Meaningful Use 中与HL7相关的消息及医疗文档

汇总

HL7 消息

入出转消息

ADT

A01,A03,A04,A08

免疫消息

VXU

V04

电子处方消息

NEWRX Message

v8.1 EDIFACT, v8.1 XML,  v10.6 EDIFACT or 10.6 XML或

NCPDP SCRIPT  version 10.6, in either XML or EDI format

检验消息

ORU

R01

HL7 文档

 

HL7 Documents

HL7 CCD

1)        Inpatient/Ambulatory Summary

2)        Cancer registries (仅门诊)

HL7  ASTM CCR

C-CDA

HITSP/C32 document

 

MU Stage 1

MU

Message

Version

The aim to generate the messages

§170.302 (K) Submission to Immunization Registries

VXU^V04

2.5.1

Transmit immunization information to an external system.

§170.302 (l) Public Health Surveillance

ADT^A01: Admit/Visit

2.5.1

Syndromic surveillance message is generated and transmitted to the Tester.

ADT^A03:Discharge/End visit

ADT^A04:Register a patient

ADT^A08:Update patient information

§170.304 (b) Electronic Prescribing

NEWRX Message

v8.1 EDIFACT, v8.1 XML,  v10.6 EDIFACT or 10.6 XML

Transmit new prescriptions to an external system. (这个消息我们没有实现,是从 DrFirst那边直接拿的)

§170.304 (f) Electronic copy of health information

HL7 CCD

 

以HL7 CCD或CCR的格式导出病人的诊疗信息,至少包括如下内容:

1)        Diagnostic test results

2)        Problem list

3)        Medication list

4)        Medication allergy list

HL7  ASTM CCR

 

MU Stage 2

MU

Message

Version

The aim to generate the messages

170.314(b)(1) Transitions of care –

receive, display and incorporate transition of care/referral

Ambulatory and Inpatient Setting

C-CDA

 

接收及发送Ambulatory/Inpatient Summary of Care Record in C-CDA format

HITSP/C32 document

接收及发送HITSP/C32 document

ASTM CCR document

接收及发送ASTM CCR document

170.314 (b)(2) Transitions of care – create and transmit summary care records

C-CDA

 

生成C-CDA格式的 Inpatient Summary Of Care Record 并传输到第三方系统。

170.314(b)(3) Electronic Prescribing

Ambulatory and Inpatient Setting

NEWRX Message

NCPDP SCRIPT  version 10.6, in either XML or EDI format

生成电子处方

170.314(b)(5)(B) Incorporate laboratory tests and values/results

ORU^R01

V2.5.1

从外部系统接收检验申请以及结果消息导入系统。

170.314(b)(6) Transmission of Electronic Laboratory Tests and Values/Results to Ambulatory Providers

ORU^R01

V2.5.1

住院将检验以及结果传到门诊。

170.314(b)(7) Data Portability

C-CDA

 

Create a set of export summaries for all patients in Consolidated CDA (C-CDA) conformant documents and transmit them to an third party.

170.314(e)(1) View, download, and transmit to a 3rd party

C-CDA

 

能查看/下载/传输到第三方住院病人的 Summary

170.314(f)(2) Transmission to immunization registries

VXU^ V04

V2.5.1

Transmit immunization information to an external system.

170.314(f)(3) Transmission to public health agencies - Syndromic Inpatient Setting

ADT^A01

V2.5.1

传输以下三个场景的消息到健康管理部门:

1)        Urgent Care Visit

2)        Emergency Department Visit -Patient Dies

3)        Emergency Department Visit – Patient Admit

ADT^A03

ADT^A04

ADT^A08

170.314(f)(4) Transmission of reportable laboratory tests and values/results-Inpatient setting

ORU^R01

V2.5.1

EHR technology must be able to electronically create reportable laboratory tests and values/results for electronic transmission

170.314(f)(6) Transmission to cancer registries- Optional-Ambulatory Setting only

CDA

Release 2.0

EHR technology must be able to electronically create cancer case information for electronic transmission.

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