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

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2002 NICTIZ & Stichting HL7 Nederland

HL7 Modeling Project for Perinatology

Irma Jongeneel,HL7 the Netherlands

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Agenda

• The project

• D-MIM Perinatology

• Conclusions

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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

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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

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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.

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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

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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.

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D-MIM Perinatology

• Different levels of models• Different episodes for

– Pregnancy– Delivery– Maternaty– Neonatal

• Every episode has specific findings & activities

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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.

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• 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

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Questions?

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

Documents

hl7 org slide

hl7 rim

hl7 project office

netherlands nl slide

sponsor nictiz

domain information model

pilot project

domain pregnancy