0 Abonnés · 38 Publications

Health Level-7 ou HL7 désigne un ensemble de normes internationales relatives au transfert de données cliniques et administratives entre des applications logicielles utilisées par divers prestataires de services de santé.

En savoir plus

Question Scott Roth · Nov 24, 2022

Nous avons un cas où un fournisseur peut nous envoyer plus d'informations dans le message DICOM plutôt que dans le message de résultat HL7. Théoriquement, il devrait être possible de prendre un DICOM et de le convertir en HL7, mais la question stupide est la suivante : quelqu'un l'a-t-il déjà fait ? Quelqu'un a-t-il un bon exemple de DTL qu'il a fait pour me montrer comment configurer les structures de message et la conversion ?
Merci
Scott Roth
Centre médical Wexner de l'Université d'État de l'Ohio

1
0 115
Article Iryna Mykhailova · Nov 23, 2022 4m read

HL7 (Health Level 7) est un ensemble de spécifications techniques pour les échanges informatisés de données cliniques, financières et administratives entre systèmes d'information hospitaliers (SIH). Ces spécifications sont diversement intégrées au corpus des normes formelles américaines (ANSI) et internationales (ISO).

0
1 828
Article Guillaume Rongier · Sept 28, 2022 23m read

Service Iris Healthtoolkit

Vidéo

Utilisation facile de HL7v2 vers FHIR, CDA vers FHIR, FHIR vers HL7v2 en tant que service.

L'objectif de ce projet est de fournir une API REST capable de convertir facilement divers formats de santé. Publiez le format souhaité dans le corps REST, obtenez la réponse dans le nouveau format.

Installation

Clonez ce référentiel

git clone https://github.com/grongierisc/iris-healthtoolkit-service.git

Docker

docker-compose up --build -d

Utilisation

Détails de l'Api

HL7 vers FHIR

POST http://localhost:32783/api/hl7/fhir

Exemple

Saisie

MSH|^~\&||^^NPI|||20211105165829+0000||ADT^A01|66053,61109.396628|P|2.5.1|||AL|AL|||||PH_SS-Ack^SS Sender^2.16.840.1.114222.4.10.3^ISO
EVN||202111051658|||||^^NPI
PID|1||060a6bd5-5146-4b08-a916-009858997bd3^^^https://github.com/synthetichealth/synthea^~060a6bd5-5146-4b08-a916-009858997bd3^^^http://hospital.smarthealthit.org^MR~999-97-4582^^^&^SS~S99986284^^^&^DL~X84330364X^^^&^PPN||Masson^Livia^^^Mrs.^^||19920820|F|Simon^Livia^^||615 Avenue Lemaire^^Lyon^Auvergne-Rhone-Alpes^63000||^PRN^PH^^^555^286|||||||||||||||||||||
PV1|1|O||424441002|||||||||||||||1^^^&&^VN|||||||||||||||||||||||||200812312325|20090101044004
PV2|||72892002^Grossesse normale^SCT
OBX|1||8302-2^Taille du corps^LN||20101014002504^^|cm^^UCUM|||||F|||20101014
OBX|2||72514-3^Gravite de la douleur - 0-10 evaluation numerique verbale [Score] - Signaleee^LN||20101014002504^^|{score}^^UCUM|||||F|||20101014
OBX|3||29463-7^Poids corporel^LN||20101014002504^^|kg^^UCUM|||||F|||20101014
OBX|4||39156-5^Indice de masse corporelle^LN||20101014002504^^|kg/m2^^UCUM|||||F|||20101014
OBX|5||72166-2^Statut du tabagisme^LN||20171026002504^Ancien fumeur^SCT^^^^^^Ancien fumeur||||||F|||20171026

