HL7%20Modeling%20Project%20for%20Perinatology

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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 domain
• implementation domain

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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)

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

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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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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

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Questions?