi bnh nhn
nhp vin 2 pht.
Du | dng phn cch gia cc trng d liu, nu khng c trng d

liu n c coi nh l trng trng. [1]
2.3. Cc khi nim c s trong cu trc HL7 [2]

2.3.1. S kin kch khi (trigger event)
HL7 gi nh rng mt s kin trong th gii thc ca chm sc sc khe
to ra nhu cu cho d liu truyn gia cc h thng. S kin th gii

thc c gi l s kin kch khi (trigger event). VD mt bnh nhn c

nhp vin (l mt trigger event) c th gy ra nhu cu cho d liu v bnh
nhn c gi n mt s h thng khc. Trigger event c th l mt
s theo di (VD kt qu xt nghim) cho mt bnh nhn to ra mt nhu cu
cho s theo di c gi ti mt s h thng khc. Khi s truyn tin
c khi to bi h thng ng dng m gii quyt vi trigger event ,
phin giao dch c tn gi theo thut ng l unsolicited update (s cp nht
t gi i).
Ch : khng c gi thit no c lm v thit k hoc kin trc ca h thng

ng dng to ra unsolicited update. Phm vi ca HL7 c gii hn bng c
im ca cc bn tin gia cc h thng ng dng v s kin kch khi chng.
HL7 cho php s dng trigger event vi cp khc nhau ca d liu c

tnh cht ht (data granularity) v cc mi quan h gia chng. VD, hu
ht s kin kch khi Qun tr bnh nhn (Patient Administration ADT)
lin quan n mt i tng n (nh l mt s kin nhn bnh nhn, m
to ra mt bn tin cha d liu v mt bnh nhn n hoc/v mt ti
khon n). Cc s kin kch khi ADT khc c lin quan vi mi quan
h gia hn mt i tng (VD s kin hp bnh nhn ch nh hoc hp
ti khon). Vi s kin kch khi ADT gn lin vi mt tp hp i tng
m khng c mi quan h trung gian ln (VD mt truy vn a phng c
p ng cha d liu v mt tp hp bnh nhn ni tr ngi m ch lin
quan tm thi theo cu trc a phng).
2.3.1.1. S nhn (acknowledgment): ch nguyn thy

Khi s cp nht t ng gi c gi t mt h thng n h thng khc,
ch nhn ny ch ra rng n c nhn cp ng dng. L do l n
khng bit h thng truyn thng lp di m bo phn pht bn
tin. N cng cn bit rng ng dng nhn x l d liu thnh cng ti mc
ng dng a phng.

S nhn c th cha d liu quan tm n h thng khi to vic trao i.

VD, nu mt h thng chm sc bnh nhn x l s kin kch khi mt
xt nghim c yu cu cho mt bnh nhn, n c th gi mt s cp
nht t ng n ng dng xt nghim xc nh bnh nhn, yu cu xt
nghim v cc thng tin khc v yu cu. H thng ph thuc s nhn ra
xt nghim yu cu khi n x l thnh cng.
Chun HL7 khng gi thit v quyn s hu d liu. N cng khng yu

cu quyn s hu ca mnh trn hot ng n sau ca d liu nhn, hoc
khng gi nh v thit k hoc kin trc ca h thng ng dng nhn.
Phm vi ca HL7 b gii hn c trng k thut ca bn tin gia cc h
thng nhn, v s kin kch khi chng.
Chun HL7 khng c chc nng gii thch yu cu mt h thng trao

chuyn d liu trong bn tin n c s d liu ca n trc khi nhn n.
Tt c yu cu l h thng nhn chp nhn trch nhim cho d liu, cung
cp kim tra ton vn m s p dng ln d liu t bt c ngun no.
tip tc VD trc, h thng ph thuc c th nhn yu cu xt nghim sau
khi t n trong mt trnh t u vo. Gi thit duy nht l trnh t u vo
vn duy tr cng cp ton vn nh l c s d liu.
2.3.1.2. S nhn: ch tng cng

M hnh nhn HL7 c m rng phn bit c s nhn ng dng v
chp nhn, nh l cc iu kin m di chng phi c. Vi mt s nhn
chp nhn dng, h thng nhn truyn bn tin n ni lu tr an ton theo
cch m gii phng h thng gi t nhu cu gi li bn tin. Sau khi bn tin
c x l bi h thng nhn, mt s nhn ng dng c th c dng
hon li trng thi kt qu ca h thng gi.
2.3.1.3. Truy vn
Mt trao i d liu khc xy ra khi mt h thng gi mt truy vn n h
thng khc. VD, trong ng dng thng tin, c th c mt s kin kch khi

mt th tc c ln lch cho bnh nhn ngi cha ng k sn trong c

s d liu ca ng dng thng tim. ng dng c th gi mt bn tin yu
cu cha m ID ca bnh nhn n h thng qun tr v nhn mt p ng
cha d liu cn thit cho php x l yu cu. Giao dch gi yu cu ny
l mt truy vn. Thng tin chy gia cc h thng c cha trong p
ng. Bn thn p ng khng nhn mt bn tin th 3.
Trong tt c trng hp, chun HL7 gm mt trao i n gin bn tin gia

mt cp ng dng: s cp nht t ng v s nhn ca n hoc truy vn v
p ng ca n. M hnh hot ng lp di l m hnh ca my khch v
my ch. Mt ng dng tng tc vi ng dng khc dng mt m s kin
m xc nh giao dch. ng dng khc p ng vi mt bn tin m gm d
liu hoc mt biu th li. ng dng khi to c th nhn mt trng thi
y ra t ng dng khc hoc t phn mm cp thp ch ra rng bn tin ca
n khng c nhn ng.
Truy vn HL7 c th c t cng thc dng mt trong vi phng php

sau:
1. B lc truy vn HL7, nh ngha thng qua on QRD v QRF.

Nhng b lc ny h tr nh trong cc n bn trc ca HL7, v
c tham kho theo truy vn ch nguyn thy.
2. Ngn ng truy vn nhng chn cu lnh, m ngn ng lm cho

h thng truy vn c th nh dng yu cu nh l mt cu lnh truy
vn dng t do (free-form), s dng ngn ng truy vn ca s chn
la (VD, SQL).
3. Bng yu cu o, c chc nng tng t bn tin Ngn ng truy vn

nhng, nhng nh dng nghim ngt hn vi cc phn cch.

4. Cc yu cu th tc lu tr, m n v ca chng trnh trn h

thng p ng m c xy dng tha mn mt truy vn ch nh
(VD, nh ngha trc cc truy vn, th tc lu tr SQL)
Do cc truy vn nh ngha trc h tr bi HL7 b gii hn v s lng v

nh ngha chnh xc, mi truy vn c mt tn th tc lu tr tng ng v
danh sch thng s lin i vi n.
5. Cc truy vn lp li s kin, l yu cu cho d liu nh dng nh l

bn tin s kin.
HL7 bao gm cc cu lnh la chn SQL nh mt phng tin thay th tiu

chun la chn truy vn m ha. S thay th ny c ngh nh l mt
quy c cho cc phn thc thi, v khng c ng h thng my ch phi
h tr SQL chung hoc phi da trn k thut c s d liu c lin quan.
2.3.2. Mi trng truyn thng

Chun HL7 nh ngha bn tin khi chng c trao i gia thc th ng
dng v th tc dng trao i chng. Nh l n hot ng mt cch khi
nim cp 7 ca m hnh ISO cho H thng m kt ni trung gian (Open
System Interconnection OSI). N c lin quan chnh vi ni dung d liu
v mi tng quan ca bn tin v vi vic truyn thng cc cp ng dng
trong iu kin li.
Do ti nguyn OSI khng thc thi ton b, nhm lm vic HL7 quan tm
n cung cp chun m s hu dng trong thi gian ti. HL7 cng nhn ra
rng hin ti v s tip tc quan tm n truyn thng d liu chm sc sc
khe gia cc h thng hot ng trong mi trng truyn thng m cung
cp mt cp cao v chc nng, nhng s dng ti nguyn khc hn l
ISO OSI. Ton b mi trng quan tm ca HL7 gm, nhng khng gii
hn :

a) cc mi trng khng d tnh trc m khng cung cp ngay c s n

nh vn chuyn c bn. Cc mi trng bao gm lin kt im n
im RS-232, modem, v ngay c LAN, nu s ni kt vi my ch ca
chng c lm qua giao tip RS-232. Cho n khi chun cp cao OSI
tr thnh thc s ph bin, nhiu giao din ca chm sc sc khe s
thc thi trn cc kt ni . Trong mt mi trng nh vy, ti nguyn
cp thp hn HL7 (Lower Level Protocols LLP) c th c dng
gia cc h thng tng kh nng ca mi trng truyn thng. Ti
nguyn cp thp hn HL7 c nh ngha trong hng dn thc thi
HL7, khng phi l mt phn chnh thc ca chun.
b) cc mi trng m h tr mt cp vn chuyn mnh m, nhng khng

ph hp vi yu cu mc cao. iu ny bao gm cc mi trng nh l
TCP/IP, DECNET, v SNA.
c) ISO v tnh s hu cng vic mng m thc thi n mt dch v trnh

din v dch v cp cao khc. IBMs SNA LU6.2 v SUN
Microsystems NFS l cc v d v tnh s hu cng vic mng hon
chnh.
d) hai hay nhiu ng dng ang chy trn cng mt my vt l v/hoc

my lun l m khng tch hp cht. Trong nhng mi trng ny, kh
nng bn tin c th c cung cp bi mt dch v truyn thng x l
trung gian (VD, cc ng (pipelines) trong h thng UNIX).
Chun HL7 gi nh rng mi trng truyn thng s cung cp cc

kh nng sau:
a) s truyn khng li. Cc ng dng c th gi nh rng chng nhn

chnh xc tt c byte truyn trong cch chnh xc m chng c gi i.
iu ny ngm nh rng vic kim tra li c lm mc thp hn.

www.bme.vn
Tuy nhin ng dng gi c th khng gi nh rng bn tin c nhn
thc s khng nhn mt bn tin nhn.
b) s chuyn i k t. Nu 2 my trao i d liu dng cc c trng

khc nhau ca cng mt tp k t, mi trng truyn thng s chuyn
d liu t mt c trng ny n c trng khc.
c) Chiu di bn tin. HL7 khng gii hn v kch c ti a ca bn tin

HL7. Chun gi nh rng mi trng truyn thng c th vn chuyn
bn tin ca bt k chiu di no m c th cn thit. Thc t, cc mt c
th ng t vi gii hn trn cho kch thc bn tin v c th dng ti
nguyn bn tin lin tc cho bn tin vt qu gii hn trn.
Ch : Ch khi HL7 khng lm gi nh v thit k hoc kin trc ca h thng

ng dng gi v nhn bn tin HL7, n khng gi nh v mi trng truyn
thng n nhng iu k trn. Ngoi ra, t nhng gi nh trn, mi trng
truyn thng, gm kin trc ca n, thit k v thc thi l ngoi vng ca HL7.
2.3.3. Bn tin
Mt bn tin l mt n v c s ca trao i d liu gia cc h thng. N
gm mt nhm on trong mt trnh t nh ngha. Mi bn tin c mt
loi bn tin dng nh ngha mc ch ca n. VD loi bn tin ADT c
dng truyn cc phn ca d liu qun tr bnh nhn (ADT - Patient
Administration) t h thng ny n h thng khc. M 3 k t cha bn
trong mi bn tin xc nh loi ca n. Nhng m ny c lit k trong
bng Loi bn tin, ph lc B. S kin th gii tht m khi to mt s trao
i bn tin c gi l s kin kch khi. Ph lc B cha cc m i din
tt c s kin kch khi nh ngha. Nhng m ny i din cc gi tr
nh S kin nhn mt bnh nhn, hoc Mt s kin ngh xy ra. C mt
mi lin h mt-nhiu gia loi bn tin v m s kin kch khi. Cng m
s kin kch khi c th khng lin i vi nhiu hn mt loi bn tin; tuy
nhin mt loi bn tin c th lin i vi nhiu hn mt s kin kch khi.

Tt c loi bn tin v m s kin kch khi bt u bng k t Z l dng

cho bn tin nh ngha a phng. Cc m khng c nh ngha trong
chun HL7.
Phn ny nh ngha cc thnh phn ca bn tin v cung cp phng php

nh ngha bn tin tm tt c dng trong cc phn sau.
2.3.4. on
Mt on l mt nhm logic ca cc trng d liu. Cc on ca bn tin
c th c bt buc hoc ty chn. Chng c th ch xut hin mt ln
trong bn tin hoc chng c th c php lp li. Mi on c cho
trc mt tn. Vd, bn tin ADT c th cha cc on sau: on mo u
(MSH message header segment), on loi s kin (EVN event type
segment), on m bnh nhn (PID patient identify segment), v on
thn nhn bnh nhn (NK1 next of kin segment).
Mi on c xc nh bi mt m 3 k t c gi l ID on. M ID
gn vi cc on khc nhau c lit k trong Ph lc C.
Tt c m ID on bt u bng k t Z c dng cho bn tin nh ngha

a phng. Cc m nh vy s khng c nh ngha trong chun HL7.
2.3.5. Trng
Mt trng l mt chui k t. HL7 khng quan tm h thng thc s lu
tr d liu ra sao trong mt ng dng. Khi trng c truyn i, chng
c gi nh l cc chui k t. Ngoi tr ni no c ghi ch, trng d
liu HL7 c th cha gi tr rng. Vic gi gi tr rng, m c truyn
trong du (), th khc vi vic b st mt trng d liu ty chn. S
khc bit ny xy ra khi ni dung ca bn tin s c dng cp nht mt
b d liu trong c s d liu hn l to ra mt b d liu mi. Nu khng
c gi tr no c gi, (ngoi tr b b qun) gi tr c nn gi khng i.
Nu gi tr rng c gi i, gi tr c nn c i thnh gi tr rng (xem

thm phn 2.3.9, QUY TC CU TRC BN TIN, bc 2d). Cc

chng khc nhau ca chun cha bng thuc tnh on. Nhng bng ny
lit k v m t cc trng d liu trong on v c im cch dng ca
chng. Trong vic nh ngha on, thng tin sau c ch nh cho mi
trng:
2.3.5.1. V tr (th t trong mt on)

Th t thng thng ca trng d liu trong on. Con s ny c dng
tham kho n ni trng d liu c ghi. Trong bng thuc tnh on,
thng tin ny c cung cp trong ct c nhn SEQ.
2.3.5.2. Chiu di ti a
S k t ti a m trng d liu c th c. Chiu di ti a khng phi l
khi nim quan trng trong bn tin tm tt hoc quy tc m ha HL7. Chiu
di ca mt trng mang tnh quy chun. Tuy nhin trong thc t nhn
chung n thng c dn xp trn mt nn c bn ch nh. N c
tnh ton bao gm cc k hiu phn tch thnh phn v thnh phn con.
Bi v chiu di ti a l chiu di ca mt s kin duy nht, k hiu phn
cch s lp li ( \ ) khng cha trong phn tnh ton chiu di ti a (Xem
phn 2.3.5.5, S lp li). Trong bng thuc tnh trng thng tin ny
cha trong ct c nhn l LEN.
2.3.5.3. Loi d liu

S gii hn v ni dung ca trng d liu. C mt s loi d liu c
nh ngha bi HL7. Cc loi ny c gii thch trong phn 2.3.7, LOI
D LIU. Trong bng thuc tnh on thng tin ny c cung cp trong
ct c nhn l DT.
2.3.5.4. Ty chn
C hay khng trng l bt buc, ty chn hoc iu kin trong mt on.
Cc thit k l:
R Bt buc (required)

O Ty chn (optional)
C iu kin (conditional) v s kin kch khi hoc v vi trng
khc. S nh ngha trng theo bng thuc tnh on nn ch nh
thut ton m nh ngha iu kin cho trng ny.
X Khng dng trong s kin kch khi ny.
B Gi li tng thch phn pha sau (backward) ca cc phin bn
trc ca HL7. S nh ngha trng theo bng thuc tnh on nn
ch r s ty chn ca trng cho ph hp cc phin bn trc.
Ch : i vi phin bn 2.3 v cao hn: s ty chn ca trng nn c ti liu r
rng trong nh ngha trng on theo mi bng nh ngha on; nu s ty
chn ca trng trong mt on thay i ph thuc vo s kin kch khi, s
ty chn cng nn c ti liu r rng.
Ch : i vi cc trng c nh ngha bi loi d liu HL7 cha nhiu thnh phn

hoc thnh phn con, s ty chn ca mt thnh phn hay thnh phn con cho
trc phi c ch nh trong cc nh ngha trng chi tit theo bng thuc
tnh on hnh thc. (Xem phn 2.3.6, CC K HIU GII HN BN TIN, 2.3.7,
LOI D LIU, v 2.3.9, QUY LUT CU TRC BN TIN).
Trong bng thuc tnh on thng tin ny c cung cp trong ct c nhn

l OPT.
2.3.5.5. S lp li
C hay khng trng lp li. Cc thit k l:
N Khng lp li (no repetition)

Y Trng c th lp li mt s ln khng r rng hoc xc nh
(integer) Trng c th lp li trn s ln ch nh bi s integer
Mi s xy ra c th cha s k t c ch nh bi di ti a ca
trng. Trong bng thuc tnh on, thng tin ny c cung cp bi ct c
nhn l RP/#.

