2016 11-17 - med mij and fhir - alexander henket
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Dutch Personal Health Environment Project a.k.a. MedMij
Alexander HenketHL7 Expert
2016-11-15
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MedMij• Cooperation between Dutch Ministry of
Health, Dutch Patient federation, Nictiz• Products and organizations carrying the MedMij
logo should be able to exchange health data safely and without interruption.
• People should be able to use these products safely.
• Data in these products should be comprehensible and accessible (without barriers) for anyone.
Dutch PHR Project a.k.a. MedMij
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R O O S D A L S T R A
a g e 54
w o r k s i n e d u c a t i o n
2 k i d sB a s & P i e n
s p o u s e J o o s t
a l w a y s b e e n f i t &h e a l t h y
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Architectural overview
Dutch PHR Project a.k.a. MedMij
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Healthcare Provider
Healthcare Provider
Health Information
Broker
AppStandard Y version
Z
Healthcare Provider
Standard Y version Z
Mp 6.12 / 9.0PHD
FHIR Medication
Mp 6.12 / 9.0
Health Information
Broker
INFRASTRUCTURE
Mp 6.12 / 9.0
AORTA / Zorgmail
/ XDS
FHIR Medication
FHIR Medication
Medication view
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Standardizing ourselves first• Language: English
• Dutch in alias
• Naming conventions for StructureDefinitions, Extensions, ValueSets (etc.)
• Logical Model <> Profile binding• Closed versus Open profiling
Dutch PHR Project a.k.a. MedMij
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Relation to affiliate HL7 NL• Nictiz signed agreement with HL7 NL
Dutch PHR Project a.k.a. MedMij
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Relationship LM <> Profile CBB Profile
Patient Patient (HL7 NL)Zorgaanbieder Organization (HL7 NL)Zorgverlener Practitioner (HL7 NL)AllergieIntolerantie AllergyIntoleranceOverdrachtLaboratoriumUitslag Observation / DiagnosticReport / SpecimenMP9 Medicatieafspraak MedicationOrderMP9 Verstrekkingsverzoek MedicationOrderMP9 Product MedicationMP9 Toedieningsafspraak MedicationAdministrationMP9 Toediening MedicationAdministrationMP9 Verstrekking MedicationDispenseMP9 Medicatiegebruik MedicationStatement
Dutch PHR Project a.k.a. MedMij
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Relation CCBs: AllergyIntolerance
Dutch PHR Project a.k.a. MedMij
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Lessons/issues• Many dispersed stakeholder groups• Many ‘competing’ FHIR initiatives• Many existing standards • Many terminologies• Many levels to bring together under one
umbrella
• Kickstart environments / Validation / Certification / Connectathon / …
Dutch PHR Project a.k.a. MedMij
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Questions
Dutch PHR Project a.k.a. MedMij
Alexander HenketHL7 Expert
www.nictiz.nl
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Links• http://www.medmij.nl/• https://www.simplifier.net/Nictiz• https://
www.nictiz.nl/ehealth/programma-patientparticipatie
• https://informatiestandaarden.nictiz.nl/wiki/FHIR_Profiling_Guidelines
Dutch PHR Project a.k.a. MedMij