medical coding in norway using fhir christer brinchmann, dips asa

Medical Coding in Norway using FHIR

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Christer Brinchmann, DIPS ASA

• Goal: Importing diagnoses and procedures to DIPS using FHIR• Norwegian profiles• Integration between DIPS and Partus• Partus: Maternity care solution by CSAM (csamhealth.com)• Early version deployed to test server• First production deployment to south east health region

(Helse Sør-Øst)• Production Q4 2015

The Project

Klikk for å legge inn bilde her• National and Regional Profiles:– HL7 Norway

• Procedure• Diagnosis• Operation Notes

– Helse Vest• Lab results

• «HL7 Norway Implementation Guide for FHIR»

• http://www.hl7.no/fhir/profiles/0.3/Chapter.1.Welcome/index.html

FHIR in Norway

• Diagnosis Reporting– Extends the FHIR resource Condition– Requires ICD-10 NO diagnosis code– Category coding which indicates main or sub diagnosis

• Procedure– Fixed values for procedure code: Norwegian surgical (NCSP) or medical

(NCMP)– ATC Code extension

• Patient– Identifier constraints (cardinality)

• Performer– Extends the FHIR resource Practitioner– Constraints on identifiers to match Norway (HPR no.)

FHIR in Norway

FHIR in Norway

– HL7 Norway initiative for FHIR– FHIR contains the required resources for this integration– Profile concept enables Norwegian requirements to be expressed– Built-in domain objects, serializers and formatters– Clear, easily available specification– Using contained resources, or resource references – freedom of

choice

FHIR in DIPS

• FHIR Layer: Mapping from FHIR resources to internal structures

• RESTful approach• Federated authentication and OAuth support in planning• Custom profile validator checks that resources adhere to

Norwegian profile specification (or any other profile XML)– Resources are validated upon reception– Cardinality– Fixed value

• Facilitate resource implementation by multiple teams

FHIR in DIPS

• Hosting connectathon• DSTU 2 compliance

FHIR in DIPS – Next Steps

Thank you for your attention.

DIPS ASAJernbaneveien 85

Bodø

Tel.: Tel.: (+47) 75 59 20 00www.dips.no

Tel.:

post@dips.no

Christer Brinchmann

(+47) 75 59 22 40

Senior Systems Developer