医院信息平台医嘱信息交互服务消息示例.docx
附录A医嘱信息交互服务消息示例医嘱信息新增服务A.1.1医嘱信息新增服务.请求消息<POORJN200901UVITSVersion=nXMLeLOnxmlns=nurn:hl7-org:v3HXrnlns:xsi="http:WWW.w3.org/2001/XMLSchema-instance"xsi:schemaLocation=Hurn:hl7-org:v3./multicacheschemas/POOR_IN2(X)901UV.xsd><!-消息流水号-><idroot=,2.16.156.10011.2.5.1.1extension="(0)BS004,7><!-消息创建时间-><creationTimevalue=",201201061100007><!-消息的服务标识-><interactionldroot=,2.16.156.10011.2.5.1.2hextension=POORJN200901UV7><!-处理代码,标识此消息是否是产品、训练、调试系统的一部分。D:调试:P:产品:T:训练><processingCodecode=nP,7><!消息处理模式:A(Archive);!(Initialload);R(Restorefromarchive);T(Currentprocessing)"><processingModeCode><!消息应答:AL(AIways);ER(Errorrejectonly);NE(Never)><acceptAckCodecode=,AL,7><!一接受者一><receivertypeCode=nRCVn><deviceClassCode=nDEVndeterminerCode=INSTANCE,><!-接受者ID<id><itemroot=,2.16.156.10011.2.5.1.3extension=nlI7><id><device><receiver><!-发送者-><sendertypeCode=nSND><deviceClassCode=nDEVndeterminerCode=,INSTANCE,><!-发送者ID-><id><itemroot=H2.16.156.1(X)11.2.5.1.3Hextension=H222V><id><device><sender><controlActProcessClassCode=nCACTnmoodCode=,EVN,><subjecttypeCode=,SUBJ,><placerGroupClassCode=nGROUPERnmoodCode=nRQO><!-医嘱开立者-><authortypeCode=nAUTcontextControlCode=,OP,><!-医嘱开立日期时间<timevalue=20120202030303,7><!-签名编码(固定值S)<signatureCodecode=S,7><!医嘱开立者签名><signatureTextValUe="李医生,7><assignedEntityclassCode=,ASSIGNED,><!”医务人员一号<id><itemroot=,2J6.156.1001l.L4,textension=11120109197706015518,7><id>OssignedPersonClassCode=nPSNndeterminerCode=nINSTANCEH><!-医嘱开立者<namexsirtype=BAGEN><item><partVallle="李医生"/><item><name><assignedPerson><representedrganizationClassCode=nORGndeterminerCode=,INSTANCE><!-医疗卫生机构(科室)ID><id><itemroot=,2.16.156.10011.1.26t,extension=111234567890,7><id><!-医嘱开立科室<namexsitype=BAGENn><item><partVahle="呼吸内科"/><item><name><representedrganization><assigncdEntity><author><!医嘱审核者<verifierIypeCode=nVRFncontexlControlCode=OP,><!一医嘱审核日期时间一><limevalue=,20120202030303,7><!签名编码(固定值S)<signatureCodecode=S,7><!一医嘱审核者签名<signatureTextValUe="王医生,7>OssignedEntityClaSSeOde="ASSIGNED”,V!-医务人员工号<id><itemrt=n2.16.156.10011.1.4,texlension=120109197706015518,7><id><assignedPersonClassCode=nPSNndeterminerCode=,INSTANCE,><!医嘱审核者<namexsitype=BAGENn><item><partVaIUe="王五"/><item><name><assignedPerson><assignedEntity><verifier><component2><!一医嘱序号<sequenceNumbervalue=n7><substanceAdninistrationRequestClassCode=nSBADMnmoodCode=nRQO><!-医嘱ID-><idroot=H2J6J56J0011.L28Hextension=OBSOO7><!-医嘱项目类型代码<codecode=1,1CodeSyStem='216,156.10011.231.268''><displayNameValUe="药品类医嘱"/><code><!-医嘱项目内容<text><!一医嘱状态<statusCodeCOde="active'/<!-医嘱有效期间:医嘱开始日期时间/医嘱结束日期时间<effectiveTimexsi:type="QSCJrS”ValidTimeLoW="20110202030303,tvalidTimeHigh=20110203030303,r><!-医嘱执行频率编码/医嘱执行频率名称<codecode=,BIDcodeSystem=n2J6J56.1001L2.5.113”><dispIayNamevalue=,2/H(8am-4pm)7><code><effectiveTime><!-用药途径-><routeCodecode='”"codeSystem=n2.16.156.10011.2.3.1.158”CodeSyStemName="用药途径代码表"><displayNameVaIUe="口服"/><routeCode><!用药剂量单次-><doseQuantityvalue=,120nunil=mg,7><!.药物使用总剂量_><doseCheckQuantityxsi:type=HDSET_RTOH><item><numeratorxsirtype=,PQunit=gvalue=117><denominatorxsilye=PQunil=,d,rvalue=17><item><doseCheckQuantity>!一药物剂型一><administrationUnitCodeCOde=TCodeSyStem="2.16.156.10011.2.3.1.211”CodeSyStemName="药物剂型代码表”>VdisplayNamevalue="片剂(素片、压制片),浸膏片,非包衣片7><administrationUnitCode><!-药物信息<consumable2typeCode=,CSM><manufacturedProduct1ClassCode=nMANU><!-包装序号<idextension=111234,7><manufacturedProductClassCode=nMMATndeterminerCode=nKIND><!-药物编码-><codeCOde="201056”codeSystem=2.16J56.10011.2.5,1.147><namexsi:type=HBAGEN,><item><!-药物名称一><partVaIUe="葡萄糖酸钙"/><item><name><asContentclassCode=,CONT,>><quantity>CcontainerPackagedProductClassCode=nHOLDndeterminerCode=nKIND><code><formCode><!-药物规格一><caacityQuantilyUniI="g片"VaIUe=<containerPackagedProduct><asContent><manufacturedProduct><!-药物所属医保信息<subjectf3typeCode=nSBJ,><policyClassCode=TOLICYnmoodCode=,EVN,r><!-药物医保类别编码/药物医保类别名称<codeCode="01<displayNameVaIIIe="甲类,7><code><policy><subjectf3><manufacturedProduct1><consumable2><locationtypeCode=LOC><serviceDeliveryLocationclassCode=nDSDLOC><locationClassCode=nPLCndeterminerCode=,INSTANCE,><!执行科室编码,<id><itemroot=,2.16.156.10011.1.26extension=001,7><id><!执行科室名称><namexsi:type=HBAG_ENH><item><partValUe="呼吸内科”/><item><name><location><serviceDeliveryLocation><location><!-父医嘱ID(没有父医嘱可以没有此。CeUrrenCeO蟀点)-><occurrencef><parentRequestReferenceClaSSCode="GROUPER”,<idextension=,31657457,7><parentRequestReference><occurrencef><!-医嘱类别(I长期医嘱2临时医嘱9其他)-