2.3.5.6. Bng
HL7 nh ngha mt bng cc gi tr cho trng ny. Mt mc trong ct
S Bng c ngha l tn bng v tn thnh phn l tng ng.
Cch HL7 nh ngha cc gi tr c ngha cho bng s khc nhau. Cc

trng, nh Ni bnh nhn , s phi c gi tr thay i t c quan ny n
c quan khc. Cc bng nh vy c thit k do ngi dng hoc HL7
nh ngha mt phn. Ngay c cc bng ny khng c nh ngha trong
chun, chng c cho trc mt s ca bng ngi dng nh ngha
vic thc thi d dng. Loi d liu IS thng c dng m ha gi tr
cho cc bng ny. Ch rng vi bng (VD, s xc nh v tr) c tham
kho n tp tin chnh chung.
Cc vn khc, nh Loi s kin (Bng HL7 0003), l mt phn ca

chun HL7 v chng nh hng n s thc thi bn tin cha chng. Chng
b gii hn theo cc gi tr c thit lp bi chun HL7. ID loi d liu
hu nh thng dng nht m ha gi tr cho bng HL7. Khi mt bng
HL7 tn ti th n c ngh phi s dng. Cc gi tr c lit k trong
ph lc A. Cc bng HL7 cng xut hin trong vn bn di nh dng hp
chun (standard box format) (VD, bng HL7 0003 Loi s kin). Ngoi
ra bng c th c bao gm mt nn ch nh mt pha (site-specific
basis).
Vn cn c cc trng khc cha gi tr c m ha bng cch tham kho

n cc ti liu chun khc. VD, trng m ha cho cc th tc ca th
vin c nh ngha bi chun ASTM E1238-94. Loi d liu CE c
dng m ha cc gi tr cho nhng trng ny.
Cui cng, c vi bng ngi dng nh ngha cha gi tr c th c

chun ha qua cc c quan nhng khng th p dng chun vn phng tn
ti cho cc c quan . i vi nhng bng ny, mt tp hp cc gi tr
ngh c th c lit k trong ph lc A. Nhng gi tr ngh xut hin

trong vn bn di nh dng khng hp tiu chun (standard non-box

format) (VD, bng HL7 0062 L do s kin trong phn M l do s
kin). Ngi ta mong ch rng nhng gi tr ny s c s dng ni m
kh nng ng dng trong mt c quan v dng nh mt c s cho s m
rng khi c yu cu. y ban chc nng thch hp trong HL7 thu ht cc
ngh cho cc gi tr thm t cc c quan p dng chun.
Cc loi d liu HL7 khc nhau (AD, CD, CE, CF, CK, CM, CN, CP, CQ,
CX, DLN, ED, EI, FC, ID, IS, JCC, MO, HD, PL, PPN, PT, QSC, RI, RP,
SCV, TQ, VH, XAD, XCN, XON, XPN, v XTN) c dng vn
chuyn cc gi tr xp thnh bng, hoc c mt thnh phn cha cc gi tr
xp thnh bng. Trong bng thuc tnh on, thng tin ny c cung cp
trong ct c nhn l TBL#. Ngoi tr duy nht l loi d liu CE v CF,
cha nh danh bng l mt phn ca nh ngha loi d liu.
2.3.5.7. S ID
S nguyn nh xc nh duy nht trng d liu thng qua chun. Trong s
nh ngha on, thng tin ny c cung cp trong ct c nhn l ITEM #.
2.3.5.8. Tn
Tn m t cho trng. Trong bng thuc tnh on thng tin ny c cung
cp trong ct c nhn l ELEMENT NAME.
Khi s dng cng mt tn trong nhiu hn mt on, n phi c cng loi

d liu v cng ngha trong mi on, nhng n s c mt s ID ring bit
(xem phn 2.3.5.7, S ID) trong mi on ring bit. trnh s ti
ngha ny sinh t s tha thun ny, bt c khi no mt trng c tham
kho ti y, tn on v v tr phi lun c i km.
2.3.6. K hiu phn nh bn tin (message delimiter)

Trong vic kin to mt bn tin, cc k t c bit chc chn c dng.
Chng l k hiu kt thc on, k hiu phn chia trng, k hiu phn

chia thnh phn, k hiu phn chia thnh phn con, k hiu phn chia s
lp li, v k t thot. K hiu kt thc on lun lun l mt k t xung
dng (carriage return) (trong m ASCII l 0D c s 16). Cc k hiu phn
nh khc c nh ngha trong on mo u MSH, vi k hiu phn
nh trng v tr k t th 4, v k hiu phn nh khc xy ra khi trong
trng c gi l k t m ha, m l trng u tin sau on ID. Gi tr
k hiu phn nh trong on MSH l gi tr phn on c dng sut
ton b bn tin. Trong vic thiu st ca cc s cn nhc khc, HL7 yu
cu s dng cc gi tr ngh tm thy trong Hnh 2-1 cc gi tr phn
nh.
bt k phng din no cho trc, tp hp con ca cc k hiu phn

nh c th c th c gii hn bi s dn xp gia cc ng dng. iu
ny ng rng cc ng dng nhn s dng nhng k hiu phn nh
chp nhn trn, khi chng xut hin trong on mo u (Message
Header segment MSH), phn tch t loi bn tin.
Hnh 2-1. Cc gi tr ca k hiu phn nh

K hiu phn on Gi tr ngh V tr k t m Cch dng

ha
K hiu kt thc on <cr> - Kt thc mt b d liu
hex 0D ca on. Gi tr ny
khng th c i bi k
hiu thc thi.
K hiu phn cch trng | - Phn cch 2 trng d
liu k nhau trong mt
on. N cng phn cch
on ID t trng d liu
u tin trong mi on.
K hiu phn cch thnh ^ 1 Phn cch cc thnh
phn phn k nhau ca trng
d liu ni m c
php.
K hiu phn cch thnh & 4 Phn cch cc thnh
phn con phn con k nhau ca
trng d liu ni m cho
php. Nu khng c cc
thnh phn con, k t ny
c th c b qua.
K hiu phn cch s lp li ~ 2 Phn cch s xut hin
nhiu ln ca mt trng
ni m cho php.
K t thot \ 3 K t thot dng vi
bt k trng no i din
bi mt loi d liu ST,
TX hoc FT, hoc dng
vi thnh phn d liu
(th t) ca loi d liu
ED. Nu khng c k t
thot no c dng
trong bn tin, k t ny c
th c b qua. Tuy
nhin, n phi c hin
hu nu cc thnh phn
con c dng trong bn
tin.
2.3.7. Loi d liu

Loi d liu trong phn ny c lit k theo th t alphabet.
Ch : i vi loi d liu cha cc thnh phn hoc cc thnh phn con nhiu ln, VD
cho trong phn ny khng ch nh s ty chn ca thnh phn hoc thnh phn
con. iu ny phi c ch nh trong s nh ngha trng theo bng thuc
tnh on hnh thc c c di ti a 64K.

Ngoi tr loi d liu TS v chiu di ti a hoc ti thiu cho vi loi d

liu khc (CE, PN, TX, FT), di trng ca cc thuc tnh HL7 c ch
nh trong bng thuc tnh on, v bt k di ch nh no ca cc
thnh phn hoc thnh phn con ca nhng thuc tnh ny phi c ch
nh trong cc nh ngha trng theo bng thuc tnh on hnh thc. Nhn
chung, HL7 khng ch nh cc di ca cc thnh phn v/hoc cc
thnh phn con.
Cc v d loi d liu trong tiu chun ny c cho dng quy tc m ha

HL7, vi cc gi tr ca k hiu phn nh t Hnh 2-1 ca phn 2.3.6,
CC K HIU PHN NH BN TIN. Mc d ch mt tp hp cc
quy lut m ha c nh ngha nh mt tiu chun trong HL7 phin bn
2.3, cc quy tc m ha khc l c th (nhng do chng khng l chun,
chng c th ch c dng bi s tha thun ch nh mt pha).
Trong cc nh ngha loi d liu no , ngoc vung [ v ] c

dng ch cc phn ty chn ca loi d liu (hoc ca loi d liu thnh
phn hoc thnh phn con).
Hnh 2-2. Loi d liu HL7
Loi d liu Tn loi d liu Ghi ch/nh dng
Kiu va ch
va s
ST Chui (String)
TX D liu vn bn
(Text data)
FT Vn bn nh
dng (Formatted
text)
Kiu s
CQ S lng ghp vi <s lng (NM)> ^ <n v (CE)>
n v (Composite
quantity with units)
MO Tin t (Money) <s lng (NM)> ^ <t tn (ID)>
NM S hc (Numeric)

SI Th t nhn dng
(Sequence ID)
SN S hc cu trc <k hiu so snh (ST)> ^ <s th nht (NM)> ^
(Structured numeric) <k hiu so snh/hu t> ^ <s th 2 (NM)>
Kiu nhn
dng (Identifier
ID)
ID M ha cc gi tr
cho bng HL7
IS M ha cc gi tr
cho bng do ngi
dng nh ngha
VID Nhn dng phin <ID ca phin bn (ID)> ^ <m quc t (CE)> ^
bn (Version <ID phin bn quc t (CE)
identifier)
HD K hiu thit k theo <ID tn khong trng (IS)> ^ <ID tng th (ST)>
bc (Hierarchic ^ <Loi ID tng th (ID)>
designator) Ch dng nh l phn ca EI v cc loi d liu
khc.
EI nh danh thc th <nh danh thc th (ST)> ^ <ID tn khong
(Entity identifier) trng (IS)> ^ <ID tng th (ST)> ^ <loi ID tng
th (ID)>
RP im tham kho <Ch im (ST) > ^ <ID ng dng (HD)> ^ <loi
(Reference pointer) d liu (ID)> ^ <loi con (ID)>
PL Ni nm bnh nhn <t chm sc (IS )> ^ <phng (IS )> ^ <ging
(Person location) (IS)> ^ <kh nng lm vic (HD)> ^ < tnh trng
ni nm (IS )> ^ <loi ni nm IS)> ^ <ta nh
(IS )> ^ <tng (IS )> ^ <m t ni nm (ST)>
PT Loi x l <ID x l (ID)> ^ <ch x l (ID)>
(Processing type)
Kiu ngy gi
(Date/Time)
DT Ngy (Date) YYYY[MM[DD]]
TM Thi gian (Time) HH[MM[SS[.S[S[S[S]]]]]][+/-ZZZZ]
TS Du thi gian (Time YYYY[MM[DD[HHMM[SS[.S[S[S[S]]]]]]]][+/-
stamp) ZZZZ] ^ < chnh xc>
M cc gi tr
(Code Values)
CE Yu t m ha <nh danh (ST)> ^ <vn bn (ST)> ^ <tn h
(Coded element) thng m ha (ST)> ^ <nh danh thay th (ST)>
^ <vn bn thay th (ST)> ^ <tn h thng m
ha thay th (ST)>
CNE M ha khng cn <nh danh (ST)> ^ <vn bn (ST)> ^ <tn h
loi tr (Coded with thng m ha (ST)> ^ <nh danh thay th (ST)>

no exceptions) ^ <vn bn thay th (ST)> ^ <tn ca h thng

m ha thay th (ST)> ^ <ID phin bn h thng
m ha (ST)> ^ <ID phin bn h thng m ha
thay th (ST)> ^ <vn bn gc (ST) >
CWE M ha c loi tr <nh danh (ST)> ^ <vn bn (ST)> ^ <tn h
(Coded with thng m ha (ST)> ^ <nh danh thay th (ST)>
exceptions) ^ <vn bn thay th (ST)> ^ <tn h thng m
ha thay th (ST)> ^ <ID phin bn h thng m
ha (ST)> ^ <ID phin bn h thng m ha
thay th (ST)> ^ <vn bn gc (ST) >
CF Yu t m ha <nh danh (ID)> ^ <vn bn nh dng (FT)>
vi gi tr c nh ^ <tn h thng m ha (ST)> ^ <nh danh thay
dng (Coded th (ID)> ^ <vn bn nh dng thay th
element with (FT)> ^ <tn h thng m ha thay th (ST)>
formatted values)
CK ID i km vi s <S ID (NM)> ^ <s kim tra (NM)> ^ <m xc
kim tra (Composite nh s sp xp s kim tra (ID)> ^ < phn
ID with check digit) quyn (HD)>
CN S ID i km v tn <S ID (ST)> ^ <Tn gia nh (ST)> ^ <tn
(Composite ID t (ST)> ^ <tn lt hay tn (ST)> ^ <hu t (VD,
number and name) JR hoc III) (ST)> ^ <tin t (VD, DR) (ST)> ^
<cp (VD, MD) (ST)> ^ <bng ngun (IS)> ^
<phn quyn (HD)>
CX M rng ID km vi <ID (ST)> ^ <s kim tra (ST)> ^ <m xc nhn
s kim tra s sp xp s kim tra (ID)> ^ phn quyn
(Extended (HD)> ^ <m loi nh danh (IS)> ^ < phn cp
composite ID with (HD)>
check digit)
XCN M rng s ID i Trong phin bn 2.3, dng loi d liu ny thay
km v tn cho loi d liu CN.
(Extended <S ID (ST)> ^ <tn gia nh (ST)> & <tin t
composite ID H (ST) ^ <tn t (ST)> ^ <tn m (ST)> ^
number and name) <hu t (VD, JR hoc III) (ST)> ^ <tin t (VD,
DR) (ST)> ^ <cp (VD, MD) (ST)> ^ <bng
ngun (IS)> ^ <phn quyn (HD)> ^ <m loi tn
(ID)> ^ <nh danh s kim tra (ST)> ^ <m xc
nh s sp xp s kim tra (ID)> ^ <nh danh
m loi (IS)> ^ <phn cp (HD)> ^ < m tn i
din (ID)>
Tng th
(Generic)
CM Thnh phn i km Khng c loi d liu CM mi c cho php
(Composite) sau phin bn HL7 2.2. Do khng c loi d
liu CM mi trong phin bn 2.3.
Nhn khu hc
AD a ch (Address) <a ch ng (ST)> ^ < s thit k khc (ST)>
^ <thnh ph (ST)> ^ <tiu bang hoc tnh (ST)>

^ <m tnh hoc m bu in (ST)> ^ <t nc

(ID)> ^ <loi d liu (ID)> ^ <tn a l khc
(ST)>
PN Tn ngi (Person <tn gia nh (ST)> ^ <tn c t (ST)> ^
name) <tn m hoc tn (ST)> ^ <hu t (VD, JR
hoc III) (ST)> ^ <tin t (VD, DR) (ST)> ^ <cp
(VD, MD) (ST)>
TN S in thoi [NN] [(999)]999-9999[X99999][B99999][C vn
(Telephone number) bn bt k]
XAD a ch m rng Trong phin bn 2.3, thay loi d liu AD.
(Extended address) <a ch ng (ST)> ^ <tn khc (ST)> ^
<thnh ph (ST)> ^ <tiu bang hoc tnh (ST)> ^
<m tnh hoc m bu in (ST)> ^ <t nc
(ID)> ^ < loi a ch (ID)> ^ <tn a l khc
(ST)> ^ <m ht/vng gio x (IS)> ^ <theo di
dn s(IS)> ^ <m a ch i din (ID)>
XPN Tn ngi m rng Trong phin bn 2.3, thay loi d liu PN.
(Extended person <tn gia nh (ST)> ^ <tn c t (ST)> &
name) <tin t h (ST)> ^ <tn m hoc tn (ST)> ^
<hu t (VD, JR hoc III) (ST)> ^ <tin t (VD,
DR) (ST)> ^ <cp (VD, MD) (IS)> ^ <M loi
tn (ID) > ^ < m tn i din (ID)>
XON Tn ghp m rng <tn t chc (ST)> ^ <m loi tn t chc (IS)>
v s ID cho t chc ^ <s ID (NM)> ^ <s kim tra (NM)> ^ <m xc
(Extended nh s sp xp s kim tra (ID)> ^ <phn
composite name and quyn (HD)> ^ <m loi nh danh (IS)> ^ <ID
ID number for phn cp (HD)> ^ <m tn i din (ID)>
organizations)
XTN S vin thng m Trong phin bn 2.3, thay loi d liu TN.
rng (Extended [NNN] [(999)]999-9999 [X99999] [B99999] [C
telecommunications vn bn bt k] ^ <m s dng vin thng (ID)>
number) ^ <loi trang b vin thng (ID)> ^ <a ch email
(ST)> ^ <m quc gia (NM)> ^ <m vng/thnh
ph (NM)> ^ <s in thoi (NM)> ^ <m rng
(NM)> ^ <vn bn bt k (ST)>
c bit/
Chng ch
nh
(Specialty/Cha
pter Specific)
Dng sng
(Waveform)
CD nh ngha knh Ch dnh cho d liu dng sng.
(Channel definition) <nh danh knh (*)> ^ <s knh (NM)> & <tn
knh (ST)> ^ <tn in t (*) > ^ < nhy/ n
v knh (*) > ^ <thng s nh chun (*)> ^ <tn
s ly mu (NM)> ^ <gi tr d liu ti thiu/ ti

a (*)>
MA Ma trn a chiu Ch dnh cho dng sng.
(Multiplexed array) <mu 1 t knh 1 (NM)> ^ <mu 1 t knh 2
(NM)> ^ <mu 1 t knh 3 (NM)> ...~<mu 2 t
knh 1 (NM)> ^ <mu 2 t knh 2 (NM)> ^
<mu 2 t knh 3 (NM)> ...~
NA Ma trn s (Numeric Ch dnh cho d liu dng sng.
array) <gi tr 1 (NM)> ^ <gi tr 2 (NM)> ^ <gi tr 3
(NM)> ^ <gi tr 4 (NM)> ^ ...
ED D liu ng gi H tr m ha chun ASCII MIME ca d liu
(Encapsulated data) c s 2
<ng dng ngun (HD) > ^ <loi d liu (ID)> ^
<loi con d liu (ID)> ^ <m ha (ID)> ^ <d
liu (ST)>
Gi ca d liu
(Price Data)
CP Gi ghp Trong phin bn 2.3, thay loi d liu MO.
(Composite price) <gi (MO)> ^ <loi gi (ID)> ^ <t gi tr (NM)> ^
<n gi tr (NM)> ^ <tm n v (CE)> ^ <loi
tm (ID)>
Qun tr bnh
nhn/ Thng
tin ti chnh
(Patient
Administration/
Financial
Information)
FC Lp ti chnh <lp ti chnh (ID)> ^ <thi hn hiu lc (TS)>
(Financial class)
Cc truy vn
m rng
(Extended
Qeries)
QSC Truy vn la chn <tn trng (ST)> ^ <hot ng lin quan (ID)>
gii hn (Query ^ <gi tr (ST)> ^ <lin kt (ID)>
selection criteria)
QIP Danh sch tham s <tn trng (ST) > ^ <gi tr 1 (ST) & gi tr 2
truy vn u vo (ST) & gi tr 3 (ST) ...>
(Query input
parameter list)
RCD nh ngha hng ct <s mc HL7 (ST)> ^ <loi d liu HL7 (ST)> ^
(Row column <b rng ct ti a (NM)>
definition)

Tp tin chnh
(Master Files)
DLN S bng li (Drivers <s bng (ST)> ^ <tiu bang, tnh, quc gia
license number) (IS)> ^ <thi hn ht hiu lc (DT)>
JCC M /lp cng vic <m cng vic (IS)> ^ <lp cng vic (IS)>
(Job code/class)
VH Gi ving thm <khong ngy bt u (ID)> ^ <khong ngy kt
(Visiting hours) thc (ID)> ^ <khong gi bt u (TM)> ^
<khong gi kt thc (TM)>
H s y khoa
/Qun l thng
tin (Medical
Records/Inform
ation
Management)
PPN nh du thi gian <S ID (ST)> ^ <tn gia nh (ST)> ^ & <tin t
trnh din ngi ( h (ST)> ^ <tn c t (ST)> ^ <tn m
Performing person hoc tn (ST)> ^ <hu t (VD, JR hoc III) (ST)>
time stamp) ^ <tin t (VD, DR) (ST)> ^ <cp (VD, MD)
(ST)> ^ <bng ngun (IS)> ^ <phn quyn
(HD)> ^ <m tn loi (ID)> ^ <nh danh s
kim tra (ST)> ^ <m nh danh s sp xp s
kim tra (ID )> ^ <m loi nh danh (IS)> ^
<phn cp (HD)> ^ < ngy gi din ra trnh din
(TS)> ^ <m tn i din (ID)>
Chui thi gian
(Time Series)
DR Khong ngy/gi Ch ln lch:
(Date/time range) <khong ngy/gi bt u (TS)> ^ <khong
ngy/gi kt thc (TS)>
RI Khong thi gian Ch ln lch:
trung gian lp li <mu lp li (IS)> ^ <khong thi gian trung
(Repeat interval) gian r rng (ST)>
SCV Cp gi tr lp lch Ch ln lch:
trnh (Scheduling <lp tham s (IS)> ^ <gi tr tham s (ST)>
class value pair)
TQ nh thi /S lng c c trng k thut nh thi /s lng.
(Timing/quantity) <s lng (CQ)> ^ <khong thi gian trung gian
(*)> ^ <thi lng (*)> ^ <ngy/gi bt u
(TS)> ^ <ngy/gi kt thc (TS)> ^ <chu k
(ST)> ^ <iu kin (ST)> ^ <vn bn (TX)> ^
<lin kt (ID)> ^ <trnh t yu cu (*)> ^ <thi
lng trnh din (CE)> ^ <tng cc s kin xy
ra (NM)>

