NL 2002 NICTIZ & Stichting HL7 Nederland HL7 Modeling Project for Perinatology Irma Jongeneel, HL7 the Netherlands NL.

NL

2002 NICTIZ & Stichting HL7 Nederland

HL7 Modeling Project for Perinatology

Irma Jongeneel,HL7 the Netherlands

NL

NL

2002 NICTIZ & Stichting HL7 Nederland

Agenda

• The project

• D-MIM Perinatology

• Conclusions

NL

2002 NICTIZ & Stichting HL7 Nederland

The project: sponsor

NICTIZ : recently established national institute for ICT in healthcare develops the information structure to support safe exchange of health information

NICTIZ sponsors the HL7 project office to run a pilot project with HL7 for Perinatology domain conceptual domainimplementation domain

NL

2002 NICTIZ & Stichting HL7 Nederland

The project: the domain

Pregnancy until 28th day after childbirth

• 1st line healthcare obstetrics (GP, midwife)• 2nd en 3rd line healthcare obstetrics (gynecologist)• neonatology (neonatologist)

PerinatologyPerinatology

NL

2002 NICTIZ & Stichting HL7 Nederland

The project: results so far

• Domain Information Model in the conceptual domain– Based on 10 ‘pathways’ and national registration system– Based on HL7 V3 Reference Information Model (RIM)

• Domain Message Information Model in the implementation domain– Overall object model as a base for system development

and message exchange

• Next quarter– Fully specify a referral message and implement it with 2

vendors.

NL

2002 NICTIZ & Stichting HL7 Nederland

Midwifes, GP’s, gynecologists, neonatologists, nursing, supporting departments

Project organization

Vendors

Program Management

NICTIZ

Panel International

HL7 Netherlands (project office)

Project team NICTIZ-HL7

Irma JongeneelTom de JongWilliam GoossenJos BaptistSevkan Cevirgen

Marcel Jonker

Bert KabbesRobert Stegwee e.a.

translator communicatorHans vd SlikkePathway Pathway

NL

2002 NICTIZ & Stichting HL7 Nederland

The project: the deliverables

• Domain Message Information Model (D-MIM) for the perinatology domain– As a base for system development– As a base for message specifications

• Specifications for information interchange– Application roles (well-defined responsibilities)

– Message specifications in the form of: • R-MIM’s• HMD’s• XML schema’s.

NL

2002 NICTIZ & Stichting HL7 Nederland

D-MIM Perinatology

• Different levels of models• Different episodes for

– Pregnancy– Delivery– Maternaty– Neonatal

• Every episode has specific findings & activities

NL

2002 NICTIZ & Stichting HL7 Nederland

NL

2002 NICTIZ & Stichting HL7 Nederland

NL

NL

2002 NICTIZ & Stichting HL7 Nederland

NL

2002 NICTIZ & Stichting HL7 Nederland

NL

2002 NICTIZ & Stichting HL7 Nederland

NL

2002 NICTIZ & Stichting HL7 Nederland

NL

2002 NICTIZ & Stichting HL7 Nederland

NL

2002 NICTIZ & Stichting HL7 Nederland

NL

2002 NICTIZ & Stichting HL7 Nederland

Conclusions

• The good news: the HL7 RIM seems fully sufficient to create the D-MIM for perinatology (classes and attributes).

• The bad news: Vocabulary domains are sometimes very hard to apply in practice.

NL

2002 NICTIZ & Stichting HL7 Nederland

• HL7 Netherlands is extending the current V3 products to a set of interactions and messages for a specific healthcare domain:– This process is therefore ahead of the current

content of V3 itself.– Is this potentially conflicting with the main

standardization process?– How are results from such a project fed back into the

main standard?

• This week presentation to the Patient Care WG

Feed back from HL7 org

NL

2002 NICTIZ & Stichting HL7 Nederland

Questions?