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HL7 Modeling Project for Perinatology

NL. HL7 Modeling Project for Perinatology. Irma Jongeneel, HL7 the Netherlands. Agenda. The project D-MIM Perinatology Conclusions. The project: sponsor.

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HL7 Modeling Project for Perinatology

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  1. NL HL7 Modeling Project for Perinatology Irma Jongeneel,HL7 the Netherlands

  2. Agenda • The project • D-MIM Perinatology • Conclusions

  3. 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 domain • implementation domain

  4. The project: the domain Perinatology • Pregnancy until 28th day after childbirth • 1st line healthcare obstetrics (GP, midwife) • 2nd en 3rd line healthcare obstetrics (gynecologist) • neonatology (neonatologist)

  5. 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.

  6. Project organization Program Management NICTIZ Marcel Jonker Vendors Panel International HL7 Netherlands (project office) Robert Stegwee e.a. Bert Kabbes Project team NICTIZ-HL7 Irma Jongeneel Tom de Jong William Goossen Jos Baptist Sevkan Cevirgen translator communicator Hans vd Slikke Pathway Pathway Midwifes, GP’s, gynecologists, neonatologists, nursing, supporting departments

  7. 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.

  8. D-MIM Perinatology • Different levels of models • Different episodes for • Pregnancy • Delivery • Maternaty • Neonatal • Every episode has specific findings & activities

  9. NL

  10. 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.

  11. Feed back from HL7 org • 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

  12. Questions?

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