2.3.8. S dng cc trnh t thot ra trong trng vn bn

2.3.8.1. nh dng m
Khi mt trng ca loi d liu TX, FT hoc CF c dng m ha, k
t thot c th c dng bo hiu cc c im c bit no ca cc
phn trong trng vn bn. K t thot ra l k t ASCII c th hin th
c ch nh trong thnh phn k t thot ca trng MSH-2-cc k t m
ha. Trong mc ch ca phn ny, k t \ s c dng i din k t
c thit k trong mt bn tin. Mt trnh t thot ra gm k t thot theo
sau bi mt m ID thot ca mt k t, zero (0) hoc nhiu k t d liu v
s xy ra khc ca k t thot. Cc trnh t thot sau c nh ngha:
\H\ Bt u t ni (highlight)
\N\ Vn bn thng (kt thc t ni)
\F\ K hiu phn cch trng
\S\ K hiu phn cch thnh phn
\T\ K hiu phn cch thnh phn con
\R\ K hiu phn cch s lp li
\E\ K t thot
\Xdddd...\ D liu c s 16
\Zdddd...\ nh ngha a phng v trnh t thot
Trnh t thot cho k hiu phn cch trng, thnh phn, thnh phn con,
s lp li v k t thot cng c gi tr trong mt trng d liu ST.
Khng c trnh t thot cha trong b lng cc trnh t thot.
2.3.8.2. T ni (highlighting)
Trong thit k t ni, ng dng gi c nhn dng rng cc k t m theo
sau nn c ng ring ra, nhng b phng php lm nh vy i vi
ng dng nhn. Ph thuc vo c im thit b v s lin h kiu ng
dng, ng dng nhn c th chn o ngc video, t m, gch di,

www.bme.vn
chp tt, mt mu no hoc cc phng tin khc t ni d liu hin
th. VD trong mt on bn tin:
DSP| TOTAL CHOLESTEROL \H\240*\N\ [90 - 200]
D liu xut hin trn mn hnh bo co hoc bo co c th l:
TOTAL CHOLESTEROL 240* [90 - 200]
Trong h thng c th chn hin th 240* mu .
2.3.8.3. K t c bit
Trnh t thot k t c bit (\F\, \S\, \R\, \T\, v \E\) cho php k t ph
hp c cha trong d liu ca trng vn bn, mc d k t tht s c
bo tn. VD:
DSP| TOTAL CHOLESTEROL 180 \F\90 - 200\F\
DSP| \S\----------------\S\
S to ra thng tin sau cho phn hin th
TOTAL CHOLESTEROL 180 |90 - 200|
^----------------^
2.3.8.4. Vn bn nh dng
Nu trng ca vn bn thuc loi d liu nh dng, lnh nh dng
cng c bao quanh k t thot. Mi ln bt u bng k t (.). Cc lnh
nh dng sau:
.sp <s> Kt thc u ra hin ti v b qua <s> khong trng dc.

<s> l mt s nguyn hoc khng c. Nu <s> khng c,
b qua mt khong trng. V tr k t ngang gi khng i.
Ch rng ph hp vi phin bn trc, ^\.sp\ tng
ng vi \.br\.
.br Bt u mt ng ng ra mi. t v tr ngang n l tri
hin ti v tng v tr dc ln 1.
.fi Bt u ch ng gi (wrap) hoc lm y (fill) ch. y
l trng thi mc nh. N c th b thay i thnh ch

khng ng gi bng cch dng lnh (.nf)

.nf Bt u ch khng ng gi.
.in <s> <s> khong trng tht vo, trong <s> l mt s nguyn
dng hoc m. Lnh ny khng th xut hin sau k t c
th in u tin ca mt dng.
.ti <s> Tm thi tht vo <s> khong trng, trong s l mt s
nguyn dng hoc m. Lnh ny khng th xut hin sau
k t c th in u tin ca mt dng.
.sk <s> B qua <s> khong trng v bn phi.
.ce Ra cui dng u ra hin ti v vo gia dng tip theo.
Hnh 2-3 l mt v d v loi d liu FT t bo co bc x.
Hnh 2-3. Vn bn nh dng khi truyn i
|\.in+4\\.ti-4\ 1. The cardiomediastinal

silhouette is now within normal
limits.^\.sp\\.ti-4\ 2. Lung fields show
minimal ground glass appearance.^\.sp\\.ti-4\ 3.
A loop of colon visible in the left upper
quadrant is distinctly abnormal with the
appearance of mucosal effacement suggesting
colitis.\.in-4\|
Hnh 2-4 cho thy mt cch hin d liu trong Hnh 2-3 . H thng nhn c
th to nhiu s th hin khc bng cch thay i l phi.
Hnh 2-4. Vn bn nh dng trong mt trnh din c th
1. The cardiomediastinal silhouette is now

within normal limits.
2. Lung fields show minimal ground glass

appearance.
3. A loop of colon visible in the left

upper quadrant is distinctly abnormal with the

appearance of mucosal effacement suggesting

colitis.
2.3.9. Cc quy lut kin trc d liu

Bc 1: Kin trc on nh ngha bn tin. Mi bn tin c kin trc
nh sau:
a) 3 k t u l m ID on
b) mi trng d liu trong trnh t c chn vo trong on theo cch

sau:
1) mt k hiu phn cch trng c t trong on
2) nu mt gi tr khng hin hu, khng bt buc c k t thm
3) nu gi tr hin hu, nhng khng rng, cc k t c t

trong trng.
4) nu khng t k t ca gi tr trong on. C thm bao nhiu k

t c th sao cho khng vt qu nh ngha ti a cho trng d
liu.
5) nu s nh ngha trng gi cho mt trng ph vo cc

thnh phn, dng cc quy tc sau:
i) nu c nhiu hn mt thnh phn, chng c chia ra bng

k hiu phn cch thnh phn.
ii) cc thnh phn m hin hu nhng rng c i din

bng k t
iii) cc thnh phn khng hin hu c i x bng cch

thm khng c k t no vo thnh phn.
iv) cc thnh phn m khng hin hu cui mt trng

khng cn i din bi k hiu phn cch thnh phn. VD, 2
trng d liu l tng ng:

|ABC^DEF^^| v |ABC^DEF|.
6) nu nh ngha thnh phn gi cho mt thnh phn ph vo

thnh phn con, s dng cc quy tc sau:
i) nu c nhiu hn mt thnh phn con, chng c chia ra

bi mt k hiu thnh phn con.
ii) cc thnh phn con m hin hu nhng khng rng c

i din bng k t
iii) cc thnh phn con khng hin hu c i x bng

cch khng cha k t trong thnh phn con.
iv) cc thnh phn con khng hin hu cui mt thnh phn

khng cn i din bi k hiu phn tch thnh phn con. VD
2 d liu thnh phn sau l tng ng:
^XXX&YYY&&^ v ^XXX&YYY^
7) nu trng nh ngha cho php s lp li trng, dng cc quy

tc sau, k t lp li ch s dng nu xut hin hn mt ln truyn
tin v c t gia cc ln xut hin. (Nu xut hin 3 ln truyn
tin, phi dng 2 k t lp li). Trong v d sau, 2 ln xut hin s
in thoi c truyn i:
|234-7120~599-1288B1234|
c) lp li bc 1b trong c bt k trng no c gi. Nu tt c

trng d liu gi trong nh ngha on khng hin hu th khng bt
buc km theo bt k k hiu gii hn no.
d) kt thc mi on bng k t xung hng ASCII.
Bc 2: lp li bc 1 cho n khi tt c cc on c to ra.
Cc quy tc sau p dng nhn bn tin HL7 v chuyn ni dung ca

chng thnh gi tr d liu:

a) b qua cc on, trng, thnh phn, thnh phn con, v s lp li thm

ca mt trng m hin hu nhng khng c mong ch
b) vi cc on mong ch nhng khng hin hu khi ht ton b trng th

khng hin hu
c) cc trng v thnh phn mong ch nhng khng c trong mt on

xem nh khng hin hu
2.3.10. Cu to mt bn tin qun tr bnh nhn

S qun tr bnh nhn bao gm nhiu kiu v chia thnh 51 kiu bn tin
c nh du theo k hiu ADT/ACK Axx (ACK Acknowlegment).
Trong xx l s t nhin chy t 01 51, Axx l s kin A c s th t
xx trong chun HL7, ADT l vit tt Administration (s qun tr), ACK vit
tt ca Acknowledgment (s cng nhn). Tt c s kin kch khi xy ra
c dng bi mt ADT cp nht t ng v p ng ACK.

2.4. CU TRC BN TIN NHP VIN [4]
Bn tin ng k bnh nhn ADT/ACK (s kin A04)

S kin A04 to tn hiu bnh nhn n hoc ng k vo mt thi
im no hoc bnh nhn ngoi tr ti khm.
Cu trc bn tin

ADT Bn tin ADT

MSH Message Header (on mo u)
EVN Event Type (on loi s kin)
PID Patient Identification (on xc nhn bnh nhn)
[PD1] Additional Demographics (thng tin nhn khu hc)
[ { NK1 }] Next of Kin /Associated Parties (thn nhn)
PV1 Patient Visit (thng tin nhp vin)
Patient Visit Additional Info.(thng tin nhp
[ PV2 ]
vin thm)
[ { DB1 } ] Dissability Information (thng tin khuyt tt)
[ { OBX } ] Observation/Result (theo di / kt qu)
[ { AL1 } ] Allergy Information (thng tin d ng)
[ { DG1 } ] Diagnosis Information (thng tin chn on)
[ DRG ] Diagnosis Related Group (chn on lin quan nhm)
[ { PR1 Procedures (th tc)
[{ROL}] Role (vai tr)
}]
[ { GT1 } ] Guarantor (ngi bo lnh)
[
{ IN1 Insurance (bo him)
Insurance Additional Info. (thng tin bo him
[ IN2 ]
thm)
[ {IN3} ] Insurance Addl Info - Cert. (chng nhn bo him)
}
]
[ ACC ] Accident Information (thng tin tai nn)
[ UB1 ] Universal Bill Information (thng tin thanh ton)
Universal Bill 92 Information (thng tin thanh
[ UB2 ]
ton)
ACK General Acknowledgment

MSH Message Header (mo u bn tin)
MSA Message Acknowledgment (s chp nhn bn tin)
[ ERR ] Error (li)
2.4.1. on mo u bn tin (MSH Message Header Segment)

y cng l on cha cc thng s kim sot bn tin. on MSH nh
ngha mc ch, ti nguyn, ni n, v cc ch nh ng php ca bn tin.
Hnh 2-5. Cc thuc tnh on MSH

SEQ LEN DT OPT RP/# TBL# ITEM ELEMENT NAME

#
1 1 ST R 00001 K hiu phn cch trng
2 4 ST R 00002 K t m ha
3 180 EI O 00003 ng dng gi
4 180 EI O 00004 Kh nng gi d dng
5 180 EI O 00005 ng dng nhn
6 180 EI O 00006 Kh nng nhn d dng
7 26 TS O 00007 Ngy/Gi bn tin
8 40 ST O 00008 Bo mt
9 7 CM R 0076 00009 Loi bn tin
0003
10 20 ST R 00010 ID kim sot bn tin
11 3 PT R 00011 X l ID
12 60 VID R 0104 00012 ID phin bn
13 15 NM O 00013 S trnh t
14 180 ST O 00014 im lin tc
15 2 ID O 0155 00015 Loi chp nhn ng
16 2 ID O 0155 00016 Loi chp nhn ng dng
17 2 ID O 00017 M quc gia
18 10 ID O Y 0211 00692 Tp hp k t
19 60 CE O 00693 Ngn ng chnh ca bn tin
20 20 ID O 01317 S sp xp tp hp k t thay th
2.4.1.0. nh ngha cc trng trong on MSH

2.4.1.1. K hiu phn cch trng (ST) 00001
nh ngha: Trng ny cha cc k hiu phn cch gia ID on v
trng thc u tin, l trng MSH-2-k t m ha. N dng nh l k t
phn cch. Gi tr ngh l |, (ASCII 124).
2.4.1.2. K t m ha (ST) 00002

nh ngha: Trng ny cha 4 k t theo th t sau: k hiu phn cch
thnh phn, k hiu lp li, k t thot, v k hiu phn cch thnh phn
con. Gi tr ngh l ^~\&, (ASCII 94, 126, 92, v 38, ln lt)
2.4.1.3. ng dng gi (EI) 00003

Cc thnh phn: <ID tn khong trng (IS)> ^ <ID tng th
(ST)> ^ <loi ID tng th (ID)>

nh ngha: Trng ny xc nh duy nht ng dng gi gia tt c ng

dng khc trong cng trnh mng. Cng trnh mng gm tt c cc ng
dng ny m tham gia vo trao i bn tin HL7 trong cng trnh.
2.4.1.4. Kh nng gi d dng (Sending facility) (EI) 00004

(ST)> ^ <Loi ID tng th (ID)>
nh ngha: Trng ny cha a ch ca mt vi s xy ra ca cng ng

dng trong h thng gi. Ngi dng nh ngha ton b.
2.4.1.5. ng dng nhn (EI) 00005

nh ngha: Trng ny xc nh duy nht ng dng nhn gia tt c ng

dng khc trong cng trnh mng. Cng trnh mng gm tt c cc ng
dng ny m tham gia vo trao i bn tin HL7 trong cng trnh.
2.4.1.6. Kh nng nhn d dng (Receiving facility) (EI) 00006

nh ngha: Trng ny xc nh ng dng nhn gia cc ng dng xc

nh tc thi ang chy vi t cch i din cc t chc khc.
2.4.1.7. Ngy/Gi bn tin (TS) 00007

nh ngha: Trng ny cha ngy/gi m h thng gi to ra bn tin. Nu
thi gian ci t nh dng thi gian, n s dng sut bn tin theo nh
dng kiu thi gian mc nh.
2.4.1.8. Bo mt (ST) 00008

nh ngha: Trong vi ng dng ca HL7, trng ny c dng thc
thi c tnh bo mt.
2.4.1.9. Loi bn tin (CM) 00009

Cc thnh phn: <Loi bn tin (ID)> ^ <s kin kch khi
(ID)> ^ <cu trc bn tin (ID)>

nh ngha: Trng ny cha loi bn tin, s kin kch khi, v m cu

trc tm tt bn tin cho bn tin. Thnh phn th nht l loi bn tin hiu
chnh bi Bng HL7 0076 Loi bn tin; thnh phn th 2 l m s kin
kch khi hiu chnh bi Bng HL7 0354 Cu trc bn tin.
H thng nhn dng trng ny nhn dng cc on d liu, lm cho

ng dng c th truy cp bn tin. i vi cc truy vn no , c th c
nhiu hn mt loi s kin p ng n, thnh phn th 2 thay i ch
hng cho p ng loi s kin.
2.4.1.10. ID kim sot bn tin (ST) 00010

nh ngha: Trng ny cha mt s hoc cc nh danh khc m xc nh
duy nht bn tin. H thng nhn phn hi ID ny tr li h thng gi trong
on chp nhn bn tin (MSA).
2.4.1.11. X l ID (PT) 00011

Cc thnh phn: <x l ID (ID)> ^ <ch x l (ID)>
nh ngha: Trng ny c dng quyt nh c hay khng vic x l

bn tin nh nh ngha trong cc quy tc x l ng dng (cp 7) ca HL7
trn. Thnh phn u nh ngha c hay khng bn tin l phn ca mt sn
phm, o to, hoc g ri h thng (xem Bng HL7 0103 X l ID c
cc gi tr ng). Thnh phn th 2 nh ngha c hay khng bn tin l phn
ca mt x l nn hoc mt khi to np (xem Bng HL7 0207 Ch
x l c cc gi tr ng).
Bng 0103 X l ID
Gi tr M t
D G ri (Debugging)
P Sn phm (Production)
T Hun luyn (Training)
Bng 0207 Ch x l

Gi tr M t
A Nn (Archive)
R Gii nn (Restore from archive)
I Khi to np (Initial load)
not present Khng hin hu
2.4.1.12. ID phin bn (VID) 00012
Cc thnh phn: <ID phin bn (ID)> ^ <m quc t ha (CE)> ^
<ID phin bn quc t (CE)>
nh ngha: Trng ny c ph hp bi h thng nhn phin bn chnh

n m bo rng bn tin s c gii thch chnh xc. Trong phin bn
2.3.1 c 2 thnh phn quc t ha dng cho cc t chc HL7 quc t. M
quc t ha l loi d liu CE (dng m quc gia ISO) m i din bi t
chc HL7. ID phin bn quc t c dng nu T chc HL7 c nhiu
hn mt phin bn a phng kt hp vi phin bn n ca Hoa K.
ID phin bn quc t c loi d liu CE.
2.4.1.13. S th t (NM) 00013

nh ngha: Mt gi tr khng rng trong trng ny ng rng ti nguyn
s trnh t l c dng. Trng s c tng ln 1 cho mi gi tr trnh t
con.
2.4.1.14. im lin tc (ST) 00014

nh ngha: Trng ny c dng nh ngha s lin tc trong cch
nh ca ng dng.
2.4.1.15. ng loi cng nhn (ID) 00015

nh ngha: Trng ny xc nh cc iu kin ng s cng nhn
c bt buc tr v p ng cho bn tin. Yu cu cho ch cng nhn
tng cng. Tham kho Bng HL7 0155 Cc iu kin cng nhn ng
/ng dng.

