National Extension
Note：Sentences written in red denote difference in JAHIS

v2..3 and IHE.

Sentences written in blue should be confirmed by JAHIS.
IHE Japan
Information exchange between Hospital Information System and Radiology
Information System is defined in Radiology Data Exchange Standard v.2.3(http://www.jahis.jp/wp-content/uploads/st08-004.pdf) issued by Japanese Association ofHealthcare Information System Industry (RDES by JAHIS), which is adopted as one of
the national standards by the Ministry of Health, Labor and Welfare of Japan.
Following descriptions are based on RDES by JAHIS.
Referenced Standards
IHE Japan depends on HL7 v2.5 and DICOM 3.0.

Thus IHE Radiology

Technical Framework, Revision 11 (July 24, 2012) with HL7 v2.5.1 Option is required inJapan.
HL7 v2.3 is neither supported nor needed except for OSQ/OSR.

Thesemessages will be deleted from revised version of RDES by JAHIS because removal ofOSQ/OSR is explicitly written in RDES by JAHIS v2.3.
Character set codes
All transactions of HL7 shall support two-byte characters. ASCII character setcode (ISO IR6) shall be employed for single-byte characters. Japan Industrial StandardKanji code (ISO IR87) shall be employed for two-byte characters. Thus backslash isreplaced with “\”. Escape character is “\” under the ISO IR87. MSH-18 shall be "ISOIR87".
Escape sequence

Expression

meaning

IHE\F\

Field separator|\S\Component separator^\T\

Subcomponent separator &\R\Repetition separator-\E\Escape character\JIS –X0202 (ISO/IEC 2022-1994) shall switch among groups of characters in thecharacter set, e.g., Kanji (Chinese letter), Hiragana, Katakana, and alphabet. MSH-20
shall be "ISO 2022-1994".

ISO IR13 shall not be used. Use of ISO IR159 is not recommended. Characters
not defined in ISO IR87 shall be replaced with characters of similar shape (andpreferably same pronunciation), or phonetic characters (Hiragana or Katakana) coding
the same pronunciation.
PID segment mapping
PID-5: Legal name, name appeared in the national registry, is preferred. Name written
in Katakana is required. Name in Kanji and Alphabet is recommended to be used.
Order of name expressions in Katakana, Kanji, and alphabet is irrelevant.
Example: Yamada^ Tarou^^^^^L^A~山田^太郎^^^^^L^|~ヤマダ^タロウ^^^^^L^P
In this example, Name expressions in Alphabet, Kanji and Katakana appeared in order.

PID-11: Generally "Si" or “Shi” is mapped to <City> (Component 3). Exceptions are "Ku"of Tokyo, Osaka and Kyoto, which are also mapped to <City> (Component 3). Other"Ku" under "Si" or “Shi” is included in <Street address> (Component 1).
"Ken", which means prefecture, "To" (only Tokyo), "Hu" (only both Kyoto and Osaka) and"Dou" (only Hokkaidou) are mapped to <State or Province> (Component 4).
Component 8, <Other Geographic Designation> shall be used where there is no
separation of street address and city.
PID-13, PID-14: Use component 12 <Unformatted Telephone Number> for phone
number.
PID-12, PID-15, PID-17, PID-19, PID-20, PID-22, PID-24, OID-25, PID-26, PID-27,PID-35, PID-36, PID-37, PID-38, PID-39 :Not used.

PV1 segment mappingPV1-2: Same as HL7 definition.
PV1-3: Component 6 <person location type> is C, which denotes that a patient is in
outpatient clinic, or D, which means that a patient is in a certain department such asradiology, laboratory medicine etc., for outpatients. N is used for inpatients.
PV1-10: Clinics where a patient receives care. This component is somewhat different
concept from that of PV1-10 (hospital service) in IHE, but very close (and equal in
majority of cases). ORC-17 (Entering Organization) will have the same value as PV1-10

when an enterer is a doctor.
Examples of PV1-10 values: Internal Medicine, Pediatrics, Orthopedics, Surgery,
Dermatology,Radiology, Laboratory Medicine.

Message Control

Opening block before MSH segment of a message shall be omitted. Message
types utilized in transactions are indicated in a following table.

Message definition
Patient Query
Feed Patient Status

Message type
QRY/ADRTrigger event

Event typeＱ uery for a patient

A19Admission

A01

Transfer

A02

Discharge

A03

Register/Update

A08

Leave for absence

A21

Return from Leave

A22

Cancel admission

A11

Cancel Transfer

A12

ADT/ACK

Cancel Discharge

A13

Update Patient

A31

Cancel Leave

A52

Cancel Return

A52

Order Status Query*OSQ/QSR

Query for Order Status

Q06

Imaging service
requestProcedure
Notification
Query for results

OMG/ORG

General Order Message

O19/O20

OMI/ORI

Imaging Order Message

O23/O24QRY/ORFQRY/ORF

R02, R04

Arrival Notification

ORU/ACK

Order Result Message

R01

Performed
Procedure

OMI/ORI

Imaging Order Message

Z23/Z24* OSQ/QSR will be deleted in the next version of JAHIS radiology Data Exchange Standards

Optionality of segment components of a message
Optionality is defined as follows.