Sortie

{
"typeDeRessource": "Paquet",
"type": "transaction",
"saisie": [
  {
    "demande": {
      "méthode": "POST",
      "url": "Organisation"
    },
    "UrlComplète": "urn:uuid:347a0c88-e7fa-11ec-9601-0242ac1a0002",
    "ressource": {
      "typeDeRessource": "Organisation",
      "identifiant": [
        {
          "valeur": "https://github.com/synthetichealth/synthea"
        }
      ]
    }
  },
  {
    "demande": {
      "méthode": "POST",
      "url": "Organisation"
    },
    "UrlComplète": "urn:uuid:34d03d1a-e7fa-11ec-9601-0242ac1a0002",
    "ressource": {
      "typeDeRessource": "Organisation",
      "identifiant": [
        {
          "valeur": "http://hospital.smarthealthit.org"
        }
      ]
    }
  },
  {
    "demande": {
      "méthode": "POST",
      "url": "Patient"
    },
    "UrlComplète": "urn:uuid:36dd6e2a-e7fa-11ec-9601-0242ac1a0002",
    "ressource": {
      "typeDeRessource": "Patient",
      "adresse": [
        {
          "ville": "Lyon",
          "ligne": [
            "615 Avenue Lemaire"
          ],
          "codePostal": "63000",
          "région": "Auvergne-Rhone-Alpes"
        }
      ],
      "dateDeNaissance": "1992-08-20",
      "sex": "femme",
      "identifiant": [
        {
          "assigner": {
            "référence": "urn:uuid:347a0c88-e7fa-11ec-9601-0242ac1a0002"
          },
          "système": "https://github.com/synthetichealth/synthea",
          "valeur": "060a6bd5-5146-4b08-a916-009858997bd3"
        },
        {
          "assigner": {
            "référence": "urn:uuid:34d03d1a-e7fa-11ec-9601-0242ac1a0002"
          },
          "système": "http://hospital.smarthealthit.org",
          "type": {
            "codage": [
              {
                "code": "MR",
                "système": "http://terminology.hl7.org/CodeSystem/v2-0203"
              }
            ],
            "texte": "MRN"
          },
          "valeur": "060a6bd5-5146-4b08-a916-009858997bd3"
        },
        {
          "extension": [
            {
              "url": "http://intersystems.com/fhir/extn/sda3/lib/patient-number-i-s-o-assigning-authority",
              "valeurDeLigne": "&"
            }
          ],
          "type": {
            "codage": [
              {
                "code": "SS"
              }
            ],
            "texte": "SS"
          },
          "valeur": "999-97-4582"
        },
        {
          "extension": [
            {
              "url": "http://intersystems.com/fhir/extn/sda3/lib/patient-number-i-s-o-assigning-authority",
              "valeurDeLigne": "&"
            }
          ],
          "type": {
            "codage": [
              {
                "code": "DL",
                "système": "http://terminology.hl7.org/CodeSystem/v2-0203"
              }
            ],
            "texte": "DL"
          },
          "valeur": "S99986284"
        },
        {
          "extension": [
            {
              "url": "http://intersystems.com/fhir/extn/sda3/lib/patient-number-i-s-o-assigning-authority",
              "valeurDeLigne": "&"
            }
          ],
          "type": {
            "codage": [
              {
                "code": "PPN",
                "système": "http://terminology.hl7.org/CodeSystem/v2-0203"
              }
            ],
            "texte": "PPN"
          },
          "valeur": "X84330364X"
        }
      ],
      "nom": [
        {
          "famille": "Simon",
          "prénom": [
            "Livia"
          ],
          "texte": "Livia Simon"
        },
        {
          "famille": "Masson",
          "prénom": [
            "Livia"
          ],
          "préfixe": [
            "Mrs."
          ],
          "texte": "Mrs. Livia Masson",
          "utilisation": "officiel"
        }
      ],
      "telecom": [
        {
          "système": "téléphone",
          "utilisation": "domicile",
          "valeur": "(555) 286"
        }
      ]
    }
  },
  {
    "demande": {
      "méthode": "POST",
      "url": "Visite"
    },
    "UrlComplète": "urn:uuid:38cf2d40-e7fa-11ec-9601-0242ac1a0002",
    "ressource": {
      "typeDeRessource": "Visite",
      "class": {
        "code": "AMB",
        "système": "http://terminology.hl7.org/CodeSystem/v3-ActCode"
      },
      "extension": [
        {
          "url": "http://intersystems.com/fhir/extn/sda3/lib/encounter-encounter-type",