2.4.1.16. Loi cng nhn ng dng (ID) 00016

nh ngha: Trng ny cha cc iu kin m s cng nhn ng dng
phi c tr li p ng cho bn tin. Bt buc cho ch cng nhn tng
cng.
Bng sau cha cc gi tr c th cho trng MSH-15-loi chp nhn ng

v trng MSH-16-loi chp nhn ng dng:
Bng 0155 Cc iu kin cng nhn ng / ng dng
Gi tr M t
AL Lun lun (Always)
NE Khng bao gi (Never)
ER Ch c iu kin li/b qua (Error/reject
conditions only)
SU Ch c s hon tt thnh cng (Successful
completion only)
2.4.1.17. M quc gia (ID) 00017
nh ngha: Trng ny cha quc gia nguyn thy cho bn tin. N s
c dng ch yu xc nh cc yu t mc nh, nh l s t tn tin t.
ISO 3166 cung cp danh sch m quc gia c dng.
2.4.1.18. Tp hp k t (ID) 00692

nh ngha: Trng ny cha tp hp k t cho ton bn tin. Tham kho
Bng HL7 0211 Tp hp k t thay th c cc gi tr ng.
Bng 0211 cc tp hp k t thay th
Value Description
ASCII Tp hp k t 7-bit c th in c. (y l tp hp
mc nh)
8859/1 K t in c t tp hp k t ISO 8859/1
ISO IR14 M cho thng tin trao i 1-byte (JIS X 0201-1976)
ISO IR87 M cho tp k t ha Nht dng trao i thng tin.
2.4.1.19. Nguyn l ngn ng ca bn tin (CE) 00693
Cc thnh phn: <nh danh (ID)> ^ <vn bn (ST)> ^ <tn ca
h thng m ha (ST)> ^ <nh danh thay th (ID)> ^

<vn bn thay th (ST)> ^ <tn ca h thng m ha

thay th (ST)>
nh ngha: Trng ny cha nguyn l ngn ng ca bn tin. M t ISO

639.
2.4.1.20. Tp hp k t thay th cm tay (ID) 01317

nh ngha: Khi bt k mt tp hp k t thay th no c dng, (ch nh
trong thnh phn th 2 hoc sau ca trng MSH-18 Tp hp k t), v
nu bt k s sp xp cm tay c bit no cn thit, thnh phn ny ch
nh cch dng s sp xp.
2.4.2. on loi s kin (Event type segment EVN)

on EVN c dng giao tip cc thng tin s kin kch khi cn thit
t h thng nhn. Cc loi d liu ng cho tt c cc phn c cha
trong Bng HL7 0003 Loi s kin.
Hnh 2-6. Thuc tnh on EVN
SEQ LEN DT OPT RP/# TBL# ITEM# ELEMENT NAME

1 3 ID B 0003 00099 M loi s kin
2 26 TS R 00100 Ngy/Gi ghi nhn
3 26 TS O 00101 Ngy /Gi ln k hoch s kin
4 3 IS O 0062 00102 M l do s kin
5 60 XCN O Y 0188 00103 ID b hot ng
6 26 TS O 01278 S kin xy ra
2.4.2.0. Cc nh ngha trng EVN

2.4.2.1. M loi s kin (ID) 00099
nh ngha: Trng ny c gi li ch tng thch vi phn sau.
ngh dng thnh phn th 2 (s kin kch khi) ca trng MSH-9-loi
bn tin truyn thng tin m loi s kin. Trng ny cha cc s kin
tng thch vi s kin kch khi m t.
2.4.2.2. Ngy /Gi ghi nhn (TS) 00100

nh ngha: Hu ht h thng s mc nh ngy /gi h thng khi giao dch
xy ra, nhng chng cng nn c php ghi .

2.4.2.3. Ngy/Gi ln k hoch s kin (TS) 00101

nh ngha: Trng ny cha ngy/gi m s kin c ln k hoch.
ngh dng trng PV2-8-ngy/gi nhn d kin v PV2-9-ngy/gi ra d
kin bt c khi no c th.
2.4.2.4. M l do s kin (IS) 00102

nh ngha: Trng ny cha l do cho s kin ny (VD, bnh nhn yu
cu, ngh ca bc s, qun l iu tra dn s). Tham kho bng ngi
dng nh ngha 0062 L do s kin c cc gi tr ngh.
Bng ngi dng nh ngha 0062 L do s kin
Gi tr M t
01 Bnh nhn yu cu (Patient request)
02 Bc s ngh (Physician order)
03 Qun l iu tra dn s (Census management)
2.4.2.5. ID b hot ng (XCN) 00103
Cc thnh phn: <S ID (ST)> ^ <tn gia nh (ST)> & <tin t
h (ST)> ^ <tn c t (ST)> ^ <tn m hay tn
(ST)> ^ <hu t (VD, JR hoc III) (ST)> ^ <tin t
(VD, DR) (ST)> ^ <cp (VD, MD) (ST)> ^ <bng ti
nguyn (IS)> ^ <phn quyn (HD)> ^ <m tn loi (ID)>
^ <nh danh s kim tra (ST)> ^ <m xc nhn s sp
xp s kim tra (ID)> ^ <nh danh m loi (IS)> ^
<phn cp (HD)> ^ <m tn i din (ID)>
Cc thnh phn con ca phn quyn: <ID tn khong trng (IS)>

& <ID tng th (ST)> & <loi ID tng th (ID)>
Cc thnh phn con ca phn cp: <ID tn khong trng (IS)> &
<ID tng th (ST)> & <loi ID tng th (ID)>
nh ngha: Trng ny xc nh trch nhim c nhn cho vic kch khi

s kin.

2.4.2.6. S kin xy ra (TS) 01278

nh ngha: Trng ny cha ngy/gi m s kin tht s xy ra. VD, s
kin chuyn bnh nhn (A02), trng ny s cha ngy/gi m bnh nhn
tht s chuyn. Nu s kin b hy, trng ny nn cha ngy/gi m s
kin b hy.
2.4.3. on xc nhn bnh nhn (Patient Identification segment PID)

on PID c dng bi tt c cc ng dng nh l phng tin chnh
trong truyn thng thng tin xc nhn bnh nhn. on ny cha vic xc
nh bnh nhn lu di v thng tin nhn khu hc, cho hu ht cc phn n
khng thay i thng xuyn.
Hnh 2-7. Thuc tnh PID

www.bme.vn
1 4 SI O 00104 t ID - PID
2 20 CX B 00105 ID bnh nhn
3 20 CX R Y 00106 Danh snh nh danh bnh
nhn
4 20 CX B Y 00107 ID PID bnh nhn thay th
5 48 XPN R Y 00108 Tn bnh nhn
6 48 XPN O Y 00109 Tn m
7 26 TS O 00110 Ngy/Gi sinh
8 1 IS O 0001 00111 Gii tnh
9 48 XPN O Y 00112 B danh bnh nhn
10 80 CE O Y 0005 00113 Chng tc
11 106 XAD O Y 00114 a ch bnh nhn
12 4 IS B 0289 00115 M quc gia
13 40 XTN O Y 00116 S in thoi nh
14 40 XTN O Y 00117 S in thoi kinh doanh
15 60 CE O 0296 00118 Ngn ng chnh
16 80 CE O 0002 00119 Tnh trng hn nhn
17 80 CE O 0006 00120 Tn gio
18 20 CX O 00121 M s ti khon bnh nhn
19 16 ST B 00122 S SSN - bnh nhn
20 25 DLN O 00123 M s bng li bnh nhn
21 20 CX O Y 00124 nh danh m
22 80 CE O Y 0189 00125 Nhm dn tc
23 60 ST O 00126 Ni sinh
24 1 ID O 0136 00127 Ch th sinh bi
25 2 NM O 00128 Th t sinh
26 80 CE O Y 0171 00129 Cng dn
27 60 CE O 0172 00130 Tnh trng qun ng
28 80 CE O 0212 00739 Quc tch
29 26 TS O 00740 Ngy/Gi t vong bnh nhn
30 1 ID O 0136 00741 Ch th bnh nhn cht
2.4.3.0. nh ngha trng PID
2.4.3.1. t ID PID (SI) 00104
nh ngha: Trng ny cha con s m xc nh s giao dch ny. i
vi s xy ra u tin ca on, s th t nn l 1, i vi s xy ra th hai,
s th t nn l 2

2.4.3.2. ID bnh nhn (CX) 00105

Cc thnh phn: <ID (ST)> ^ <s kim tra (ST)> ^ <m xc nh
s sp xp s kim tra (ID)> ^ <phn quyn (HD)> ^
<m loi nh danh (IS)> ^ <phn cp (HD)>
Thnh phn con ca phn quyn: <ID tn khong trng (IS)> &
<ID tng th (ST)> & <Loi ID tng th (ID)>
Thnh phn con ca phn cp: <ID tn khong trng (IS)> & <ID
tng th (ST)> & <loi ID tng th (ID)>
nh ngha: Trng ny c gi li ch tng thch vi phn

sau. Trong phin bn HL7 v2.3.1, thut ng ID ngoi b i t tn ca
trng ny. S lp li, phn quyn, phn cp v m loi nh danh ca
trng PID-3-danh sch nh danh bnh nhn cho php i din nh
danh ring bit.
2.4.3.3. Danh sch nh danh bnh nhn (CX) 00106

Thnh phn: <ID (ST)> ^ <s kim tra (ST)> ^ <m xc nh s
sp xp s kim tra (ID)> ^ <phn quyn (HD)> ^ <m
loi nh danh (IS)> ^ <phn cp (HD)>
tng th (ST)> & <Loi ID tng th (ID)>
nh ngha: Trng ny cha danh sch nh danh (mt hoc nhiu) c

dng bi iu kin d dng duy nht xc nh mt bnh nhn (VD, s h s
y khoa, s bill, ng k sinh, nh danh quc tch). Trong phin bn HL7
v2.3.1, thut ng ID ni b i t tn ca trng ny r rng.
2.4.3.4. ID PID bnh nhn thay th (CX) 00107



ngh dng trng PID-3-danh sch nh danh bnh nhn nh danh
tt c bnh nhn.
2.4.3.5. Tn bnh nhn (XPN) 00108

Thnh phn: <tn gia nh (IS)> & <tin t h (IS)> ^ <tn
t (IS)> ^ <tn m hoc tn (IS)> ^ <hu t (VD, JR
hoc III) (IS)> ^ <tin t (VD, DR) (IS)> ^ <cp
(VD, MD) (IS)> ^ <m loi tn (ID) > ^ <m tn i
din (ID)>
nh ngha: Trng ny cha tn hp php ca bnh nhn. Tt c tn khc

cho bnh nhn nn c gi trong trng PID-9-b danh bnh nhn. Do ,
m loi tn trong trng ny nn l L Legal (hp php). Xem bng HL7
0200 Loi tn (Name type) c gi tr ng.
2.4.3.6. Tn m (Mothers maiden name) (XPN) 00109

din (ID)>
nh ngha: Trng ny cha tn gia nh m ngi m sinh ra (VD, trc

hn nhn). N c dng phn bit gia bnh nhn vi cng h.
2.4.3.7. Ngy/Gi sinh (TS) 00110

nh ngha: Trng ny cha ngy/gi sinh ca bnh nhn.
2.4.3.8. Gii tnh (IS) 00111

nh ngha: Trng ny cha gii tnh bnh nhn. Tham kho bng ngi
dng nh ngha 0001-Gii tnh c gi tr ngh.
Bng ngi dng nh ngha 0001 Gii tnh

Gi tr M t

F N (Female)
M Nam (Male)
O Khc (Other)
U Khng bit (Unknown)
2.4.3.9. B danh bnh nhn (XPN) 00112
din (ID)>
nh ngha: Trng ny cha tn m bnh nhn c mt lc no .

Xem thm bng HL7 0200 Name type c cc gi tr ng.
2.4.3.10. Chng tc (CE) 00113

Cc thnh phn: <nh danh (ID)> ^ <vn bn (ST)> ^ <tn ca
h thng m ha (ST)> ^ <nh danh thay th (ID)> ^
<vn bn thay th (ST)> ^ <tn ca h thng m ha
thay th (ST)>
nh ngha: Trng ny ni v chng tc ca bnh nhn. Tham kho bng

ngi dng nh ngha 0005- Race c cc gi tr ngh. Cc m ny
c thit k bi Vn phng Qun l v Ngn sch ca Hoa k (the Office
of Management and Budget).
2.4.3.11. a ch bnh nhn (XAD) 00114

Thnh phn: <a ch ng (ST)> ^ <tn khc (ST)> ^ <thnh
ph (ST)> ^ <tiu bang hoc tnh (ST)> ^ <m tnh
hoc m bu in (ST)> ^ <t nc (ID)> ^ < loi a
ch (ID)> ^ <tn a l khc (ST)> ^ <m ht/vng
gio x (IS)> ^ <theo di dn s(IS)> ^ <m a ch
i din (ID)>
nh ngha: Trng ny cha a ch th tn ca bnh nhn. M loi a

ch c nh ngha bi HL7, xem bng HL7 0190 Address type.

2.4.3.12. M quc gia (IS) 00115

Xem bng ngi dng nh ngha 0289 - County/parish.
2.4.3.13. S in thoi nh (XTN) 00116

Thnh phn: [NNN] [(999)]999-9999 [X99999] [B99999] [C vn
bn bt k] ^ <m s dng vin thng (ID)> ^ <loi
trang b vin thng (ID)> ^ <a ch email (ST)> ^
<m quc gia (NM)> ^ <m vng/thnh ph (NM)> ^ <s
in thoi (NM)> ^ <m rng (NM)> ^ <vn bn bt k
(ST)>
nh ngha: Trng ny cha s in thoi c nhn ca bnh nhn. Tt c

cc s in thoi c nhn bnh nhn c gi theo trnh t sau. Trnh t
u tin c lin h vi s chnh. Nu s chnh khng c gi mt k
hiu lp li c gi trong trnh t u tin. Tham kho bng HL7 0201 -
Telecommunication use code v bng 0202 - Telecommunication equipment
type c gi tr ng.
2.4.3.14. S in thoi kinh doanh (XTN) 00117

(ST)>
nh ngha: Trng ny cha s in thoi kinh doanh ca bnh nhn. Tt

c cc s in thoi kinh doanh bnh nhn c gi theo trnh t sau.
Trnh t u tin c lin h vi s chnh. Nu s chnh khng c gi
mt k hiu lp li c gi trong trnh t u tin. Tham kho bng HL7
0201 - Telecommunication use code v bng 0202 - Telecommunication
equipment type c gi tr ng.

2.4.3.15. Ngn ng chnh (CE) 00118

Thnh phn: <nh danh (ID)> ^ <vn bn (ST)> ^ <tn ca h
thng m ha (ST)> ^ <nh danh thay th (ID)> ^ <vn
bn thay th (ST)> ^ <tn ca h thng m ha thay
th (ST)>
nh ngha: Trng ny cha ngn ng chnh ca bnh nhn. HL7 ngh

dng bng ISO 639 c gi tr ngh trong bng ngi dng nh ngha
0296 Language.
2.4.3.16. Tnh trng hn nhn (CE) 00119

th (ST)>
nh ngha: Trng ny cha tnh trng hn nhn ca bnh nhn. Tham

kho bng ngi dng nh ngha 0002 - Marital status.
Gi tr M t
A Ly thn (Separated)
D Ly d (Divorced)
M Kt hn (Married)
S c thn (Single)
W ga (Widowed)
2.4.3.17. Tn gio (CE) 00120
th (ST)>
nh ngha: Trng ny cha tn gio ca bnh nhn, VD Ngi lm l

ra ti, Thin cha gio, Hi gim l. Tham kho bng ngi dng nh
ngha 0006-Religion.

2.4.3.18. M s ti khon bnh nhn (CX) 00121

nh ngha: Trng ny cha m s ti khon ca bnh nhn gn bi vic

to ti khon m tt c np, tr tin c ghi nhn. Dng xc nhn ti
khon bnh nhn. Xem bng HL7 0061 - Check digit scheme.
2.4.3.19. M s SSN bnh nhn (ST) 00122

ngh dng trng PID-3-danh sch nh danh bnh nhn.
2.4.3.20. M s bng li xe (DLN) 00123

Thnh phn: <s bng (ST)> ^ <tiu bang, tnh, quc gia (IS)>
^ <thi hn ht hiu lc (DT)>
nh ngha: Trng ny cha m s bng li xe ca bnh nhn. Vi ni c

th dng s ny nh l s duy nht nh danh bnh nhn. Mc nh ca
thnh phn th hai l tiu bang m bng ca bnh nhn ng k.
2.4.3.21. nh danh m (CX) 00124


nh ngha: Trng ny c dng nh l mt trng lin kt cho trng

hp mi sinh. Mt ID bnh nhn hoc m s ti khon in hnh c th
c dng. Trng ny c th cha nhiu nh danh cho cng m.
2.4.3.22. Nhm dn tc (CE) 00125

th (ST)>
nh ngha: Trng ny nh ngha dng h ca bnh nhn. Tham kho

bng ngi dng nh ngha 0189- Ethnic group.
2.4.3.23. Ni sinh (ST) 00126

nh ngha: Trng ny ch ra a im m bnh nhn sinh ra.
2.4.3.24. Ch th sinh bi (ID) 00127

nh ngha: Trng ny ch ra vic c hay khng bnh nhn l mt phn
ca s sinh bi. Tham kho bng HL7 0136 - Yes/No indicator.
2.4.3.25. Th t sinh (NM) 00128

nh ngha: Khi mt bnh nhn l mt phn ca sinh bi, mt gi tr (s)
ch nh th t sinh ca bnh nhn c a vo trng ny.
2.4.3.26. Cng dn (CE) 00129

th (ST)>
nh ngha: Trng ny cha quc gia ca cng dn. HL7 ngh dng
Bng ISO 3166 c cc gi tr ngh trong bng ngi dng nh ngha
0171 Citizenship.
2.4.3.27. Tnh trng qun ng (CE) 00130



th (ST)>
nh ngha: Trng ny cha tnh trng qun ng gn cho mt qun nhn.