HL7
RO
CX
B

IHE-J
ROCX
B
N

Description
RequiredOption
Conditioned
Not supported
Backward Compatibility
Ordinary not used

摘要必須任意条件付
使用不可
旧版対応
通常使用しない（施設内でのみ使用）

Usage of AL1 segment
Allergy information of AL1 may be left blank enabling omission of AL1 segmentfrom a message. However, allergy information shall be conveyed as an item of patient
profiles in OBX segment defined in the Table JSHR001.
Table JSHR001
Value

Description

Translation

01-01

身長

Body height (cm)

01-02

体重

Body weight (kg)01-03

ＡＢＯ式血液型

ABO blood tyoe

02-01

造影剤副作用

02-02

気管支喘息

Asthma

02-03

腎機能傷害

Renal dysfunction

02-04

胃部の手術

Past history of gasgtric surgery

02-05

大腸の手術歴Past history of colonic surgery

02-06

胆嚢の手術歴02-07

Past history of adverse reaction
to contrast media

Past history of gall bladdersurgery

そ の 他 の 腹 部 の 手 Past history of other abdominal
術歴

surgery

02-08

体内ペースメーカ Implanted pacemaker

02-09

体内金属

Metal in the body

03-01

HBs 抗原

HBs antigen

03-02

HCV 抗体HCV antibody

03-03

TPHA 法

TPHA

03-04

STS 法

STS

03-05

ツ反PPD

03-06

TB 塗沫

TB smear

03-07

TB 培養

TB culture

03-08

HIV 抗体HIV antibody

03-09

HTLV-1 抗体

HTLV-1 antibody

03-10

MRSA

MRSA

03-11

クレアチニン値

Creatinine

03-12

BUN 値

BUN

04-01

聴覚障害

Hearing impairement

04-02

視覚障害Visuzl impairment

04-03

言語障害

Speech disturbance

04-04

運動障害

Motor dysfunction

04-05

意識障害

Consciousness disturbanceTime Stamp
Date and time shall be determined and expressed by Japan Standard Time.
Offset from World Standard Time may not be sent. There is no time difference within
the territory of Japan.
Usage of TQ segment
Only TQ-9 is required. Others are not used. Priority code is defined in theRDES by JAHIS as follows.

CodeDescription

摘要

S

Urgent, with the highest priority

緊急A

As soon as possible

Ｓオーダの後R

Routine

ルーチン

P

Preoperative patient, fulfill an order before the planned dateof surgery

術前CCallback

返信(呼び戻し)T

Timing is critical. Fulfill order at the specified timing.

時期厳守PRNAs needed. Fulfill order when condition is met. The condition
must be defined by an ordering provider beforehand.

要に応じて

*Note
IHE defines priority code as follows and does not allow addition of codes.

Addition of new segment for detailed information exchange
Detailed billing and material information is conveyed by ZRD segment in OBX,
and by ZE1 and ZE2 segments in OMI message with event type of O23.

Thesesegments and event type are defined in RDES by JAHIS v2.3 as a national standard ofJapan.

1. ZRD segment
ZRD segment conveys the information of drug and film used in a procedure
performed at an acquisition modality.

ZRD segment comprisedofsix

components: <identifier (ST)>^<text (ST)>^<name of coding system (IS)>^<quantity(NM)>^<unit (CWE)>^<film partition number (NM)>. The component of <unit> have
five subcomponents; <identifier>^<text>^<name of coding system>^<alternativetext>^<alternative coding system>.
IHE-JrecommendsHOTcodingsystem(http://www2.medis.or.jp/master/hcode/) for identifier of drug since the coding system is
one of the national standards of Ministry of Health, Labor and Welfare of Japan.
Identifier of unit of drug dose is defined in the RDES by JAHIS as in thefollowing table. Name of the coding system, which is spelled fully as MERRIT-9 v1.1,
shall be “MR9P”.
Table: Unit of drug dose (MERRIT-9 v1.1)

Value

Description

摘要

TAB

Tablet錠

CAP

Capsule

カプセル

G

gram

グラム

MG

milligram

ミリグラム

MCG

microgram

マイクログラムL

litterリットル

ML

mililitter

ミリリットル

UNT

unit単位

AMP

ampule

アンプル

BAG

bags袋BTL瓶

PCKbottle
unit for counting drug shaped as stick, or supplied in astick-like container
unit for counting shaped object not listed otherwise, orsupplied in a container not otherwise specified
PackSHTSheet

毎VIL

Vial

バイアルHON
KO本個包2. ZE1, ZE2 segments
ZE1 and ZE2 segments and event type of O23 are created for use in OMI
message to convey billing and material information.
Property of ZE1 is tabulated below.
SEQLENDT

OPTJapan

RP/#TBL#ITEM#ELEMENT
MAME

14SIO

ZE-1

Set Id220ISRZE-2Control code

3483

CWE

R

ZE-3

Procedure

416

NMO

ZE-4

Numberofprocedures
5483

CWE

0ZE-5

Billing info.