          "valeurDeLigne": "O"
        },
        {
          "url": "http://intersystems.com/fhir/extn/sda3/lib/encounter-entered-on",
          "valeurDateHeur": "2008-12-31T23:25:00+00:00"
        },
        {
          "url": "http://intersystems.com/fhir/extn/sda3/lib/encounter-to-time",
          "valeurDateHeur": "2009-01-01T04:40:04+00:00"
        }
      ],
      "identifiant": [
        {
          "type": {
            "texte": "NuméroDeVisite"
          },
          "utilisation": "officiel",
          "valeur": "1"
        }
      ],
      "période": {
        "lancement": "2008-12-31T23:25:00+00:00"
      },
      "reasonCode": [
        {
          "codage": [
            {
              "code": "72892002",
              "affichage": "Grossesse normale",
              "système": "http://snomed.info/sct"
            }
          ]
        }
      ],
      "état": "inconnu",
      "sujet": {
        "référence": "urn:uuid:36dd6e2a-e7fa-11ec-9601-0242ac1a0002"
      },
      "type": [
        {
          "codage": [
            {
              "code": "424441002"
            }
          ]
        }
      ]
    }
  },
  {
    "demande": {
      "méthode": "POST",
      "url": "Observation"
    },
    "UrlComplète": "urn:uuid:3a13745e-e7fa-11ec-9601-0242ac1a0002",
    "ressource": {
      "typeDeRessource": "Observation",
      "code": {
        "codage": [
          {
            "code": "72166-2",
            "affichage": "Statut du tabagisme",
            "système": "http://loinc.org"
          }
        ]
      },
      "effectiveDateHeure": "2017-10-26T00:00:00+00:00",
      "visite": {
        "référence": "urn:uuid:38cf2d40-e7fa-11ec-9601-0242ac1a0002"
      },
      "extension": [
        {
          "url": "http://intersystems.com/fhir/extn/sda3/lib/observation-encounter-number",
          "valeurDeLigne": "1"
        },
        {
          "url": "http://intersystems.com/fhir/extn/sda3/lib/observation-observation-coded-value",
          "valeurConceptCodifiable": {
            "codage": [
              {
                "code": "20171026002504",
                "affichage": "Ancien fumeur",
                "système": "http://snomed.info/sct"
              }
            ],
            "texte": "Ancien fumeur"
          }
        }
      ],
      "état": "final",
      "sujet": {
        "référence": "urn:uuid:36dd6e2a-e7fa-11ec-9601-0242ac1a0002"
      },
      "valeurDeLigne": "Ancien fumeur"
    }
  },
  {
    "demande": {
      "méthode": "POST",
      "url": "Observation"
    },
    "UrlComplète": "urn:uuid:3b6212fc-e7fa-11ec-9601-0242ac1a0002",
    "ressource": {
      "typeDeRessource": "Observation",
      "category": [
        {
          "codage": [
            {
              "code": "Signes-vitaux",
              "affichage": "Signes vitaux",
              "système": "http://terminology.hl7.org/CodeSystem/observation-category"
            }
          ],
          "texte": "Signes vitaux"
        }
      ],
      "code": {
        "codage": [
          {
            "code": "8302-2",
            "affichage": "Taille du corps",
            "système": "http://loinc.org"
          }
        ],
        "extension": [
          {
            "url": "http://intersystems.com/fhir/extn/sda3/lib/code-table-detail-observation-observation-value-units",
            "valeurConceptCodifiable": {
              "codage": [
                {
                  "code": "cm",
                  "système": "http://unitsofmeasure.org"
                }
              ]
            }
          }
        ]
      },
      "effectiveDateHeure": "2010-10-14T00:00:00+00:00",
      "visite": {
        "référence": "urn:uuid:38cf2d40-e7fa-11ec-9601-0242ac1a0002"
      },
      "extension": [
        {
          "url": "http://intersystems.com/fhir/extn/sda3/lib/observation-encounter-number",
          "valeurDeLigne": "1"
        }
      ],
      "état": "final",
      "sujet": {
        "référence": "urn:uuid:36dd6e2a-e7fa-11ec-9601-0242ac1a0002"
      },
      "valeurConceptCodifiable": {
        "codage": [
          {
            "code": "20101014002504"
          }
        ]
      }
    }
  },
  {
    "demande": {
      "méthode": "POST",
      "url": "Observation"
    },
    "UrlComplète": "urn:uuid:3c8aba30-e7fa-11ec-9601-0242ac1a0002",
    "ressource": {
      "typeDeRessource": "Observation",