Tham kho bng ngi dng nh ngha 0172 - Veterans military status.
2.4.3.28. Quc tch (CE) 00739

th (ST)>
nh ngha: Trng ny cha mt m xc nh quc gia hoc nhm quc

gia m ngi ta thuc v. Thng tin ny c th khc bit t ngi cng dn
trong t nc m c a quc tch (VD, Ty Ban Nha: Basque, Catalan).
HL7 xut dng bng ISO 3166 c gi tr ngh trong bng ngi
dng nh ngha 0212 - Nationality.
2.4.3.29. Ngy/Gi bnh nhn t vong (TS) 00740

nh ngha: Trng ny cha ngy v gi khi ci cht bnh nhn xy ra.
2.4.3.30. Ch th t vong ca bnh nhn (ID) 00741

nh ngha: Trng ny ch ra vic c hoc khng bnh nhn qua i.
Tham kho bng HL7 0136 - Yes/no indicator.
2.4.4. on thn nhn bnh nhn (Next of kin / associated parties segment
NK1)
on NK1 cha thng tin v thn nhn bnh nhn. S dng trng NK1-1-
t ID c th gi c ti khon bnh nhn. Nu mt ngi hoc t chc
thi hnh vai tr lin lc, VD mt ngi l mt lin h cp cu v mt dng
h k, yu cu gi on NK1 cho mi vai tr lin h.
Hnh 2-8. Thuc tnh NK1

SEQ LEN DT OPT R P/# TBL# ITEM# ELEMENT NAME

1 4 SI R 00190 t ID NK1
2 48 XPN O Y 00191 Tn
3 60 CE O 0063 00192 Mi quan h
4 106 XAD O Y 00193 a ch
5 40 XTN O Y 00194 S in thoi
6 40 XTN O Y 00195 S in thoi kinh doanh
7 60 CE O 0131 00196 Vai tr lin h
8 8 DT O 00197 Ngy bt u
9 8 DT O 00198 Ngy kt thc
10 60 ST O 00199 Tiu cng vic thn nhn
11 20 JCC O 0327/ 00200 M/Lp cng vic thn nhn
0328
12 20 CX O 00201 M s lao ng ca thn nhn

13 90 XON O Y 00202 Tn t chc NK1
14 80 CE O 0002 00119 Tnh trng hn nhn
15 1 IS O 0001 00111 Gii tnh
16 26 TS O 00110 Ngy/Gi sinh
17 2 IS O Y 0223 00755 Sng l thuc vo (Living
Dependency)
18 2 IS O Y 0009 00145 Tnh trng i li
19 80 CE O Y 0171 00129 Cng dn
20 60 CE O 0296 00118 Ngn ng chnh
21 2 IS O 0220 00742 S sp xp ni
22 80 CE O 0215 00743 M cng khai
23 1 ID O 0136 00744 Ch th bo v
24 2 IS O 0231 00745 Ch th sinh vin (Student
Indicator)
25 80 CE O 0006 00120 Tn gio
26 48 XPN O Y 00746 Tn m
27 80 CE O 0212 00739 Quc tch
28 80 CE O Y 0189 00125 Nhm dn tc
29 80 CE O Y 0222 00747 L do lin h
30 48 XPN O Y 00748 Tn ngi lin h
31 40 XTN O Y 00749 S in thoi ngi lin h
32 106 XAD O Y 00750 a ch ngi lin h
33 32 CX O Y 00751 nh danh thn nhn
34 2 IS O 0311 00752 Tnh trng cng vic
35 80 CE O Y 0005 00113 Chng tc

36 2 IS O 0295 00753 iu bt li
37 16 ST O 00754 S bo him x hi ngi lin
h
2.4.4.0. Cc nh ngha trng NK1
Mt s trng trong on NK1 c thuc tnh, loi d liu tng t cc
trng trong on PID. y, ch nu nh ngha mt s trng dng trong
vic xy dng chng trnh c bn tin.
2.4.4.1. t ID NK1 (SI) 00190

s th t nn l 2
2.4.4.2. Tn (XPN) 00191

din (ID)>
nh ngha: Trng ny cha tn ca thn nhn hoc t chc h tr.

Nhiu tn cho cng mt ngi c chp nhn, nhng tn hp php phi
c gi trong trnh t u tin. Nu tn hp php khng c gi th phi
c k hiu lp gi trong on u tin.
2.4.4.3. Mi quan h (CE) 00192

th (ST)>
nh ngha: Trng ny cha mi quan h con ngi tht s m dng

h/t chc h tr c vi bnh nhn. Tham kho bng ngi dng nh
ngha 0063 Relationship. VD c th bao gm: anh, ch, cha, me, bn, v
(chng), lin h cp cu, ngi ch

2.4.4.4. M/Lp cng vic ca thn nhn/t chc (JCC) 00200

Thnh phn: <m cng vic (IS)> ^ <lp cng vic (IS)>
nh ngha: Trng ny chc m ngi s dng lao ng v phn lp

ngi lao ng dng cho thn nhn/t chc h tr ni lm vic. Tuy
nhin nu ngi lin h l ch ca bnh nhn, trng ny c th cha
m/lp cng vic ca bnh nhn ni lm vic ca h. Tham kho bng
ngi dng nh ngha 0327 - Job code v 0328 - Employee classification.
2.4.4.5. M s cng vic ca dng h/t chc h tr (CX) 00201

nh ngha: tng thch vi phn sau, loi d liu ST c th c gi;

tuy nhin HL7 nghdng loi d liu CX cho phn thc thi mi.
Trng ny cha m s m ngi s dng lao ng gn cho ngi lao ng
m l thn nhn. Tuy nhin, nu vai tr lin h l ngi ch bnh nhn,
trng ny cha m s lm vic ca bnh nhn ni lm vic ca h.
2.4.4.6. Tn t chc NK1 (XON) 00202

Thnh phn: <tn t chc (ST)> ^ <m loi tn t chc (IS)> ^
<s ID (NM)> ^ <s kim tra (NM)> ^ <m xc nh s
loi nh danh (IS)> ^ <ID phn cp (HD)> ^ <m tn
i din (ID)>

nh ngha: Trng ny cha tn ca t chc m dng nh l thn nhn/t

chc h tr ca bnh nhn. Trng ny cng c th c dng lin lc
tn ca t chc ni m t chc h tr lm vic.
2.4.4.7. Sng l thuc vo (Living dependency) (IS) 00755

nh ngha: Trng ny xc nh cc iu kin sng ch nh (VD, v
(chng) ph thuc bnh nhn, cn h khng c thang my) m c lin quan
n s lng gi nhu cu chm sc sc khe ca bnh nhn. Thng tin ny
c th dng cho vic xut vin. VD nh gm V (chng) ph thuc, Nh
qun l y khoa, Tr nh ph thuc. Tham kho bng ngi dng nh
ngha 0223 Living dependency ly gi tr ngh.
2.4.4.8. Tnh trng i li (Ambulatory status) (IS) 00145

nh ngha: Trng ny xc nh s di chuyn tm thi ca thn nhn.
Xem bng ngi dng nh ngha 0009 Ambulatory status c gi tr
ngh.
2.4.4.9. Sp xp ch sng (Living arrangement) (IS) 00742

nh ngha: Trng ny xc nh tnh trng m t chc h tr sng trong
a ch nh ring ca anh (ch) y. Tham kho bng ngi dng nh ngha
0220 - Living arrangement c gi tr ngh. VD sp xp ch sng gm
Mt mnh, Gia nh, C quan
2.4.4.10. M cng khai (Publicity code) (CE) 00743

th (ST)>
nh ngha: Trng ny ch ra cp cng khai cho php (VD, Khng cng

khai, Ch Gia nh bit) cho thn nhn/t chc h tr. Xem bng ngi
dng nh ngha 0215 Publicity code c gi tr ngh.

2.4.4.11. Ch th bo v (Protection indicator) (ID) 00744

nh ngha: Trng ny xc nh s bo v ca thn nhn/t chc h tr
m xc nh ni no truy cp vo thng tin v c nhn ny nn c gi t
ngi dng khng c quyn thch hp.
2.4.4.12. Ch th sinh vin (Student indicator) (IS) 00745

nh ngha: Trng ny xc nh c hay khng thn nhn/t chc hin ti
l mt sinh vin v c hay khng thn nhn/t chc l mt sinh vin bn
hoc ton thi gian. Trng ny khng ch r mc (trung hc, i hc)
ca sinh vin hoc lnh vc nghin cu. Tham kho bng ngi dng nh
ngha 0231 Student status.
2.4.4.13. L do lin h (CE) 00747

th (ST)>
nh ngha: Trng ny xc nh lm th no vic lin h nn c dng

(VD, lin h ngi ch nu bnh nhn khng c kh nng lm vic). Tham
kho bng ngi dng nh ngha 0222 Contact reason c gi tr
ngh.
2.4.4.14. Tn ngi lin h (XPN) 00748

din (ID)>
nh ngha: Trng ny cha tn ca thn nhn hoc t chc h tr. Cho

php c nhiu tn cho cng mt ngi, nhng tn hp l phi c gi
trong trnh t u tin. Nu tn hp l khng c gi th k t lp li phi
c gi i trong trnh t u tin.

2.4.4.15. S in thoi ngi lin h (XTN) 00749

(ST)>
nh ngha: Trng ny cha s in thoi ca thn nhn/ t chc h tr.

Cho php c nhiu s in thoi cho cng ngi. S in thoi chnh phi
c gi trong trnh t u tin. Nu s in thoi chnh khng c gi,
th phi c k hiu lp li trnh t u tin.
2.4.4.16. a ch ngi lin h (XAD) 00750

Thnh phn: <a ch ng (ST)> ^ <tn khc (ST)> ^ <thnh
ph (ST)> ^ <tiu bang hoc tnh (ST)> ^ <m tnh
hoc m bu in (ST)> ^ <t nc (ID)> ^ < loi a
ch (ID)> ^ <tn a l khc (ST)> ^ <m ht/vng
gio x (IS)> ^ <theo di dn s(IS)> ^ <m a ch
i din (ID)>
nh ngha: Trng ny cha a ch ca thn nhn/ t chc h tr. Chp

nhn nhiu a ch cho cng ngi. a ch th tn phi c gi trong trnh
t u tin. Nu a ch th tn khng c gi th phi c k hiu lp li
c gi trong trnh t u tin.
2.4.4.17. nh danh thn nhn/t chc h tr (CX) 00751


www.bme.vn
nh ngha: Trng ny cha nh danh cho thn nhn/t chc h tr, VD,
M s an ninh x hi, bng li xe Phn quyn v m loi nh danh
ngh dng loi d liu CX.
2.4.4.18. Tnh trng cng vic (IS) 00752

nh ngha: Trng ny xc nh tnh trng cng vic ca thn nhn/t
chc (ton thi gian, bn thi gian, thng trc). Tham kho bng ngi
dng nh ngha 0311 Job status c cc gi tr ngh.
2.4.4.19. Cc kh khn (Handicap) (IS) 00753

nh ngha: Trng ny cha m m t mt s khng c kh nng ca t
chc h tr. Tham kho bng ngi dng nh ngha 0259 Handicap
c cc gi tr ngh.
2.4.4.20. M s bo him x hi ca ngi lin h (ST) 00754

nh ngha: Trng ny cha m s bo him x hi ca ngi lin h. S
ny cng c th l mt m s v hu RR. i vi m s bo him x hi
ca t chc h tr, xem trng NK1-33-next of kin/associated partys
identifiers.
2.4.5. on thng tin nhp vin (Patient Visit segment PV1)

on PV1 c dng bi cc ng dng ng k/Qun tr Bnh nhn
truyn thng tin trn mt nn ch nh nhp vin. on ny c th c
dng gi nhiu h s nhp vin n cng ti khon bnh nhn hoc h
s nhp vin n n nhiu hn mt ti khon. Pha c nhn phi xc nh
vic dng cho on ny.
Hnh 2-9. Thuc tnh PV1

1 4 SI O 00131 t ID - PV1
2 1 IS R 0004 00132 Lp bnh nhn
3 80 PL O 00133 Gn a im bnh nhn
4 2 IS O 0007 00134 Loi nhn
5 20 CX O 00135 M s nhn trc
6 80 PL O 00136 a im bnh nhn lc trc
7 60 XCN O Y 0010 00137 Bc s chm sc
8 60 XCN O Y 0010 00138 Bc s tham kho
9 60 XCN O Y 0010 00139 Bc s c vn
10 3 IS O 0069 00140 Dch v bnh vin
11 80 PL O 00141 a im tm thi
12 2 IS O 0087 00142 Ch nh xt nghim nhn trc
13 2 IS O 0092 00143 Ch nh ti nhn
14 3 IS O 0023 00144 Ngun nhn
15 2 IS O Y 0009 00145 Tnh trng i li
16 2 IS O 0099 00146 Ch nh VIP
17 60 XCN O Y 0010 00147 Bc s nhn
18 2 IS O 0018 00148 Loi bnh nhn
19 20 CX O 00149 M s nhp vin
20 50 FC O Y 0064 00150 Lp ti chnh
21 2 IS O 0032 00151 Ch nh gi phi tr
22 2 IS O 0045 00152 M u i
23 2 IS O 0046 00153 S nh gi mc tn nhim
24 2 IS O Y 0044 00154 M hp ng
25 8 DT O Y 00155 Ngy hp ng c hiu lc
26 12 NM O Y 00156 Lng hp ng
27 3 NM O Y 00157 Chu k hp ng
28 2 IS O 0073 00158 M quan tm
29 1 IS O 0110 00159 Chuyn n M n khng th tr
30 8 DT O 00160 Chuyn n ngy n khng th
tr
31 10 IS O 0021 00161 M c quan n khng th tr
32 12 NM O 00162 Lng chuyn n khng th tr
33 12 NM O 00163 Lng hon tr n khng th tr
34 1 IS O 0111 00164 Ch th xa ti khon
35 8 DT O 00165 Ngy xa ti khon
36 3 IS O 0112 00166 S sp xp ra vin
37 25 CM O 0113 00167 Chuyn ra n a im khc

38 80 CE O 0114 00168 Loi king n

39 2 IS O 0115 00169 iu kin dch v d dng
40 1 IS B 0116 00170 Tnh trng ging
41 2 IS O 0117 00171 Tnh trng ti khon
42 80 PL O 00172 a im cha gii quyt
43 80 PL O 00173 a im tm trc
44 26 TS O 00174 Ngy/Gi Nhn
45 26 TS O 00175 Ngy/Gi ra vin
46 12 NM O 00176 Cn bng bnh nhn hin ti
47 12 NM O 00177 Tng tin phi tr
48 12 NM O 00178 Tng iu chnh
49 12 NM O 00179 Tng tin tr
50 20 CX O 0203 00180 ID nhp vin thay th
51 1 IS O 0326 01226 Ch th ngi nhp vin
52 60 XCN O Y 0010 01274 Nh cung cp chm sc sc
khe khc
2.4.5.0. Cc nh ngha trng PV1
2.4.5.1. t ID PV1 (SI) 001
s th t nn l 2
2.4.5.2. Lp bnh nhn (IS) 00132

nh ngha: Trng ny c dng bi h thng phn loi bnh nhn
theo mt no . N khng c mt nh ngha kin nh theo quy m cng
nghip rng. Tham kho bng ngi dng nh ngha 0004 Patient class
c gi tr ngh.
Bng ngi dng nh ngha 0004 Patient class

Gi tr M t
E Cp cu (Emergency)
I Bnh nhn ni tr (Inpatient)
O Bnh nhn ngoi tr (Outpatient)
P Nhn trc (Preadmit)

R Bnh nhn ti khm (Recurring Patient)

B Sn ph (Obstetrics)
2.4.5.3. Gn a im bnh nhn (Assigned patient location) (PL) 00133
Thnh phn: <t chm sc (IS )> ^ <phng (IS )> ^ <ging
(IS)> ^ <iu kin d dng (HD)> ^ < tnh trng ni
nm (IS )> ^ <loi ni nm IS)> ^ <ta nh (IS )> ^
<tng (IS )> ^ <m t ni nm (ST)>
Thnh phn con ca iu kin d dng: <ID tn khong trng

(IS)> & <ID tng th (ST)> & <Loi ID tng th (ID)>
nh ngha: Trng ny cha a im gn cho bnh nhn ban u hoc

a im m bnh nhn ang chuyn i. Thnh phn th nht c th l trm
y t cho a im bnh nhn ni tr, hoc lm sng, b phn, hoc nh cho
a im khc bnh nhn ni tr. hy giao dch hoc xut vin mt bnh
nhn, a im hin ti (sau s kin hy hoc trc s kin xut vin) nn
trong trng ny. Nu mt gi tr tn ti trong thnh phn th 5 (tnh
trng ging), n thay th gi tr trong trng PV1-40-tnh trng ging.
2.4.5.4. Loi nhn (Admission type) (IS) 00134

nh ngha: Trng ny ch r trng hp m bnh nhn l hoc c
nhn. Tham kho bng ngi dng nh ngha 0007 Admission type c
gi tr ngh.
Bng ngi dng nh ngha 0007 Admission type
Gi tr M t
A Tai nn (Accident)
E Cp cu (Emergency)
L Ct cn d con v sinh (Labor and Delivery)
R Th tc (Routine)
2.4.5.5. Bc s chm sc (Attending doctor) (XCN) 00137
Thnh phn: <S ID (ST)> ^ <tn gia nh (ST)> & <tin t H
(ST) ^ <tn t (ST)> ^ <tn m (ST)> ^ <hu t
(VD, JR hoc III) (ST)> ^ <tin t (VD, DR) (ST)> ^

<cp (VD, MD) (ST)> ^ <bng ngun (IS)> ^ <phn

quyn (HD)> ^ <m loi tn (ID)> ^ <nh danh s
kim tra (ST)> ^ <m xc nh s sp xp s kim tra
(ID)> ^ <nh danh m loi (IS)> ^ <phn cp (HD)> ^
< m tn i din (ID)>
nh ngha: Trng ny cha thng tin bc s chm sc. Nhiu tn v nh

danh cho cng bc s c th c gi. Trnh t trng khng c dng
ch nh nhiu bc s chm sc. Tn hp php phi c gi trong trnh t
u tin. Nu tn hp l khng c gi th mt k hiu lp li phi c
gi trong trnh t u tin. Ph thuc vo s ng a phng, c ID hoc
tn c th c vng mt trong trng ny. Tham kho bng ngi dng
nh ngha 0010 Physician ID c gi tr ng.
2.4.5.6. Dch v bnh vin (IS) 00140

nh ngha: Trng ny cha s iu tr hoc loi phu thut m bnh
nhn c ln lch nhn. Trng bt buc vi s kin kch khi A01
(khai bo nhn/nhp vin), A02 (chuyn mt bnh nhn), A14 (s nhn sp
xy ra), A15 (s chuyn sp xy ra). Tham kho bng ngi dng nh
ngha 0069 Hospital service c cc gi tr ngh.
2.4.5.7. Ngun nhn (IS) 00144

nh ngha: Trng ny ch th ni m bnh nhn c nhn. Tham kho
bng ngi dng nh ngha 0023 Admit source c cc gi tr ngh.
Trng ny c dng theo m UB92 FL19.
Bng ngi dng nh ngha 0023 Admit source

Gi tr M t
1 Tham kho Bc s (Physician Referral)

Gi tr M t
2 Tham kho chuyn khoa (Clinic Referral)
3 Tham kho HMO (HMO Referral)
4 Chuyn t mt bnh vin (Transfer from a Hospital)
5 Chuyn t mt t y t chuyn nghip (Transfer from
a Skilled Nursing Facility)
6 Chuyn t t chc chm sc sc khe khc
(Transfer from Another Health Care Facility)
7 Phng cp cu (Emergency Room)
8 S thc p ca ta n (Court/Law Enforcement)
9 Thng tin khng c sn (Information Not Available)
2.4.6. on thng tin chn on (Diagnosis segment DG1)

on DG1 cha thng tin chn on bnh nhn ca nhiu loi. on DG1
c dng gi nhiu chn on. N cng dng khi trng FT1-19-
diagnosis code khng cung cp thng tin cho h thng tnh tin. Vic
m ha chn on ny nn tch ring ra t on vn lm sng dng
bi cc nh quan tm qun l bnh nhn. Cc phng php m ha cng
c nh ngha.
Hnh 2-10. Thuc tnh on DG1

1 4 SI R 00375 t ID - DG1
2 2 ID (B) R 0053 00376 Phng php m ha
chn on
3 60 CE O 0051 00377 M chn on DG1
4 40 ST B 00378 M t chn on
5 26 TS O 00379 Ngy/Gi chn on
6 2 IS R 0052 00380 Loi chn on
7 60 CE B 0118 00381 Mc chn on ch yu
8 60 CE B 0055 00382 Nhm lin quan chn
on
9 2 ID B 0136 00383 Ch th chp thun DRG
10 2 IS B 0056 00384 M xem li nhm DRG
11 60 CE B 0083 00385 Ngoi loi
12 3 NM B 00386 Ngoi ngy
13 12 CP B 00387 Ngoi gi
14 4 ST B 00388 Phin bn nhm v loi
15 2 ID O 00389 u tin chn on
16 60 XCN O Y 00390 Chn on lm sng
17 3 IS O 0228 00766 Phn loi chn on
18 1 ID O 0136 00767 Ch th b mt
19 26 TS O 00768 Ngy/Gi chng thc
2.4.6.0. Cc nh ngha trng DG1
2.4.6.1. t ID DG1 (SI) 00375
s th t nn l 2
2.4.6.2. Phng php m ha chn on (ID) 00376

Dng thnh phn ca trng DG1-3-diagnosis code thay cho trng ny.
Khi dng cho s tng thch phn sau, ICD9 l phng php m ha
ngh. Tham kho bng HL7 0053 Diagnosis coding method c gi tr
ng.