6292

JCCC

ZE-6

Healthcare
practitioner
category

73002

XCNO

Y

ZE-7

Healthcare
practitioner

820

ISC

ZE-8

Material
category

9250

ZRD

O

Y

ZE-9

Materria
lused

10850

XTN

O

ZE-10

Contact info.

11199

STO

ZE-11

Performed
commentfield

12199

XTO

ZE-12

Billingcomment
field

Optionality
R – Required
O – Optional
C – Conditional on the trigger event or on some other field(s).
X – Not used with this trigger event
B – Left for backward compatibility with previous version of HL7
N – Not used usually. Use only within an institution

NoteRepetitionY – the field may be repeated indefinitely or specified times(Integer) – Repeat the field up to the times as specified by the integer

Value defined in Table JSHR003 shall be used for ZE1-2-Control Code.
Values defined in Table JSHR004 and Table JSHR005 shall be used for
ZE1-6-Healthcare Practitioner Category.
Value defined in Table JSHR006 shall be used for ZE1-8-Material Category.

TableJSHR003 Control Code

Value
PLRS

Description
Procedure planned, not yet done
Procedure completed

摘要
予定実績

Table JSHR004 Healthcare Practitioner Job Code
Value

Description

摘要

NoteSame as
OBR-16,
ORC-12(OrderingProvider)
Different
from OBR34(Scheduledperformingphysician'sname)

DR-01

Order providing依頼医
doctor

DR-02

Doctoractually
performed a 実施医
procedure

DR-03
TC-01
NS-01
NS-02
NS-03

Anesthesiologist
麻酔科医Technician 技師
Nurse
看護師
Attending Nurse
付添い看護師
Midwife
助産部

Table JSHR005 Healthcare Practitioner Employment Status
Value
EM-01
EM-02
EM-03

Description
Full-time employee
Part-time employee
Temporary employee

摘要
正従業員
契約従業員
臨時従業員

Table JSHR006 Material Category
Value
DE-01
DE-02
DE-03
DE-04
DE-05

Description
Film
Drug
Instrument
Healthcare material
Acquisition modality

摘要
フィルム
薬品
器財
材料
撮影装置

Property of ZE2 is tabulated below.
SEQ

ELEMENT NAME

NOTE

1Set ID

1 (Equal to Set ID of ZE1)

2

Tube voltage

3

Tube current

4

Distance

5

Time

User defined tables for OBX segment
User defined tables are elaborated for transmitting detailed information.
Information not listed in the HL7 predefined tables may be transmitted by codes shownin the following tables in OBX segment of ordering messages. Allergy information
shall be described in this segment.
*Note: OBR-13-Relevant Clinical Info is used in IHE for transmitting the same kind ofinformation described in Table JSHR001 and JSHR002. Also AL1 is used to transmit
allergy information in IHE.
Table JSHR001
Value

Description

Translation

01-01

身長

Body height (cm)

01-02

体重

Body weight (kg)01-03

ＡＢＯ式血液型

ABO blood tyoe

02-01

造影剤副作用

02-02

気管支喘息

Asthma02-03

腎機能傷害Renal dysfunction

02-04

胃部の手術

Past history of gasgtric surgery

02-05

大腸の手術歴Past history of colonic surgery

02-06

胆嚢の手術歴Past history of gall bladder surgery

02-07

その他の腹部の手術歴

Past history of other abdominal surgery

02-08

体内ペースメーカ

Implanted pacemaker

Past history of adverse reaction to contrast
media

02-09体内金属

Metal in the body

03-01

HBs 抗原

HBs antigen

03-02

HCV 抗体HCV antibody

03-03

TPHA 法

TPHA

03-04

STS 法

STS

03-05

ツ反PPD

03-06

TB 塗沫

TB smear

03-07

TB 培養

TB culture

03-08

HIV 抗体HIV antibody

03-09

HTLV-1 抗体

HTLV-1 antibody

03-10

MRSAMRSA

03-11クレアチニン値

Creatinine

03-12

BUN 値

BUN

04-01

聴覚障害

Hearing impairment

04-02

視覚障害

Visual impairment

04-03

言語障害

Speech disturbance

04-04

運動障害

Motor dysfunction

04-05

意識障害

Consciousness disturbance

Table

JSH002 Observation value

Value
0
1
2
3
4
USV

Description
negative test result
equivocal
positive test resultmoderately positive
strongly positive
not tested
Severe摘要
擬陽性＋＋＋＋＋＋
不明
重度