      "code": {
        "codage": [
          {
            "code": "72514-3",
            "affichage": "Gravite de la douleur - 0-10 evaluation numerique verbale [Score] - Signaleee",
            "système": "http://loinc.org"
          }
        ],
        "extension": [
          {
            "url": "http://intersystems.com/fhir/extn/sda3/lib/code-table-detail-observation-observation-value-units",
            "valeurConceptCodifiable": {
              "codage": [
                {
                  "code": "{score}",
                  "système": "http://unitsofmeasure.org"
                }
              ]
            }
          }
        ]
      },
      "effectiveDateHeure": "2010-10-14T00:00:00+00:00",
      "visite": {
        "référence": "urn:uuid:38cf2d40-e7fa-11ec-9601-0242ac1a0002"
      },
      "extension": [
        {
          "url": "http://intersystems.com/fhir/extn/sda3/lib/observation-encounter-number",
          "valeurDeLigne": "1"
        }
      ],
      "état": "final",
      "sujet": {
        "référence": "urn:uuid:36dd6e2a-e7fa-11ec-9601-0242ac1a0002"
      },
      "valeurConceptCodifiable": {
        "codage": [
          {
            "code": "20101014002504"
          }
        ]
      }
    }
  },
  {
    "demande": {
      "méthode": "POST",
      "url": "Observation"
    },
    "UrlComplète": "urn:uuid:3de455d0-e7fa-11ec-9601-0242ac1a0002",
    "ressource": {
      "typeDeRessource": "Observation",
      "category": [
        {
          "codage": [
            {
              "code": "signes -vitaux",
              "affichage": "Signes vitaux",
              "système": "http://terminology.hl7.org/CodeSystem/observation-category"
            }
          ],
          "texte": "Signes vitaux"
        }
      ],
      "code": {
        "codage": [
          {
            "code": "29463-7",
            "affichage": "Poids corporel",
            "système": "http://loinc.org"
          }
        ],
        "extension": [
          {
            "url": "http://intersystems.com/fhir/extn/sda3/lib/code-table-detail-observation-observation-value-units",
            "valeurConceptCodifiable": {
              "codage": [
                {
                  "code": "kg",
                  "système": "http://unitsofmeasure.org"
                }
              ]
            }
          }
        ]
      },
      "effectiveDateHeure": "2010-10-14T00:00:00+00:00",
      "visite": {
        "référence": "urn:uuid:38cf2d40-e7fa-11ec-9601-0242ac1a0002"
      },
      "extension": [
        {
          "url": "http://intersystems.com/fhir/extn/sda3/lib/observation-encounter-number",
          "valeurDeLigne": "1"
        }
      ],
      "état": "final",
      "sujet": {
        "référence": "urn:uuid:36dd6e2a-e7fa-11ec-9601-0242ac1a0002"
      },
      "valeurConceptCodifiable": {
        "codage": [
          {
            "code": "20101014002504"
          }
        ]
      }
    }
  },
  {
    "demande": {
      "méthode": "POST",
      "url": "Observation"
    },
    "UrlComplète": "urn:uuid:3f501418-e7fa-11ec-9601-0242ac1a0002",
    "ressource": {
      "typeDeRessource": "Observation",
      "code": {
        "codage": [
          {
            "code": "39156-5",
            "affichage": "Indice de masse corporelle",
            "système": "http://loinc.org"
          }
        ],
        "extension": [
          {
            "url": "http://intersystems.com/fhir/extn/sda3/lib/code-table-detail-observation-observation-value-units",
            "valeurConceptCodifiable": {
              "codage": [
                {
                  "code": "kg/m2",
                  "système": "http://unitsofmeasure.org"
                }
              ]
            }
          }
        ]
      },
      "effectiveDateHeure": "2010-10-14T00:00:00+00:00",
      "visite": {
        "référence": "urn:uuid:38cf2d40-e7fa-11ec-9601-0242ac1a0002"
      },
      "extension": [
        {
          "url": "http://intersystems.com/fhir/extn/sda3/lib/observation-encounter-number",
          "valeurDeLigne": "1"
        }
      ],
      "état": "final",
      "sujet": {
        "référence": "urn:uuid:36dd6e2a-e7fa-11ec-9601-0242ac1a0002"
      },
      "valeurConceptCodifiable": {
        "codage": [
          {
            "code": "20101014002504"
          }
        ]
      }
    }
  }
]
}