2.4.6.3. M chn on - DG1 (CE) 00377

th (ST)>
nh ngha: Dng trng ny thay cho trng DG1-2-coding method v

DG1-4-diagnosis description. Tham kho bng ngi dng nh ngha
0051 Diagnosis code c gi tr ngh. Trng ny l mt loi d liu
CE tng thch vi h thng lm sng v h thng ph thuc.
2.4.6.4. M t chn on (ST) 00378

Dng cc thnh phn ca trng DG1-3-diagnosis code thay cho trng
ny. Khi dng tng thch phn sau, DG1-4-diagnosis description cha
mt m t m m t tt nht cho chn on.
2.4.6.5. Ngy/Gi chn on (TS) 00379

nh ngha: Trng ny cha ngy/gi vic chn on xc nh.
2.4.6.6. Loi chn on (IS) 00380

nh ngha: Trng ny cha mt m xc nh loi ca chn on ang
c gi. Tham kho bng ngi dng nh ngha 0052 Diagnosis type.
Trng ny khng nn c dng na ch nh DRG bi v trng
DRG di chuyn n on DRG mi.
User-defined (Ngi dng nh ngha) Table 0052 - Diagnosis type

Gi tr M t
A Nhn vo (Admitting)
W Lm vic (Working)
F Cui cng (Final)
2.4.6.7. Mc chn on chnh (CE) 00381


th (ST)>

Trng ny ch nn c dng trong s giao dch file chnh. Tham kho
bng ngi dng nh ngha 0118 Major diagnosis category c gi tr
ngh.
2.4.6.8. Nhm quan h chn on (CE) 00328

th (ST)>

Trng ny c di n on DRG mi. N cha thng tin DRG cho
giao dch. Tm thi DRG c th c xc nh bt thnh lnh. Tham kho
bng ngui dng nh ngha 0055 DRG code c gi tr ngh.
2.4.6.9. Ch th chp thun DRG (DRG approval indicator) (ID) 00383

Trng ny di n on DRG mi. Trng ny ch ra nu DRG
c chp thun bi mt thc th xem li. Tham kho bng HL7 0136
Yes/No indicator c gi tr ng.
2.4.6.10. M xem li nhm DRG (DRG grouper review code) (IS) 00384
Trng ny di n on DRG mi. Tham kho bng ngi dng nh
ngha 0056 DRG grouper review code c gi tr ngh. M ny ch ra
rng cc kt qu nhm c xem li v chp thun.
2.4.6.11. Ngoi loi (Outlier type) (CE) 00385

th (ST)>


Trng ny di n on DRG mi. Khi dng cho vic tng thch vi
phn sau, trng ny cha loi thuc bn ngoi m c tr. Tham kho
bng ngi dng nh ngha 0083 Outlier type c cc gi tr ngh.
2.4.6.12. Ngoi ngy (Outlier Days) (NM) 00386

Trng ny di n on DRG mi. Khi dng cho vic tng thch vi
phn sau, trng ny cha s ngy m c chp thun cho mt s tin
tr ngoi.
2.4.7. on thng tin bo him (Insurance segment IN1)

on IN1 cha chnh sch bo him bao trm ln thng tin cn thit to
ra mt ha n chia theo t l chnh xc v ha n bnh nhn, ha n
bo him.
Hnh 6-6. Thuc tnh IN1

1 4 SI R 00426 t ID - IN1
2 60 CE R 0072 00368 ID k hoch bo him
3 59 CX R Y 00428 ID cng ty bo him
4 130 XON O Y 00429 Tn cng ty bo him
5 106 XAD O Y 00430 a ch cng ty bo him
6 48 XPN O Y 00431 Ngi ng lin lc bo
him
7 40 XTN O Y 00432 in thoi ngi ng
lin l
8 12 ST O 00433 M s nhm
9 130 XON O Y 00434 Tn nhm
10 12 CX O Y 00435 ID nhm ngi lao ng
c bo him
11 130 XON O Y 00436 Tn nhm ngi lao ng
c bo him
12 8 DT O 00437 Ngy d nh c hiu lc
13 8 DT O 00438 Ngy d nh ht hn
14 55 CM O 00439 Thng tin bn quyn
15 3 IS O 0086 00440 Loi d nh

16 48 XPN O Y 00441 Tn ca ngi c bo

him
17 80 CE O 0063 00442 Mi quan h ca ngi
c bo him vi bnh
nhn
18 26 TS O 00443 Ngy sinh ca ngi
c bo him
19 106 XAD O Y 00444 a ch ngi c bo
him
20 2 IS O 0135 00445 S chuyn nhng u
i
21 2 IS O 0173 00446 ng hng u i
22 2 ST O 00447 ng hng quyn u
tin
23 1 ID O 0136 00448 Notice Of Admission Flag
24 8 DT O 00449 Notice Of Admission Date
25 1 ID O 0136 00450 Bo co ca nh du
t cch
26 8 DT O 00451 Bo co ca ngy t
cch
27 2 IS O 0093 00452 M thng tin pht hnh
28 15 ST O 00453 Chng nhn s nhn
trc (Pre-Admit Cert
(PAC))
29 26 TS O 00454 Ngy/Gi xc minh
30 60 XCN O Y 00455 Xc minh bi
31 2 IS O 0098 00456 Loi ca m tha thun
32 2 IS O 0022 00457 Tnh trng ha n
33 4 NM O 00458 S ngy bo tn
34 4 NM O 00459 Ngy tr hon trc ngy
tn ti
35 8 IS O 0042 00460 M k hoch cng ty
36 15 ST O 00461 M s chnh sch
37 12 CP O 00462 Chnh sch c th khu
tr
38 12 CP B 00463 Chnh sch gii hn
lng
39 4 NM O 00464 Chnh sch gii hn -
ngy
40 12 CP B 00465 Gi tr phng bn c
nhn

41 12 CP B 00466 Gi tr phng c nhn

42 60 CE O 0066 00467 Tnh trng lao ng ngi
c hng bo him
43 1 IS O 0001 00468 Gii tnh ngi c
hng bo him
44 106 XAD O Y 00469 a ch ngi ch ngi
c hng bo him
45 2 ST O 00470 Tnh trng xc minh
46 8 IS O 0072 00471 ID k hoch bo him
trc
47 3 IS O 0309 01227 Loi bao trm
48 2 IS O 0295 00753 Kh khn
49 12 CX O Y 01230 M s ID ngi c
hng bo him
2.4.7.0. Cc nh ngha trng IN1
2.4.7.1. ID k hoch bo him (Insurance Plan ID) (CE) 00368
th (ST)>
nh ngha: Trng ny cha nh danh duy nht cho k hoch bo him.

Tham kho bng ngi dng nh ngha 0072 Insurance plan ID. loi
tr mt k hoch, k hoch nn c gi vi gi tr null trong mi yu t
con. Nu h thng tng ng c th h tr n, gi tr null c th c gi
trong trng k hoch.
2.4.7.2. ID cng ty bo him (Insurance company ID) (CX) 00428

nh ngha: Trng ny cha nh danh duy nht cho cng ty bo him.
2.4.7.3. Ngy ht hn bo him (DT) 00438

nh ngha: Trng ny ch th ngy cui cng ca dch v m bo him s
ht trch nhim.

CHNG 3: PHN THC HNH: CHNG

TRNH MessageHL7 v1.0.1
3.1. Gii thiu chng trnh C V TO BN TIN HL7

Chng trnh gm 2 modul: modul c bn tin HL7 v modul to bn tin
HL7. Lu ca chng trnh nh sau: [1]
Trong tt c cc trng thng tin khi nhp, yu cu phi c thut ton kim
tra dng d liu trong trng trnh vic k thut vin nhp sai. Qu
trnh gii m v hin th cc trng thng tin phi chnh xc v r rng

cho ngi c d dng quan st. Ngoi ra, chng trnh phi c thm cc
chc nng c bn nh: in n, sa i, lu li kt qu, tr gip ngi s
dng
3.2. Yu cu h thng
Chng trnh c vit bng ngn ng lp trnh Visual Basic 6.0, trn nn
Windows XP sp2. Chng trnh c chy th trn nn h iu hnh
trn, tuy nhin chng trnh cng c th chy tt trn cc nn Windows
phin bn trc. Khng i hi ti nguyn cu hnh my mnh, chy th
trn my c cu hnh ti thiu ngh:
- CPU: Intel Celeron 500 MHz
- Ram: SDRam 128 MB bus 133 MHz
- Storage: cn trng 50 MB
- H iu hnh: Windows XP v c chng trnh Microsoft Visual Basic

6.0
3.3. S dng chng trnh
Sau khi ci t, chng trnh t to biu tng trn desktop . Click vo

kch hot chng trnh messageHL7.
Splash screen ca chng trnh xut hin

Click Run vo chng trnh chnh.
Chng trnh c 3 modul chnh gm:

www.bme.vn
- Menu File
Open HL7
message.
Hoc nhn t
hp phm tt
Ctrl+O.
Hoc click vo
biu tng .
vo Form
c bn tin HL7
- Menu File
New Patient.
Hoc nhn t
hp phm tt
Ctrl+N.
Hoc click vo
biu tng .
vo Form
To bn tin HL7

- Menu File
Search HL7 File.
Hoc nhn t
hp phm tt
Ctrl+F.
Hoc click vo
biu tng .
vo Form tm
kim bn tin.
3.4. Tr gip chng trnh

Chng trnh c phn tr gip, hng dn s dng, gii thiu chun HL7
v2.3.1. Vo Help Open Help

3.5. Bn lun v chng trnh

Vi mc tiu th nghim cc kt qu kho st v cu trc chun HL7,
chng trnh MessageHL7 v1.0.1 c xy dng c bn v hot ng
p ng cu trc trn. Chng trnh c, to v tm kim bnh nhn qua
mt tp tin chun HL7.
- An ton bo mt c s d liu: Chng trnh c mt c s d liu i

km (c tn database.mdb cha trong cng th mc chy chng trnh).
Hin ti vic qun l c s d liu cn mc s khai, n gin, l
loi tp tin chun Access MDB 2000. Khi chng trnh ang chy, tp
tin c s d liu ny c bo mt v m ha, chng tn cng xa, hy,
thay i t xa bi ngi dng khc. Tuy nhin v l c s d liu
Access nn d dng xa tp tin database khi khng chy chng trnh,
nu ta m ha bng cch phn quyn trong h iu hnh Windows cho
ngi dng l Guest hoc khng phi account qun tr th c th ngn
chn vic xa hay thay i c s d liu bng cch gn thuc tnh
ReadOnly hoc ReadExecute. Nh vy tnh an ton bo mt cha cao.
Trong tng lai, chng trnh s xy dng hon chnh hn.
- Pht trin chng trnh trn nn h iu hnh khc: HL7 khng

quan tm vic nh Pht trin Phn mm xy dng ng dng chun trn
h iu hnh no, v y l chun nh dng bn tin vn bn, khng phi
l mt ng dng thc thi. H iu hnh v ngn ng lp trnh cho
chng trnh chy ng dng chun HL7 l s tha thun ca nh cung
cp v ngi dng yu cu. Nh vy, c th pht trin chng trnh trn
cc H iu hnh khc hin c nh UNIX, Macintos.
- Bn quyn phn mm: HL7 l mt t chc sn phm cng cng phi li

nhun, sn phm Tiu chun HL7 l mt b tiu chun nh dng bn
tin vn bn trong h thng thng tin y t t xa c cho php s dng
min ph. Do khng yu cu v Bn quyn hoc Ph chi tr khi dng

chun HL7 thc thi giao din. Ring v chng trnh MessageHL7
v1.0.1 hin ti c xy dng v phn phi min ph, cung cp m
ngun m cho cc sinh vin kha sau, cc thy c c th tham kho.
- Cc hn ch, khim khuyt ca chng trnh: c c y cc

trng ca Bn tin theo s kin bnh nhn nhp vin i hi phi c c
s d liu trn 500 trng, do vy chng trnh hn ch, ch dng
mt s trng cn thit c thng tin bnh nhn. Hin ti tp tin
chng trnh to ra c phn m rng l *.HL7, nh dng vn bn text.
Trong tng lai chng trnh s dn xy dng chuyn sang dng nh
dng XML khun dng bn tin thm r rng. Chng trnh cha tch
hp vic gi tp tin HL7 qua email, nhng vic ny c th thc hin
tm thi bng cch dng h thng mail_server gi file nh km.

CHNG 4: KT LUN V HNG PHT

TRIN
4.1. Kt lun
Chun HL7 l mt h thng chun trao i thng tin d liu dng vn
bn trong mi trng y t. Cu trc ca HL7 rt s bao gm 120 khun
dng bn tin, 187 s kin v 80 loi bn tin. HL7 c ng dng trong
h thng thng tin y t hu ht cc nc pht trin trn th gii.
Lun vn thc hin c cc ni dung chnh sau:
- Kho st tng quan v chun nh dng bn tin thng tin y t HL7 v s

pht trin ng dng trong mng thng tin y t.
- Kho st cu trc d liu v chun nh dng bn tin thng tin y t HL7.
- Thit k th nghim phn mm to, c v tm kim danh sch bnh

nhn theo chun HL7 v xem xt kh nng ng dng th nghim trong
cng tc qun l u vo bnh nhn cc c s y t.
T nhng kt qu trn y, chng trnh thit k cho nhng kt qu

chnh xc trong vic m ha v gii m mt bn tin tun theo chun HL7.
Chnh v vy, y s l c s tng bc ng dng nhng tin b khoa
hc vo trong vic chm sc sc khe cho ngi dn nc ta, c bit
trong lnh vc cng ngh thng tin v truyn thng cho y t t xa. Vi kt
qu ca chng trnh nh trnh by trong lun vn ny, chc chn s tm
c cc ng dng thc t i vi vic pht trin mng thng tin y t Vit
Nam.

4.2. Kh nng v hng pht trin

- Vit Nam, vic nghin cu, tm hiu v ng dng chun ny cn
mc s khai. Tuy nhin, trong mt tng lai khng xa, chng ta s c
nhng h thng thng tin y t chun ha c th nng cao kh nng
chm sc sc khe cho ngi dn, ha nhp cng vi cc h thng
thng tin y t tin tin ca nhng nc pht trin. Theo kho st cho
thy c s y t khng c t ng ha h thng thng tin ca mnh th
khng th cnh tranh hiu qu trong thng trng y t. Do vy, nhu
cu chun ha h thng thng tin y t hin ti nc ta rt ln.
- Pht trin phn mm phc hp p ng yu cu ca mng thng tin, ha

nhp cng cc mng thng tin y t hin c nh mng HIS (Hospital
Information System), mng RIS (Radiology Information System)
- Tch hp cc kh nng qun l qu trnh iu tr, c s d liu hnh nh,

lin kt vi cc c s d liu khc.

