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如何從HL7文件中讀取部分

[英]How can read section from HL7 document

我想從XML文件解析HL7文檔。 所以我有這個XML文件:

<?xml-stylesheet type="text/xsl" href="CCD.xsl"?>
<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:voc="urn:hl7-org:v3/voc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 CDA.xsd">

    <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/>
    <templateId root="2.16.840.1.113883.10.20.1"/> <!-- CCD v1.0 Templates Root -->
    <id root="db734647-fc99-424c-a864-7e3cda82e703"/>
    <code code="34133-9" codeSystem="2.16.840.1.113883.6.1" displayName="Summarization of episode note"/>
    <title>Decipher Test PHR</title>
    <effectiveTime value="20151118103315+0200"/>
    <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/>
    <languageCode code="en-US"/>
    <recordTarget>
        <patientRole>
            <id extension="160785-9739" root="2.16.840.1.113883.19.5"/>
            <patient>
                <name>
                    <given>Alain</given>
                    <family>Smith</family>
                </name>
                <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1"/>
                <birthTime value="19850716"/> 
            </patient>
            <providerOrganization>
                <id root="2.16.840.1.113883.19.5"/>
                <name>Good Health Clinic</name>
            </providerOrganization>
        </patientRole>
    </recordTarget>
    <author>
        <time value="20151117114330+0200"/>
        <assignedAuthor>
            <id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c"/>
            <assignedPerson>
                <name>
                    <prefix>Dr.</prefix>
                    <given>Robert</given>
                    <family>Dolin</family>
                </name>
            </assignedPerson>
            <representedOrganization>
                <id root="2.16.840.1.113883.19.5"/>
                <name>Good Health Clinic</name>
            </representedOrganization>
        </assignedAuthor>
    </author>
    <informant>
        <assignedEntity>
            <id nullFlavor="NI"/>
            <representedOrganization>
                <id root="2.16.840.1.113883.19.5"/>
                <name>Good Health Clinic</name>
            </representedOrganization>
        </assignedEntity>
    </informant>
    <custodian>
        <assignedCustodian>
            <representedCustodianOrganization>
                <id root="2.16.840.1.113883.19.5"/>
                <name>Good Health Clinic</name>
            </representedCustodianOrganization>
        </assignedCustodian>
    </custodian>
    <legalAuthenticator>
        <time value="20151117114330+0200"/>
        <signatureCode code="S"/>
        <assignedEntity>
            <id nullFlavor="NI"/>
            <representedOrganization>
                <id root="2.16.840.1.113883.19.5"/>
                <name>Good Health Clinic</name>
            </representedOrganization>
        </assignedEntity>
    </legalAuthenticator>
    <participant typeCode="IND">
        <associatedEntity classCode="GUAR">
            <id root="4ff51570-83a9-47b7-91f2-93ba30373141"/>
            <addr>
                <streetAddressLine/>
                <city/>
                <state/>
                <postalCode/>
            </addr>
            <telecom value="(tel:) "/>
            <associatedPerson>
                <name>
                    <given>Alfred</given>
                    <family>Smith</family>
                </name>
            </associatedPerson>
        </associatedEntity>
    </participant>
    <participant typeCode="IND">
        <associatedEntity classCode="NOK">
            <id root="4ac71514-6a10-4164-9715-f8d96af48e6d"/>
            <code code="66839005" codeSystem="2.16.840.1.113883.6.96" displayName="Father"/>
            <telecom value="(tel:) "/>
            <associatedPerson>
                <name>
                    <given>Alfred</given>
                    <family>Smith</family>
                </name>
            </associatedPerson>
        </associatedEntity>
    </participant>
    <documentationOf>
        <serviceEvent classCode="PCPR">
            <effectiveTime>
                <low value="20151117114330+0200"/>
                <high value="20151118103315+0200"/>
            </effectiveTime>
            <performer typeCode="PRF">
                <functionCode code="PCP" codeSystem="2.16.840.1.113883.5.88"/>
                <time>
                    <low value="1990"/>
                    <high value="20000407"/>
                </time>
                <assignedEntity>
                    <id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c"/>
                    <assignedPerson>
                        <name>
                            <prefix>Dr.</prefix>
                            <given>Robert</given>
                            <family>Dolin</family>
                        </name>
                    </assignedPerson>
                    <representedOrganization>
                        <id root="2.16.840.1.113883.19.5"/>
                        <name>Good Health Clinic</name>
                    </representedOrganization>
                </assignedEntity>
            </performer>
        </serviceEvent>
    </documentationOf>
    <!-- 
********************************************************
CDA Body
********************************************************
-->
    <component>
        <structuredBody>