FHIR vers HL7 ADT

POST http://localhost:32783/api/fhir/hl7/adt

Exemple

{
"typeDeRessource": "Paquet",
"type": "transaction",
"saisie": [
  {
    "demande": {
      "méthode": "POST",
      "url": "Organisation"
    },
    "UrlComplète": "urn:uuid:347a0c88-e7fa-11ec-9601-0242ac1a0002",
    "ressource": {
      "typeDeRessource": "Organisation",
      "identifiant": [
        {
          "valeur": "https://github.com/synthetichealth/synthea"
        }
      ]
    }
  },
  {
    "demande": {
      "méthode": "POST",
      "url": "Organisation"
    },
    "UrlComplète": "urn:uuid:34d03d1a-e7fa-11ec-9601-0242ac1a0002",
    "ressource": {
      "typeDeRessource": "Organisation",
      "identifiant": [
        {
          "valeur": "http://hospital.smarthealthit.org"
        }
      ]
    }
  },
  {
    "demande": {
      "méthode": "POST",
      "url": "Patient"
    },
    "UrlComplète": "urn:uuid:36dd6e2a-e7fa-11ec-9601-0242ac1a0002",
    "ressource": {
      "typeDeRessource": "Patient",
      "adresse": [
        {
          "ville": "Lyon",
          "ligne": [
            "615 Avenue Lemaire"
          ],
          "codePostal": "63000",
          "région": "Auvergne-Rhone-Alpes"
        }
      ],
      "dateDeNaissance": "1992-08-20",
      "sex": "femme",
      "identifiant": [
        {
          "assigner": {
            "référence": "urn:uuid:347a0c88-e7fa-11ec-9601-0242ac1a0002"
          },
          "système": "https://github.com/synthetichealth/synthea",
          "valeur": "060a6bd5-5146-4b08-a916-009858997bd3"
        },
        {
          "assigner": {
            "référence": "urn:uuid:34d03d1a-e7fa-11ec-9601-0242ac1a0002"
          },
          "système": "http://hospital.smarthealthit.org",
          "type": {
            "codage": [
              {
                "code": "MR",
                "système": "http://terminology.hl7.org/CodeSystem/v2-0203"
              }
            ],
            "texte": "MRN"
          },
          "valeur": "060a6bd5-5146-4b08-a916-009858997bd3"
        },
        {
          "extension": [
            {
              "url": "http://intersystems.com/fhir/extn/sda3/lib/patient-number-i-s-o-assigning-authority",
              "valeurDeLigne": "&"
            }
          ],
          "type": {
            "codage": [
              {
                "code": "SS"
              }
            ],
            "texte": "SS"
          },
          "valeur": "999-97-4582"
        },
        {
          "extension": [
            {
              "url": "http://intersystems.com/fhir/extn/sda3/lib/patient-number-i-s-o-assigning-authority",
              "valeurDeLigne": "&"
            }
          ],
          "type": {
            "codage": [
              {
                "code": "DL",
                "système": "http://terminology.hl7.org/CodeSystem/v2-0203"
              }
            ],
            "texte": "DL"
          },
          "valeur": "S99986284"
        },
        {
          "extension": [
            {
              "url": "http://intersystems.com/fhir/extn/sda3/lib/patient-number-i-s-o-assigning-authority",
              "valeurDeLigne": "&"
            }
          ],
          "type": {
            "codage": [
              {
                "code": "PPN",
                "système": "http://terminology.hl7.org/CodeSystem/v2-0203"
              }
            ],
            "texte": "PPN"
          },
          "valeur": "X84330364X"
        }
      ],
      "nom": [
        {
          "famille": "Simon",
          "prénom": [
            "Livia"
          ],
          "texte": "Livia Simon"
        },
        {
          "famille": "Masson",
          "prénom": [
            "Livia"
          ],
          "préfixe": [
            "Mrs."
          ],
          "texte": "Mrs. Livia Masson",
          "utilisation": "officiel"
        }
      ],
      "telecom": [
        {
          "système": "téléphone",
          "utilisation": "domicile",
          "valeur": "(555) 286"
        }
      ]
    }
  },
  {
    "demande": {
      "méthode": "POST",
      "url": "visite"
    },
    "UrlComplète": "urn:uuid:38cf2d40-e7fa-11ec-9601-0242ac1a0002",
    "ressource": {
      "typeDeRessource": "visite",
      "class": {
        "code": "AMB",
        "système": "http://terminology.hl7.org/CodeSystem/v3-ActCode"
      },
      "extension": [
        {
          "url": "http://intersystems.com/fhir/extn/sda3/lib/encounter-encounter-type",
          "valeurDeLigne": "O"
        },
        {
          "url": "http://intersystems.com/fhir/extn/sda3/lib/encounter-entered-on",
          "valeurDateHeur": "2008-12-31T23:25:00+00:00"
        },
        {