TI LIU THAM KHO

[1] V Duy Hi, Nguyn c Thun, Nguyn Thi H (2006). Xy dng chng
trnh to v dch bn tin HL7 c ng dng trong h thng thng tin y t. Tp ch
khoa hc & cng ngh cc trng i hc k thut, s 57-2006, 69 72.
[2] HL7 Standard v2.3.1, http://www.hl7.org/library/General/v231.zip
[3] Health Level 7, http://www.hl7.org
[4] HL7 Resources in Australia, http://www.HL7.org.au
[5] Nguyn Th Ngc Mai, et al (2002). Microsoft Visual Basic 6.0 v Lp trnh
c s d liu. NXB Lao ng X hi

PH LC
PH LC A BNG HL7 V NGI DNG NH NGHA

Type Table Name Value Description
User 0001 Sex
0001 F Female
0001 M Male
0001 O Other
0001 U Unknown
User 0002 Marital Status
0002 A Separated
0002 D Divorced
0002 M Married
0002 S Single
0002 W Widowed
HL7 0003 Event Type
0003 A01 ADT/ACK - Admit/visit notification
0003 A02 ADT/ACK - Transfer a patient
0003 A03 ADT/ACK - Discharge/end visit
0003 A04 ADT/ACK - Register a patient
0003 A05 ADT/ACK - Pre-admit a patient
0003 A06 ADT/ACK - Change an outpatient to an inpatient
0003 A07 ADT/ACK - Change an inpatient to an outpatient
0003 A08 ADT/ACK - Update patient information
0003 A09 ADT/ACK - Patient departing - tracking
0003 A10 ADT/ACK - Patient arriving - tracking
0003 A11 ADT/ACK - Cancel admit/visit notification
0003 A12 ADT/ACK - Cancel transfer
0003 A13 ADT/ACK - Cancel discharge/end visit
0003 A14 ADT/ACK - Pending admit
0003 A15 ADT/ACK - Pending transfer
0003 A16 ADT/ACK - Pending discharge
0003 A17 ADT/ACK - Swap patients
0003 A18 ADT/ACK - Merge patient information
0003 A19 QRY/ADR - Patient query
0003 A20 ADT/ACK - Bed status update
0003 A21 ADT/ACK - Patient goes on a leave of absence


0003 A22 ADT/ACK - Patient returns from a leave of absence
0003 A23 ADT/ACK - Delete a patient record
0003 A24 ADT/ACK - Link patient information
0003 A25 ADT/ACK - Cancel pending discharge
0003 A26 ADT/ACK - Cancel pending transfer
0003 A27 ADT/ACK - Cancel pending admit
0003 A28 ADT/ACK - Add person information
0003 A29 ADT/ACK - Delete person information
0003 A30 ADT/ACK - Merge person information
0003 A31 ADT/ACK - Update person information
0003 A32 ADT/ACK - Cancel patient arriving - tracking
0003 A33 ADT/ACK - Cancel patient departing - tracking
0003 A34 ADT/ACK - Merge patient information - patient ID
only
0003 A35 ADT/ACK - Merge patient information - account
number only
0003 A36 ADT/ACK - Merge patient information - patient ID
and account number
0003 A37 ADT/ACK - Unlink patient information
0003 A38 ADT/ACK - Cancel pre-admit
0003 A39 ADT/ACK - Merge person patient ID
0003 A40 ADT/ACK - Merge patient patient identifier list
0003 A41 ADT/ACK - Merge account - patient account number
0003 A42 ADT/ACK - Merge visit - visit number
0003 A43 ADT/ACK - Move patient information patient
identifier list
0003 A44 ADT/ACK - Move account information - patient
account number
0003 A45 ADT/ACK - Move visit information - visit number
0003 A46 ADT/ACK - Change patient ID
0003 A47 ADT/ACK - Change patient identifier list
0003 A48 ADT/ACK - Change alternate patient ID
0003 A49 ADT/ACK - Change patient account number
0003 A50 ADT/ACK - Change visit number
0003 A51 ADT/ACK - Change alternate visit ID
0003 C01 CRM - Register a patient on a clinical trial
0003 C02 CRM - Cancel a patient registration on clinical trial (for
clerical mistakes only)
0003 C03 CRM - Correct/update registration information


0003 C04 CRM - Patient has gone off a clinical trial
0003 C05 CRM - Patient enters phase of clinical trial
0003 C06 CRM - Cancel patient entering a phase (clerical
mistake)
0003 C07 CRM - Correct/update phase information
0003 C08 CRM - Patient has gone off phase of clinical trial
0003 C09 CSU - Automated time intervals for reporting, like
monthly
0003 C10 CSU - Patient completes the clinical trial
0003 C11 CSU - Patient completes a phase of the clinical trial
0003 C12 CSU - Update/correction of patient order/result
information
0003 CNQ QRY/EQQ/SPQ/VQQ/RQQ - Cancel query
0003 I01 RQI/RPI - Request for insurance information
0003 I02 RQI/RPL - Request/receipt of patient selection display
list
0003 I03 RQI/RPR - Request/receipt of patient selection list
0003 I04 RQD/RPI - Request for patient demographic data
0003 I05 RQC/RCI - Request for patient clinical information
0003 I06 RQC/RCL - Request/receipt of clinical data listing
0003 I07 PIN/ACK - Unsolicited insurance information
0003 I08 RQA/RPA - Request for treatment authorization
information
0003 I09 RQA/RPA - Request for modification to an
authorization
0003 I10 RQA/RPA - Request for resubmission of an
authorization
0003 I11 RQA/RPA - Request for cancellation of an
authorization
0003 I12 REF/RRI - Patient referral
0003 I13 REF/RRI - Modify patient referral
0003 I14 REF/RRI - Cancel patient referral
0003 I15 REF/RRI - Request patient referral status
0003 M01 MFN/MFK - Master file not otherwise specified (for
backward compatibility only)
0003 M02 MFN/MFK - Master file staff practitioner
0003 M03 MFN/MFK - Master file - test/observation (for
backward compatibility only)
0003 varies MFQ/MFR - Master files query (use event same as
asking for e.g., M05 - location)
0003 M04 MFN/MFK - Master files charge description


0003 M05 MFN/MFK - Patient location master file
0003 M06 MFN/MFK - Clinical study with phases and schedules
master file
0003 M07 MFN/MFK - Clinical study without phases but with
schedules master file
0003 M08 MFN/MFK - Test/observation (numeric) master file
0003 M09 MFN/MFK - Test/observation (categorical) master file
0003 M10 MFN/MFK - Test /observation batteries master file
0003 M11 MFN/MFK - Test/calculated observations master file
0003 O01 ORM - Order message (also RDE, RDS, RGV, RAS)
0003 O02 ORR - Order response (also RRE, RRD, RRG, RRA)
0003 P01 BAR/ACK - Add patient accounts
0003 P02 BAR/ACK - Purge patient accounts
0003 P03 DFT/ACK - Post detail financial transaction
0003 P04 QRY/DSP Generate bill and A/R statements
0003 P05 BAR/ACK Update account
0003 P06 BAR/ACK - End account
0003 P07 PEX - Unsolicited initial individual product experience
report
0003 P08 PEX - Unsolicited update individual product experience
report
0003 P09 SUR - Summary product experience report
0003 PC1 PPR - PC/ Problem Add
0003 PC2 PPR - PC/ Problem Update
0003 PC3 PPR - PC/ Problem Delete
0003 PC4 QRY - PC/ Problem Query
0003 PC5 PRR - PC/ Problem Response
0003 PC6 PGL - PC/ Goal Add
0003 PC7 PGL - PC/ Goal Update
0003 PC8 PGL - PC/ Goal Delete
0003 PC9 QRY - PC/ Goal Query
0003 PCA PPV - PC/ Goal Response
0003 PCB PPP - PC/ Pathway (Problem-Oriented) Add
0003 PCC PPP - PC/ Pathway (Problem-Oriented) Update
0003 PCD PPP - PC/ Pathway (Problem-Oriented) Delete
0003 PCE QRY - PC/ Pathway (Problem-Oriented) Query
0003 PCF PTR - PC/ Pathway (Problem-Oriented) Query
Response
0003 PCG PPG - PC/ Pathway (Goal-Oriented) Add


0003 PCH PPG - PC/ Pathway (Goal-Oriented) Update
0003 PCJ PPG - PC/ Pathway (Goal-Oriented) Delete
0003 PCK QRY - PC/ Pathway (Goal-Oriented) Query
0003 PCL PPT - PC/ Pathway (Goal-Oriented) Query Response
0003 Q01 QRY/DSR - Query sent for immediate response
0003 Q02 QRY/QCK - Query sent for deferred response
0003 Q03 DSR/ACK - Deferred response to a query
0003 Q04 EQQ Embedded query language query
0003 Q05 UDM/ACK - Unsolicited display update message
0003 Q06 OSQ/OSR - Query for order status
0003 Q07 VQQ Virtual table query
0003 Q08 SPQ Stored procedure request
0003 Q09 RQQ event replay query
0003 R01 ORU/ACK - Unsolicited transmission of an observation
message
0003 R02 QRY - Query for results of observation
0003 R03 QRY/DSR Display-oriented results, query/unsol. update
(for backward compatibility only)
0003 R04 ORF - Response to query; transmission of requested
observation
0003 R05 QRY/DSR - query for display results
0003 R06 UDM - unsolicited update/display results
0003 R07 EDR enhanced display response
0003 R08 TBR tabular data response
0003 R09 ERP event replay response
0003 RAR RAR - Pharmacy administration information query
response
0003 RDR RDR - Pharmacy dispense information query response
0003 RER RER - Pharmacy encoded order information query
response
0003 RGR RGR - Pharmacy dose information query response
0003 R0R R0R - Pharmacy prescription order query response
0003 S01 SRM/SRR - Request new appointment booking
0003 S02 SRM/SRR - Request appointment rescheduling
0003 S03 SRM/SRR - Request appointment modification
0003 S04 SRM/SRR - Request appointment cancellation
0003 S05 SRM/SRR - Request appointment discontinuation
0003 S06 SRM/SRR - Request appointment deletion


0003 S07 SRM/SRR - Request addition of service/resource on
appointment
0003 S08 SRM/SRR - Request modification of service/resource
on appointment
0003 S09 SRM/SRR - Request cancellation of service/resource on
appointment
0003 S10 SRM/SRR - Request discontinuation of service/resource
on appointment
0003 S11 SRM/SRR - Request deletion of service/resource on
appointment
0003 S12 SIU/ACK - Notification of new appointment booking
0003 S13 SIU/ACK - Notification of appointment rescheduling
0003 S14 SIU/ACK - Notification of appointment modification
0003 S15 SIU/ACK - Notification of appointment cancellation
0003 S16 SIU/ACK - Notification of appointment discontinuation
0003 S17 SIU/ACK - Notification of appointment deletion
0003 S18 SIU/ACK - Notification of addition of service/resource
on appointment
0003 S19 SIU/ACK - Notification of modification of
service/resource on appointment
0003 S20 SIU/ACK - Notification of cancellation of
0003 S21 SIU/ACK - Notification of discontinuation of
0003 S22 SIU/ACK - Notification of deletion of service/resource
on appointment
0003 S23 SIU/ACK - Notification of blocked schedule time
slot(s)
0003 S24 SIU/ACK - Notification of opened (unblocked)
schedule time slot(s)
0003 S25 SQM/SQR - Schedule query message and response
0003 S26 SIU/ACK Notification that patient did not show up for
schedule appointment
0003 T01 MDM/ACK - Original document notification
0003 T02 MDM/ACK - Original document notification and
content
0003 T03 MDM/ACK - Document status change notification
0003 T04 MDM/ACK - Document status change notification and
content
0003 T05 MDM/ACK - Document addendum notification
0003 T06 MDM/ACK - Document addendum notification and
content
0003 T07 MDM/ACK - Document edit notification


0003 T08 MDM/ACK - Document edit notification and content
0003 T09 MDM/ACK - Document replacement notification
0003 T10 MDM/ACK - Document replacement notification and
content
0003 T11 MDM/ACK - Document cancel notification
0003 T12 QRY/DOC - Document query
0003 V01 VXQ - Query for vaccination record
0003 V02 VXX - Response to vaccination query returning
multiple PID matches
0003 V03 VXR - Vaccination record response
0003 V04 VXU - Unsolicited vaccination record update
0003 W01 ORU - Waveform result, unsolicited transmission of
requested information
0003 W02 QRF - Waveform result, response to query
User 0004 Patient Class
0004 E Emergency
0004 I Inpatient
0004 O Outpatient
0004 P Preadmit
0004 R Recurring patient
0004 B Obstetrics
User 0005 Race
User 0006 Religion
User 0007 Admission type
0007 A Accident
0007 E Emergency
0007 L Labor and Delivery
0007 R Routine
User 0009 Ambulatory status
0009 A0 No functional limitations
0009 A1 Ambulates with assistive device
0009 A2 Wheelchair/stretcher bound
0009 A3 Comatose; non-responsive
0009 A4 Disoriented
0009 A5 Vision impaired
0009 A6 Hearing impaired
0009 A7 Speech impaired
0009 A8 Non-English speaking


0009 A9 Functional level unknown
0009 B1 Oxygen therapy
0009 B2 Special equipment (tubes, IVs, catheters)
0009 B3 Amputee
0009 B4 Mastectomy
0009 B5 Paraplegic
0009 B6 Pregnant
User 0010 Physician ID
User 0023 Admit source
0023 1 Physician referral
0023 2 Clinic referral
0023 3 HMO referral
0023 4 Transfer from a hospital
0023 5 Transfer from a skilled nursing facility
0023 6 Transfer from another health care facility
0023 7 Emergency room
0023 8 Court/law enforcement
0023 9 Information not available
User 0051 Diagnosis code
HL7 0053 Diagnosis coding method
User 0055 Diagnostic related group
User 0056 DRG grouper review code
HL 0061 Check digit scheme
0061 M10 Mod 10 algorithm
0061 M11 Mod 11 algorithm
0061 ISO ISO 7064: 1983
0061 NPI Check digit algorithm in the US National Provider
Identifier
User 0062 Event reason
0062 01 Patient request
0062 02 Physician order
0062 03 Census management
User 0063 Relationship
User 0069 Hospital service
HL7 0076 Message type
0076 ACK General acknowledgment message
0076 ADR ADT response

www.bme.vn
0076 ARD Ancillary RPT (display) (for backward compatibility
only)
0076 ADT ADT message
0076 BAR Add/change billing account
0076 CRM Clinical study registration
0076 CSU Unsolicited clinical study data
0076 DFT Detail financial transaction
0076 DOC Document query
0076 DSR Display response
0076 EDR Enhanced display response
0076 EQQ Embedded query language query
0076 ERP Event replay response
0076 MCF Delayed acknowledgment
0076 MDM Documentation message
0076 MFN Master files notification
0076 MFK Master files application acknowledgment
0076 MFD Master files delayed application acknowledgment
0076 MFQ Master files query
0076 MFR Master files query response
0076 NMD Network management data
0076 NMQ Network management query
0076 NMR Network management response
0076 ORF Observ. result/record response
0076 ORM Order message
0076 ORR Order acknowledgment message
0076 ORU Observ result/unsolicited
0076 OSQ Order status query
0076 OSR Order status response
0076 PEX Product experience
0076 PGL Patient goal
0076 PIN Patient insurance information
0076 PPG Patient pathway (goal-oriented) message
0076 PPP Patient pathway (problem-oriented) message
0076 PPR Patient problem
0076 PPT Patient pathway (goal oriented) response
0076 PPV Patient goal response
0076 PRR Patient problem response


0076 PTR Patient pathway (problem-oriented) response
0076 QCK Query general acknowledgment
0076 QRY Query, original mode
0076 RAR Pharmacy administration information
0076 RAS Pharmacy administration message
0076 RCI Return clinical information
0076 RCL Return clinical list
0076 RDE Pharmacy encoded order message
0076 RDR Pharmacy dispense information
0076 RDS Pharmacy dispense message
0076 REF Patient referral
0076 RER Pharmacy encoded order information
0076 RGV Pharmacy give message
0076 RGR Pharmacy dose information
0076 ROR Pharmacy prescription order response
0076 RPA Return patient authorization
0076 RPI Return patient information
0076 RPL Return patient display list
0076 RPR Return patient list
0076 RQA Request patient authorization
0076 RQC Request clinical information
0076 RQI Request patient information
0076 RQP Request patient demographics
0076 RQQ Event replay query
0076 RRA Pharmacy administration acknowledgment
0076 RRD Pharmacy dispense acknowledgment
0076 RRE Pharmacy encoded order acknowledgment
0076 RRG Pharmacy give acknowledgment
0076 RRI Return patient referral
0076 SIU Schedule information unsolicited
0076 SPQ Stored procedure request
0076 SQM Schedule query
0076 SQR Schedule query response
0076 SRM Schedule request
0076 SRR Scheduled request response
0076 SUR Summary product experience report
0076 TBR Tabular data response


0076 UDM Unsolicited display message
0076 VQQ Virtual table query
0076 VXQ Query for vaccination record
0076 VXX Vaccination query response with multiple PID matches
0076 VXR Vaccination query record response
0076 VXU Unsolicited vaccination record update
User 0083 Outlier type
0083 D Outlier days
0083 C Outlier cost
HL7 0103 Processing ID
0103 D Debugging
0103 P Production
0103 T Training
User 0118 Major diagnostic category
HL7 0136 Yes/no indicator
0136 Y Yes
0136 N No
HL7 0155 Accept/application acknowledgment conditions
0155 AL Always
0155 NE Never
0155 ER Error/reject conditions only
0155 SU Successful completion only
User 0171 Citizenship
User 0172 Veterans military status
User 0189 Ethnic group
HL7 0190 Address type
0190 C Current Or Temporary
0190 P Permanent
0190 M Mailing
0190 B Firm/Business
0190 O Office
0190 H Home
0190 N Birth (nee) (birth address, not otherwise specified)
0190 BDL Birth delivery location (address where birth occurred)
0190 BR Residence at birth (home address at time of birth)
0190 F Country Of Origin
0190 L Legal Address


0190 RH Registry home. Refers to the information system,
typically managed by a public health agency, that
stores patient information such as immunization
histories or cancer data, regardless of where the patient
obtains services.
0190 BA Bad address
HL7 0200 Name type
0200 A Alias Name
0200 L Legal Name
0200 D Display Name
0200 M Maiden Name
0200 C Adopted Name
0200 B Name at Birth
0200 P Name of Partner/Spouse
0200 S Coded Pseudo-Name to ensure anonymity
0200 T Tribal/Community Name
0200 U Unspecified
HL7 0201 Telecommunication use code
0201 PRN Primary Residence Number
0201 ORN Other Residence Number
0201 WPN Work Number
0201 VHN Vacation Home Number
0201 ASN Answering Service Number
0201 EMR Emergency Number
0201 NET Network (email) Address
0201 BPN Beeper Number
HL7 0202 Telecommunication equipment type
0202 PH Telephone
0202 FX Fax
0202 MD Modem
0202 CP Cellular Phone
0202 BP Beeper
0202 Internet Internet Address: Use Only If Telecommunication Use
Code Is NET
0202 X.400 X.400 email address: Use Only If Telecommunication
Use Code Is NET
HL7 0207 Processing mode
0207 A Archive
0207 R Restore from archive


0207 I Initial load
0207 T Current processing, transmitted at intervals (scheduled
or on demand)
0207 not present Not present (the default, meaning current processing)
HL7 0211 Alternate character sets
0211 ASCII The printable 7-bit ASCII character set. (This is the
default if this field is omitted)
0211 8859/1 The printable characters from the ISO 8859/1 Character
set
set
set
set
set
set
set
set
set
0211 ISO IR14 Code for Information Exchange (one byte)(JIS X 0201-
1976). Note that the code contains a space, i.e. "ISO
IR14".
0211 ISO IR87 Code for the Japanese Graphic Character set for
information interchange (JIS X 0208-1990), Note that
the code contains a space, i.e. "ISO IR87".
0211 ISO IR159 Code of the supplementary Japanese Graphic Character
set for information interchange (JIS X 0212-1990), Note
that the code contains a space, i.e. "ISO IR159".
0211 UNICODE The world wide character standard from ISO/IEC
10646-1-1993
User 0212 Nationality
User 0215 Publicity code
User 0220 Living arrangement
0220 A Alone
0220 F Family
0220 I Institution
0220 R Relative
0220 U Unknown


0220 S Spouse Only
User 0222 Contact reason
User 0223 Living dependency
0223 D Spouse dependent
0223 M Medical Supervision Required
0223 S Small children
0223 WU Walk up
0223 CB Common Bath
User 0231 Student status
0231 F Full-time student
0231 P Part-time student
0231 N Not a student
User 0259 Modality
0259 AS Angioscopy
0259 BS Biomagnetic imaging
0259 CD Color flow doppler
0259 CP Colposcopy
0259 CR Computed radiography
0259 CS Cystoscopy
0259 CT Computed tomography
0259 DD Duplex doppler
0259 DG Diapanography
0259 DM Digital microscopy
0259 EC Echocardiography
0259 ES Endoscopy
0259 FA Fluorescein angiography
0259 FS Fundoscopy
0259 LP Laparoscopy
0259 LS Laser surface scan
0259 MA Magnetic resonance angiography
0259 MS Magnetic resonance spectroscopy
0259 NM Nuclear Medicine (radioisotope study)
0259 OT Other
0259 PT Positron emission tomography (PET)
0259 RF Radio fluoroscopy
0259 ST Single photon emission computed tomography (SPECT)
0259 TG Thermography