            <!-- 
********************************************************
Problems section
********************************************************
-->
            <component>
                <section>
                    <templateId root="2.16.840.1.113883.10.20.1.11"/> <!-- Problem section template -->
                    <code code="11450-4" codeSystem="2.16.840.1.113883.6.1"/> 
                    <title>Problems</title> 
                    <text>
                        <table border="1" width="100%">
                            <thead>
                                <tr>
                                    <th>Condition</th>
                                    <th>Effective Dates</th>
                                    <th>Condition Status</th>
                                </tr>
                            </thead>
                            <tbody>
                                <tr>
                                    <td>Epilepsy</td>
                                    <td>Mar 22, 2005</td>
                                    <td>Active</td>
                                </tr>
                                <tr>
                                    <td>Pneumonia</td>
                                    <td>Jan 15, 2008</td>
                                    <td>Resolved</td>
                                </tr>
                                <tr>
                                    <td>Fracture of upper limb</td>
                                    <td>Jun 30, 2010</td>
                                    <td>Resolved</td>
                                </tr>
                            <tr id="c9d7faff-2992-41c9-baab-fb9849d9dd45">
                  <td>Respiratorytractinfection</td>
                  <td>Jun 15, 2014</td>
                  <td>Active</td>
                </tr>
              <tr id="e882a61d-da51-44e9-8d80-61ead72baa01">
                  <td>Respiratorytractinfection</td>
                  <td>Jun 15, 2014</td>
                  <td>Active</td>
                </tr>
              <tr id="58fce790-a4a7-4830-93ea-14b7d59095dc">
                  <td>Respiratorytractinfection</td>
                  <td>Jun 15, 2014</td>
                  <td>Active</td>
                </tr>
              <tr id="a0fd1b36-9668-4f94-a12e-d0ada0373d74">
                  <td>Respiratorytractinfection</td>
                  <td>Jun 15, 2014</td>
                  <td>Active</td>
                </tr>
              <tr id="a56940e3-e420-4e6b-87eb-b2a5d3b20537">
                  <td>Respiratorytractinfection</td>
                  <td>Jun 15, 2014</td>
                  <td>Active</td>
                </tr>
              <tr id="d98d7f49-d0df-49b7-a640-3c3fbabdc8c8">
                  <td>Respiratorytractinfection</td>
                  <td>Jun 15, 2014</td>
                  <td>Active</td>
                </tr>
              <tr id="04a91966-3d2d-44e0-9608-db612a71ec37">
                  <td>Respiratorytractinfection</td>
                  <td>Jun 15, 2014</td>
                  <td>Active</td>
                </tr>
              <tr id="71a7ecc2-5898-4623-b08f-ac9f57d10f8e">
                  <td>Respiratorytractinfection</td>
                  <td>Jun 15, 2014</td>
                  <td>Active</td>
                </tr>
              <tr id="d052662c-7c44-4904-93cf-2750d3c0985a">
                  <td>Respiratorytractinfection</td>
                  <td>Jun 15, 2014</td>
                  <td>Active</td>
                </tr>
              </tbody>
                        </table>
                    </text>
                    <entry typeCode="DRIV">
                        <act classCode="ACT" moodCode="EVN">
                            <templateId root="2.16.840.1.113883.10.20.1.27"/> <!-- Problem act template -->
                            <id root="6a2fa88d-4174-4909-aece-db44b60a3abb"/>
                            <code nullFlavor="NA"/>
                            <entryRelationship typeCode="SUBJ">
                                <observation classCode="OBS" moodCode="EVN">
                                    <templateId root="2.16.840.1.113883.10.20.1.28"/> <!-- Problem observation template -->
                                    <id root="d11275e7-67ae-11db-bd13-0800200c9a66"/>
                                    <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>                 
                                    <statusCode code="completed"/> 
                                    <effectiveTime>
                                        <low value="20050322"/>
                                    </effectiveTime>
                                    <value code="84757009" codeSystem="2.16.840.1.113883.6.96" displayName="Epilepsy" xsi:type="CD"/>
                                    <entryRelationship typeCode="REFR">
                                        <observation classCode="OBS" moodCode="EVN">
                                            <templateId root="2.16.840.1.113883.10.20.1.50"/> <!-- Problem status observation template -->
                                            <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
                                            <statusCode code="completed"/>
                                            <value code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" xsi:type="CE"/>
                                        </observation>
                                    </entryRelationship>
                                </observation>
                            </entryRelationship>
                        </act>  
                    </entry>

        </section>
            </component>

        </structuredBody>
    </component>
</ClinicalDocument>

現在,我找到了Everest框架來解析它(但是我不知道該框架是否是執行此操作的好框架)。 所以我有這段代碼來解析文件:

using (XmlStateReader xr = new XmlStateReader(XmlReader.Create(@"C:\Users\michele.castriotta\Desktop\document.xml")))
    {
    var fmtr = new XmlIts1Formatter();
    fmtr.ValidateConformance = false;
    fmtr.GraphAides.Add(new ClinicalDocumentDatatypeFormatter());
    var parseResult = fmtr.Parse(xr, typeof(ClinicalDocument));
    // There is a variable called structure which will contain your
    var cda = parseResult.Structure as ClinicalDocument;

    }

這段代碼有效,但是我不知道如何從ClinicalDocument Onject找到問題部分或其他部分

為什么不直接解析Xpaht? 我不了解Everest,但對我而言,使用XPath更簡單,更高效且與平台/編程語言無關。

以下是兩個示例查詢:-獲取所有部分文字:

//hl7:section/hl7:text/text()
  • 獲取問題部分:

    // hl7:section [hl7:code [@ code ='11450-4'和@ codeSystem ='2.16.840.1.113883.6.1']]]

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