          "url": "http://intersystems.com/fhir/extn/sda3/lib/encounter-to-time",
          "valeurDateHeur": "2009-01-01T04:40:04+00:00"
        }
      ],
      "identifiant": [
        {
          "type": {
            "texte": "EncounterNumber"
          },
          "utilisation": "officiel",
          "valeur": "1"
        }
      ],
      "période": {
        "lancement": "2008-12-31T23:25:00+00:00"
      },
      "reasonCode": [
        {
          "codage": [
            {
              "code": "72892002",
              "affichage": "Grossesse normale",
              "système": "http://snomed.info/sct"
            }
          ]
        }
      ],
      "état": "inconnu",
      "sujet": {
        "référence": "urn:uuid:36dd6e2a-e7fa-11ec-9601-0242ac1a0002"
      },
      "type": [
        {
          "codage": [
            {
              "code": "424441002"
            }
          ]
        }
      ]
    }
  },
  {
    "demande": {
      "méthode": "POST",
      "url": "Observation"
    },
    "UrlComplète": "urn:uuid:3a13745e-e7fa-11ec-9601-0242ac1a0002",
    "ressource": {
      "typeDeRessource": "Observation",
      "code": {
        "codage": [
          {
            "code": "72166-2",
            "affichage": "Statut du tabagisme",
            "système": "http://loinc.org"
          }
        ]
      },
      "effectiveDateHeure": "2017-10-26T00:00:00+00:00",
      "visite": {
        "référence": "urn:uuid:38cf2d40-e7fa-11ec-9601-0242ac1a0002"
      },
      "extension": [
        {
          "url": "http://intersystems.com/fhir/extn/sda3/lib/observation-encounter-number",
          "valeurDeLigne": "1"
        },
        {
          "url": "http://intersystems.com/fhir/extn/sda3/lib/observation-observation-coded-value",
          "valeurConceptCodifiable": {
            "codage": [
              {
                "code": "20171026002504",
                "affichage": "Ancien fumeur",
                "système": "http://snomed.info/sct"
              }
            ],
            "texte": "Ancien fumeur"
          }
        }
      ],
      "état": "final",
      "sujet": {
        "référence": "urn:uuid:36dd6e2a-e7fa-11ec-9601-0242ac1a0002"
      },
      "valeurDeLigne": "Ancien fumeur"
    }
  },
  {
    "demande": {
      "méthode": "POST",
      "url": "Observation"
    },
    "UrlComplète": "urn:uuid:3b6212fc-e7fa-11ec-9601-0242ac1a0002",
    "ressource": {
      "typeDeRessource": "Observation",
      "category": [
        {
          "codage": [
            {
              "code": "signes-vitaux",
              "affichage": "Signes vitaux",
              "système": "http://terminology.hl7.org/CodeSystem/observation-category"
            }
          ],
          "texte": "Signes vitaux"
        }
      ],
      "code": {
        "codage": [
          {
            "code": "8302-2",
            "affichage": "Taille du corps",
            "système": "http://loinc.org"
          }
        ],
        "extension": [
          {
            "url": "http://intersystems.com/fhir/extn/sda3/lib/code-table-detail-observation-observation-value-units",
            "valeurConceptCodifiable": {
              "codage": [
                {
                  "code": "cm",
                  "système": "http://unitsofmeasure.org"
                }
              ]
            }
          }
        ]
      },
      "effectiveDateHeure": "2010-10-14T00:00:00+00:00",
      "visite": {
        "référence": "urn:uuid:38cf2d40-e7fa-11ec-9601-0242ac1a0002"
      },
      "extension": [
        {
          "url": "http://intersystems.com/fhir/extn/sda3/lib/observation-encounter-number",
          "valeurDeLigne": "1"
        }
      ],
      "état": "final",
      "sujet": {
        "référence": "urn:uuid:36dd6e2a-e7fa-11ec-9601-0242ac1a0002"
      },
      "valeurConceptCodifiable": {
        "codage": [
          {
            "code": "20101014002504"
          }
        ]
      }
    }
  },
  {
    "demande": {
      "méthode": "POST",
      "url": "Observation"
    },
    "UrlComplète": "urn:uuid:3c8aba30-e7fa-11ec-9601-0242ac1a0002",
    "ressource": {
      "typeDeRessource": "Observation",
      "code": {
        "codage": [
          {
            "code": "72514-3",
            "affichage": "Gravite de la douleur - 0-10 evaluation numerique verbale [Score] - Signaleee",
            "système": "http://loinc.org"
          }
        ],
        "extension": [
          {
            "url": "http://intersystems.com/fhir/extn/sda3/lib/code-table-detail-observation-observation-value-units",
            "valeurConceptCodifiable": {
              "codage": [
                {
                  "code": "{score}",
                  "système": "http://unitsofmeasure.org"
                }