0259 US Ultrasound
0259 XA X-ray Angiography
User 0296 Primary language
User 0311 Job status
User 0327 Job code/class
User 0328 Employee classification
HL7 0354 Message structure
0354 ADT_A01 A01, A04, A05, A08, A13, A14, A28, A31
0354 ADT_A02 A02, A21, A22, A23, A25, A26, A27, A29, A32, A33
0354 ADT_A03 A03
0354 ADT_A06 A06, A07
0354 ADT_A09 A09, A10, A11, A15
0354 ADT_A12 A12
0354 ADT_A16 A16
0354 ADT_A17 A17
0354 ADT_A18 A18
0354 ADT_A20 A20
0354 ADT_A24 A24
0354 ADT_A28 A28, A31
0354 ADT_A30 A30, A34, A35, 136, A46, A47, A48, A49
0354 ADT_A37 A37
0354 ADT_A38 A38
0354 ADT_A39 A39, A40, A41, A42
0354 ADT_A43 A43, A44
0354 ADT_A45 A45
0354 ADT_A50 A50, A51
0354 ARD_A19 A19
0354 BAR_P01 P01, P05
0354 BAR_P02 P02
0354 BAR_P06 P06
0354 CRM_C01 C01, C02, C03, C04, C05, C06, C07, C08
0354 CSU_C09 C09, C10, C11, C12
0354 DFT_P03 P03
0354 DOC_T12 T12
0354 DSR_Q01 Q01
0354 DSR_Q03 Q03
0354 EDR_R07 R07


0354 EQQ_Q04 Q04
0354 ERP_R09 R09
0354 MDM_T01 T01, T03, T05, T07, T09, T11
0354 MDM_T02 T02, T04, T06, T08, T10
0354 MFD_P09 P09
0354 MFK_M01 M01, M03, M05, M06, M07, M08, M09, M10, M11
0354 MFN_M01 M01
0354 MFN_M02 M02
0354 MFN_M03 M03
0354 MFN_M05 M05
0354 MFN_M06 M06
0354 MFN_M07 M07
0354 MFN_M08 M08
0354 MFN_M09 M09
0354 MFN_M10 M10
0354 MFN_M11 M11
0354 NUL Null
0354 ORF_R02 R02, R04
0354 ORM__O01 O01
0354 ORM_Q06 Q06
0354 ORR_O02 O02
0354 ORR_Q06 Q06
0354 ORU_R01 R01
0354 ORU_W01 W01
0354 OSQ_Q06 Q06
0354 OSR_Q06 Q06
0354 PEX_P07 P07, P08
0354 PGL_PC6 PC6, PC7, PC8
0354 PIN_107 I07
0354 PPG_PCG PCC, PCH, PCJ
0354 PPP_PCB PCB, PCD
0354 PPR_PC1 PC1, PC2, PC3
0354 PPT_PCL PCL
0354 PPV_PCA PCA
0354 PRR_PC5 PC5
0354 PTR_PCF PCF
0354 QCK_Q02 Q02


0354 QRY_A19 A19
0354 QRY_PC4 PC4, PC9, PCE, PCK
0354 QRY_Q01 Q01
0354 QRY_Q02 Q02
0354 QRY_R02 R02, R04
0354 QRY_T12 T12
0354 RAR_RAR RAR
0354 RAS_O01 O01
0354 RAS_O02 O022
0354 RCI_I05 I05
0354 RCL_I06 I06
0354 RDE_O01 O01
0354 RDR_RDR RDR
0354 RDS_O01 O01
0354 REF_I12 I12, I13, I14, I15
0354 RER_RER RER
0354 RGR_RGR RGR
0354 RGV_O01 O01
0354 RROR_ROR ROR
0354 RPA_I08 I08, I09. I10, 1II
0354 RPI_I0I I01, I04
0354 RPL_I02 I02
0354 RPR_I03 I03
0354 RQA_I08 I08, I09, I10, I11
0354 RQC_I05 I05
0354 RQC_I06 I06
0354 RQI_I0I I01, I02, I03
0354 RQP_I04 I04
0354 RQQ_Q09 Q09
0354 RRA_O02 O02
0354 RRD_O02 O02
0354 RRE_O01 O01
0354 RRG_O02 O02
0354 RRI_I12 I12, I13, I14, I15
0354 SIIU_S12 S12, S13, S14, S15, S16, S17, S18, S19, S20, S21, S22,
S23, S24, S26
0354 SPQ_Q08 Q08


0354 SQM_S25 S25
0354 SQR_S25 S25
0354 SRM_S01 S01, S02, S03, S04, S05, S06, S07, S08, S09, S10, S11
0354 SRM_T12 T12
0354 SRR_S01 S01, S02, S03, S04, S05, S06, S07, S08, S09, S10, S11
0354 SRR_T12 T12
0354 SUR_P09 P09
0354 TBR_R09 R09
0354 UDM_Q05 Q05
0354 VQQ_Q07 Q07
0354 VXQ_V01 V01
0354 VXR_V03 V03
0354 VXU_V04 V04
0354 VXX_V02 V02

PH LC B LOI BN TIN
Message Description
ACK General acknowledgment message
ADR ADT response
ADT ADT message
BAR Add/change billing account
CRM Clinical study registration message
CSU Unsolicited study data message
DFT Detail financial transactions
DOC Document response
DSR Display response
EDR Enhanced display response
EQQ Embedded query language query
ERP Event replay response
MDM Medical document management
MFD Master files delayed application acknowledgment
MFK Master files application acknowledgment
MFN Master files notification
MFQ Master files query
MFR Master files response
OMD Dietary order
OMN Nonstock requisition order message
OMS Stock requisition order message
ORD Dietary order - General order acknowledgment message
ORF Query for results of observation
ORM Pharmacy/treatment order message
ORN Nonstock requisition - General order acknowledgment message
ORR General order response message response to any ORM
ORS Stock requisition - General order acknowledgment message
ORU Unsolicited transmission of an observation message
OSQ Query response for order status
OSR Query response for order status
PEX Product experience message
PGL Patient goal message
PIN Patient insurance information
PPG Patient pathway message (goal-oriented)
PPP Patient pathway message (problem-oriented)

Message Description
PPR Patient problem message
PPT Patient pathway goal-oriented response
PPV Patient goal response
PRR Patient problem response
PTR Patient pathway problem-oriented response
QCK Deferred query
QRY Query, original mode
R0R Pharmacy/treatment order response
RAR Pharmacy/treatment administration information
RAS Pharmacy/treatment administration message
RCI Return clinical information
RCL Return clinical list
RDE Pharmacy/treatment encoded order message
RDO Pharmacy/treatment order message
RDR Pharmacy/treatment dispense information
RDS Pharmacy/treatment dispense message
REF Patient referral
RER Pharmacy/treatment encoded order information
RGR Pharmacy/treatment dose information
RGV Pharmacy/treatment give message
RPA Return patient authorization
RPI Return patient information
RPL Return patient display list
RPR Return patient list
RQA Request patient authorization
RQC Request clinical information
RQI Request patient information
RQP Request patient demographics
RQQ Event replay query
RRA Pharmacy/treatment administration acknowledgement message
RRD Pharmacy/treatment dispense acknowledgment message
RRE Pharmacy/treatment encoded order acknowledgment message
RRG Pharmacy/treatment give acknowledgment message
RRI Return referral information
RRO ORR message for pharmacy/treatment
SIU Schedule information unsolicited
SPQ Stored procedure request

Message Description
SQM Schedule query message
SQR Schedule query response
SRM Schedule request message
SRR Scheduled request response
SUR Summary product experience report
TBR Tabular data response
UDM Unsolicited display update message
VQQ Virtual table query
VXQ Query for vaccination record
VXR Vaccination record response
VXU Unsolicited vaccination record update
VXX Response for vaccination query with multiple PID matches

PH LC C CC ON CA BN TIN
Segment Description
ACC Accident segment
ADD Addendum segment
AIG Appointment information - general resource segment
AIL Appointment information - location resource segment
AIP Appointment information - personnel resource segment
AIS Appointment information - service segment
AL1 Patient allergy information segment
APR Appointment preferences segment
ARQ Appointment request segment
AUT Authorization information segment
BHS Batch header segment
BLG Billing segment
BTS Batch trailer segment
CDM Charge description master segment
CM0 Clinical study master segment
CM1 Clinical study phase master segment
CM2 Clinical study schedule master segment
CSP Clinical study phase segment
CSR Clinical study registration segment
CSS Clinical study data schedule segment
CTD Contact data segment
CTI Clinical trial identification segment
DB1 Disability segment
DG1 Diagnosis segment
DRG Diagnosis related group segment
DSC Continuation pointer segment
DSP Display data segment
EQL Embedded query language segment
ERQ Event replay query segment
ERR Error segment
EVN Event type segment
FAC Facility segment
FHS File header segment
FT1 Financial transaction segment
FTS File trailer segment

Segment Description
GOL Goal detail segment
GT1 Guarantor segment
IN1 Insurance segment
IN2 Insurance additional information segment
IN3 Insurance additional information, certification segment
LCC Location charge code segment
LCH Location characteristic segment
LDP Location department segment
LOC Location identification segment
LRL Location relationship segment
MFA Master file acknowledgment segment
MFE Master file entry segment
MFI Master file identification segment
MRG Merge patient information segment
MSA Message acknowledgment segment
MSH Message header segment
NCK System clock segment
NK1 Next of kin / associated parties segment
NPU Bed status update segment
NSC Status change segment
NST Statistics segment
NTE Notes and comments segment
OBR Observation request segment
OBX Observation/result segment
ODS Dietary orders, supplements, and preferences segment
ODT Diet tray instructions segment
OM1 General segment - fields that apply to most observations
OM2 Numeric observation segment
OM3 Categorical test/observation segment
OM4 Observations that require specimens segment
OM5 Observation batteries (sets) segment
OM6 Observations that are calculated from other observations
segment
ORC Common order segment
PCR Possible causal relationship segment
PD1 Patient additional demographic segment
PDC Product detail country segment

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Segment Description
PEO Product experience observation segment
PES Product experience sender segment
PID Patient identification segment
PR1 Procedures segment
PRA Practitioner detail segment
PRB Problem detail segment
PRC Pricing segment
PRD Provider data segment
PSH Product summary header segment
PTH Pathway segment
PV1 Patient visit segment
PV2 Patient visit - additional information segment
QAK Query acknowledgment segment
QRD Original-style query definition segment
QRF Original style query filter segment
RDF Table row definition segment
RDT Table row data segment
RF1 Referral information segment
RGS Resource group segment
ROL Role segment
RQ1 Requisition detail-1 segment
RQD Requisition detail segment
RXA Pharmacy/treatment administration segment
RXC Pharmacy/treatment component order segment
RXD Pharmacy/treatment dispense segment
RXE Pharmacy/treatment encoded order segment
RXG Pharmacy/treatment give segment
RXO Pharmacy/treatment order segment
RXR Pharmacy/treatment route segment
SCH Schedule activity information segment
SPR Stored procedure request definition segment
STF Staff identification segment
TXA Transcription document header segment
UB1 UB82 data segment
UB2 UB92 data segment
URD Results/update definition segment
URS Unsolicited selection segment

Segment Description
VAR Variance segment
VTQ Virtual table query request segment

PH LC D M NGUN CHNG TRNH

Chng trnh c cung cp vi m ngun m min ph vi mong mun m rng
v nng cao chng trnh ngy cng hon thin v tt hn, tc gi lun n ch
mi gp v h tr ca mi ngi. Phn m ngun ny c xy dng cng cc
Forms, i km theo a cha chng trnh MessageHL7 v1.0.1, yu cu phi c
chng trnh Microsoft Visual Basic 6.0 m file messageHL7.vbp.
Sau y l on m v d vic c cc trng trong on mo u (MSH) ca bn

tin HL7 hin th ra textbox.
th tc gi tp tin HL7
Function OpenFile(Browse As String)
On Error GoTo error
Dim sFile As String
dng commond dialog duyt file
With dlgCommonDialog
.DialogTitle = "Open"
.CancelError = True
.FileName = Browse
.Filter = "HL7 Files (*.HL7)|*.HL7"
.ShowOpen
If Len(.FileName) = 0 Then
Exit Function
End If
sFile = .FileName
GlobalFile = sFile
End With
ReadMessageHL7 (sFile)
error:
End Function
th tc ReadMessageHL7 c file HL7

Private Sub ReadMessageHL7(sFile As String)
On Error GoTo error
ReadMSHsegment (sFile)
ReadEVNsegment (sFile)
ReadPIDsegment (sFile)
ReadNK1segment (sFile)
ReadPV1segment (sFile)
ReadDG1segment (sFile)
ReadIN1segment (sFile)
error:
End Sub
V d th tc c on MSH ca bn tin

Private Sub ReadMSHsegment(sFile As String)

Dim PosFieldSep(1 To 20) As Integer, i As Integer, j As
Integer
Dim s As String
Dim fso As New FileSystemObject, fil As File, txtFile,
ts As TextStream
Set fil = fso.GetFile(sFile)
Set ts = fil.OpenAsTextStream(ForReading)
s = ts.ReadLine
j = 0
If (Left(s, 3) = "MSH") And (Right(s, 4) = "<CR>") Then
For i = 1 To Len(s)
If Mid(s, i, 1) = "|" Then
j = j + 1
PosFieldSep(j) = i
End If
Next
txtSendingApplicationMSH.Text = ReadField(s,
PosFieldSep, 2)
txtSendingFacilityMSH.Text = ReadField(s,
PosFieldSep, 3)
txtReceivingApplicationMSH.Text = ReadField(s,
PosFieldSep, 4)
txtReceivingFacilityMSH.Text = ReadField(s,
PosFieldSep, 5)
txtDateTimeOfMessageMSH.Text =
readDateTime(ReadField(s, PosFieldSep, 6))
txtDateTimeOfMessageMSH2.Text = ReadField(s,
PosFieldSep, 6)
txtMessageControlIDMSH.Text = ReadField(s,
PosFieldSep, 9)
Else
MsgBox "Khong phai ban tin HL7", vbOKOnly +
vbExclamation, "Doc ban tin"
Exit Sub
End If
End Sub
th tc ReadField dng trong th tc ReadMSHsegment

Private Function ReadField(s As String, pos() As Integer, i
As Integer) As String
If pos(i) <> 0 Then
ReadField = Mid(s, pos(i) + 1, (pos(i + 1) - 1)
- pos(i))
Else
ReadField = ""
End If
End Function
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Nghien Cuu Chuan HL7 PDF

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I HC QUC GIA THNH PH H CH MINH

TRNG I HC BCH KHOA

NGHIN CU CHUN HL7 DNG TRAO I

GVHD: TS. HUNH QUANG LINH

Tp. H Ch Minh, Thng 01 Nm 2007

hon thnh tt lun vn ny, ngoi s n lc

CHNG 1: GII THIU

SVTH: V THANH HONG 1 GVHD: TS. HUNH QUANG LINH

c bit nc ta va gia nhp WTO, i hi cn c nhng h thng thng

Do vy, mc tiu v nhim v ca lun vn c ra l:

1.2. Mc tiu v nhim v ca lun vn

- Kho st tng quan v chun nh dng bn tin thng tin y t HL7 v s

- Kho st cu trc d liu v chun nh dng bn tin thng tin y t HL7.

- Thit k th nghim phn mm to, c v tm kim danh sch bnh

SVTH: V THANH HONG 2 GVHD: TS. HUNH QUANG LINH

CHNG 2: TNG QUAN

2.1. Lch s chun thng tin y t HL7

a) cc chc nng c th giao tip vt l, VD nh ni v nghe, gi v

b) Ni mt ngn ng chung (theo cc thut ng v danh t, ng t, cu

Mt nhm cc nh s dng h thng my tnh y t (nhng ngi sau

SVTH: V THANH HONG 3 GVHD: TS. HUNH QUANG LINH

Canada. Ti cc nc ny, nn y hc v chm sc sc khe rt pht trin,

HL7 c thit k ph hp vi cc i hi ca tiu chun ANSI (American

Nm 2006, HL7 cng b chnh thc xut bn phin bn HL7 v3.0. y l

SVTH: V THANH HONG 4 GVHD: TS. HUNH QUANG LINH

"Level Seven" ni n cp cao nht ca m hnh giao tip thng tin

Thng tin thm v m hnh 7 lp ca ISO tham kho ti:

Ni dung ca chun HL7 bao gm:

a) cu trc tng th ca tt c giao din bao gm giao din truy vn

SVTH: V THANH HONG 5 GVHD: TS. HUNH QUANG LINH

2.2. Nguyn tc m ha trong HL7

Tt c d liu c biu din nh cc k t hin th t mt k t chn.

2.2.2. V d v m ha v gii m mt bn tin HL7

SVTH: V THANH HONG 6 GVHD: TS. HUNH QUANG LINH

3. on xc nhn bnh nhn:

4. on thn nhn bnh nhn:

5. on thng tin nhp vin:

Trn y l ton b phn thng tin c m ha theo tiu chun HL7.

Du | dng phn cch gia cc trng d liu, nu khng c trng d

2.3. Cc khi nim c s trong cu trc HL7 [2]

SVTH: V THANH HONG 7 GVHD: TS. HUNH QUANG LINH

thc c gi l s kin kch khi (trigger event). VD mt bnh nhn c

Ch : khng c gi thit no c lm v thit k hoc kin trc ca h thng

HL7 cho php s dng trigger event vi cp khc nhau ca d liu c

2.3.1.1. S nhn (acknowledgment): ch nguyn thy

SVTH: V THANH HONG 8 GVHD: TS. HUNH QUANG LINH

S nhn c th cha d liu quan tm n h thng khi to vic trao i.

Chun HL7 khng gi thit v quyn s hu d liu. N cng khng yu

Chun HL7 khng c chc nng gii thch yu cu mt h thng trao

2.3.1.2. S nhn: ch tng cng

SVTH: V THANH HONG 9 GVHD: TS. HUNH QUANG LINH

mt th tc c ln lch cho bnh nhn ngi cha ng k sn trong c

Trong tt c trng hp, chun HL7 gm mt trao i n gin bn tin gia

Truy vn HL7 c th c t cng thc dng mt trong vi phng php

1. B lc truy vn HL7, nh ngha thng qua on QRD v QRF.

2. Ngn ng truy vn nhng chn cu lnh, m ngn ng lm cho

3. Bng yu cu o, c chc nng tng t bn tin Ngn ng truy vn

SVTH: V THANH HONG 10 GVHD: TS. HUNH QUANG LINH

4. Cc yu cu th tc lu tr, m n v ca chng trnh trn h

Do cc truy vn nh ngha trc h tr bi HL7 b gii hn v s lng v

5. Cc truy vn lp li s kin, l yu cu cho d liu nh dng nh l

HL7 bao gm cc cu lnh la chn SQL nh mt phng tin thay th tiu

2.3.2. Mi trng truyn thng