              ]
            }
          }
        ]
      },
      "effectiveDateHeure": "2010-10-14T00:00:00+00:00",
      "visite": {
        "référence": "urn:uuid:38cf2d40-e7fa-11ec-9601-0242ac1a0002"
      },
      "extension": [
        {
          "url": "http://intersystems.com/fhir/extn/sda3/lib/observation-encounter-number",
          "valeurDeLigne": "1"
        }
      ],
      "état": "final",
      "sujet": {
        "référence": "urn:uuid:36dd6e2a-e7fa-11ec-9601-0242ac1a0002"
      },
      "valeurConceptCodifiable": {
        "codage": [
          {
            "code": "20101014002504"
          }
        ]
      }
    }
  },
  {
    "demande": {
      "méthode": "POST",
      "url": "Observation"
    },
    "UrlComplète": "urn:uuid:3de455d0-e7fa-11ec-9601-0242ac1a0002",
    "ressource": {
      "typeDeRessource": "Observation",
      "category": [
        {
          "codage": [
            {
              "code": "signes-vitaux",
              "affichage": "Signes vitaux",
              "système": "http://terminology.hl7.org/CodeSystem/observation-category"
            }
          ],
          "texte": "Signes vitaux"
        }
      ],
      "code": {
        "codage": [
          {
            "code": "29463-7",
            "affichage": "Poids corporel",
            "système": "http://loinc.org"
          }
        ],
        "extension": [
          {
            "url": "http://intersystems.com/fhir/extn/sda3/lib/code-table-detail-observation-observation-value-units",
            "valeurConceptCodifiable": {
              "codage": [
                {
                  "code": "kg",
                  "système": "http://unitsofmeasure.org"
                }
              ]
            }
          }
        ]
      },
      "effectiveDateHeure": "2010-10-14T00:00:00+00:00",
      "visite": {
        "référence": "urn:uuid:38cf2d40-e7fa-11ec-9601-0242ac1a0002"
      },
      "extension": [
        {
          "url": "http://intersystems.com/fhir/extn/sda3/lib/observation-encounter-number",
          "valeurDeLigne": "1"
        }
      ],
      "état": "final",
      "sujet": {
        "référence": "urn:uuid:36dd6e2a-e7fa-11ec-9601-0242ac1a0002"
      },
      "valeurConceptCodifiable": {
        "codage": [
          {
            "code": "20101014002504"
          }
        ]
      }
    }
  },
  {
    "demande": {
      "méthode": "POST",
      "url": "Observation"
    },
    "UrlComplète": "urn:uuid:3f501418-e7fa-11ec-9601-0242ac1a0002",
    "ressource": {
      "typeDeRessource": "Observation",
      "code": {
        "codage": [
          {
            "code": "39156-5",
            "affichage": "Indice de masse corporelle",
            "système": "http://loinc.org"
          }
        ],
        "extension": [
          {
            "url": "http://intersystems.com/fhir/extn/sda3/lib/code-table-detail-observation-observation-value-units",
            "valeurConceptCodifiable": {
              "codage": [
                {
                  "code": "kg/m2",
                  "système": "http://unitsofmeasure.org"
                }
              ]
            }
          }
        ]
      },
      "effectiveDateHeure": "2010-10-14T00:00:00+00:00",
      "visite": {
        "référence": "urn:uuid:38cf2d40-e7fa-11ec-9601-0242ac1a0002"
      },
      "extension": [
        {
          "url": "http://intersystems.com/fhir/extn/sda3/lib/observation-encounter-number",
          "valeurDeLigne": "1"
        }
      ],
      "état": "final",
      "sujet": {
        "référence": "urn:uuid:36dd6e2a-e7fa-11ec-9601-0242ac1a0002"
      },
      "valeurConceptCodifiable": {
        "codage": [
          {
            "code": "20101014002504"
          }
        ]
      }
    }
  }
]
}
Sortie
MSH|^~\&||^^NPI|||20220609134903+0000||^|66269,49743.388133779|P|2.5.1|||AL|AL|||||PH_SS-Ack^SS Sender^2.16.840.1.114222.4.10.3^ISO
EVN||202206091349|||||^^NPI
PID|1||060a6bd5-5146-4b08-a916-009858997bd3^^^https://github.com/s&&ISO^~060a6bd5-5146-4b08-a916-009858997bd3^^^http://hospital.smar&&ISO^MR~999-97-4582^^^&^SS~S99986284^^^&^DL~X84330364X^^^&^PPN||Masson^Livia^^^Mrs.^^||19920820|F|Simon^Livia^^||615 Avenue Lemaire^^^^||^PRN^PH^^^555^286|||||||||||||||||||||
PV1|1|O||424441002|||||||||||||||1^^^&&^VN|||||||||||||||||||||||||200812312325|
PV2|||72892002^Grossesse normale^SCT
OBX|1||72166-2^Statut du tabagisme^LN||^^||||||F|||20171026
OBX|2||8302-2^Taille du corps^LN||^^||||||F|||20101014
OBX|3||72514-3^Gravite de la douleur - 0-10 evaluation numerique verbale [Score] - Signaleee^LN||^^||||||F|||20101014
OBX|4||29463-7^Poids corporel^LN||^^||||||F|||20101014
OBX|5||39156-5^Indice de masse corporelle^LN||^^||||||F|||20101014

FHIR vers HL7 ORU

POST http://localhost:32783/api/fhir/hl7/oru

FHIR vers HL7 vxu

POST http://localhost:32783/api/fhir/hl7/vxu

CDA vers FHIR

POST http://localhost:32783/api/cda/fhir

Exemple

Dépôt FHIR

GET http://localhost:32783/api/fhir/metadata

Format d'entrée HL7 pris en charge :

  • ADT_A01, ADT_A02, ADT_A03, ADT_A04, ADT_A05, ADT_A06, ADT_A07, ADT_A08, ADT_A09, ADT_A10, ADT_A11, ADT_A12, ADT_A13, ADT_A17, ADT_A18, ADT_A23, ADT_A25, ADT_A27, ADT_A28, ADT_A29, ADT_A30, ADT_A31, ADT_A34, ADT_A36, ADT_A39, ADT_A40, ADT_A41, ADT_A45, ADT_A47, ADT_A49, ADT_A50, ADT_A51, ADT_A60

  • BAR_P12

  • MDM_T02, MDM_T04, MDM_T08, MDM_T11

  • OMP_O09

  • ORM_O01

  • ORU_R01

  • PPR_PC1, PPR_PC2, PPR_PC3

  • RDE_O11

  • SIU_S12, SIU_S13, SIU_S14, SIU_S15, SIU_S16, SIU_S17, SIU_S26

  • VXU_V04

Comment ça marche

Ce projet fonctionne avec le diagramme pivot : SDA.

Le SDA (Summary Document Architecture, Architecture du document de synthèse) est le format de données cliniques d'InterSystems.

Les correspondances SDA <-> FHIR peuvent être consultées ici, et celles de la CDA -> SDA ici.

gif sda pivot

0
0 204