HL7v3, the vocabulary. Marc de Graauw

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1 HL7v3, the vocabulary

2 Just enough HL7 HL7 version 2 : currently used HL7v3: XML based Reference Information Model HL7v3 Message contains: medical payload Trigger Event Wrappers (Query Control etc.) Transmission Wrapper

3 HL7v3 Layered Model HTTP, SSL SOAP / Web Services HL7 Transmission Wrapper HL7 Query Control Wrapper HL7 Medical Data TCP lower protocol layers

4 HL7 Development Framework (HDF) Determine scope Storyboards Information Model Class Diagram Determine classes, attributes & associations Determine parties and processes Write storyboards Spec Storyboard State Diagram Restrict domains Determine state transitions Determine trigger events Determine interactions Determine application roles Interaction Model Interaction Diagram Message Design 2-nd Order 1 choice of 0-n Drug 0-1 Nursing TYPE MPSLOC CONTAINS { id[id].type IID nm[name].type ST ad[addr].type XAD ph[phon].type XTN _address [emladr].type XTN } Develop R-MIM Specificy HMDs Determine conformance claims

5 Storyboard Mevrouw Jansen komt langs bij apotheek De Gulle Gaper met een handgeschreven recept van haar huisarts Dr. van Beek. Het recept is voor 2x daags 1 tablet Diazepam 250 mg, gedurende 4 weken. De apotheker van de Gulle Gaper, Dr. Poeder, pakt een een doosje met 5 strips van 10 tabletten en voegt daar een 6e strip van tabletten aan toe. Het geheel van 60 tabletten Diazepam 250 mg wordt overhandigd aan mevr. Jansen, inclusief een bijsluiter en met het gebruiksvoorschrift (van de huisarts) op de verpakking.

6 RIM (Reference Information Model)

7 RIM (Reference Information Model) Backbone Act Relationship 0..* 0..* 1 1 Entity Role Participation Act 1 0..* 0..* 1 0..* 1 Organization Living Subject Material Place Health Chart Patient Guarantor Healthcare provider Insurer Practitioner Referral Transportation Supply Procedure Condition Node Consent Observation Medication Act complex Financial act

8 Medication D-MIM 0..1 scopedrolename CMET: (PAT) R_Patient [universal] (COCT_MT050000NL) subject typecode*: <= SBJ Prescription classcode*: <= SBADM moodcode*: <= RQO 0..1 patient * Medication Combined Order (PORX_RM932000NL) Voorschriftbericht MedicationAdministrationRequest classcode*: <= SBADM moodcode*: <= RQO effectivetime: GTS [0..1] dosequantity: IVL<PQ> [0..1] therapeuticagent / therapeuticagentof typecode*: <= TPA 0..* medicationadministrationrequest * 0..1 prescribedordispensedmedication author typecode*: <= AUT time: TS [0..1] 0..1 scopedrolename CMET: (ASSIGNED) R_AssignedPerson [identified/confirmable] (COCT_MT090102) 0..1 prescribedordispensedmedication directtarget / directtargetof typecode*: <= DIR 0..1 prescription Medication Dispense Event (PORX_924000NL) Verstrekkingsbericht 0..1 assignedperson * PrescribedOrDispensedMedication classcode*: <= _RoleClassPassive product / typecode*: productof <= PRD MedicationDispenseProcess classcode*: <= SPLY moodcode*: <= _ActMoodCompletionTrack quantity: PQ [0..1] expectedusetime: IVL<TS> [0..1] 0..1 prescribedordispensedmedication 1..1 player * 0..1 medicationdispenseprocess 0..1 assignedperson performer typecode*: <= PRF CMET: (MMAT) E_MedicationKind [universal] (COCT_MT720000) AssignedPerson classcode*: <= ASSIGNED 1..1 representedorganization * Organization classcode*: <= ORG determinercode*: <= INSTANCE

9 Interaction diagram Vragend systeem (bijv. apotheek A) Zorg Informatie Makelaar Bronsysteem (bijv. apotheek B) QURX_AR990110NL Medication Dispense Event Query Placer Medication Dispense Event via Care Information Broker Query (QURX_ST990012NL) QURX_AR990110NL Medication Dispense Event Query Placer QURX_AR990120NL Medication Dispense Event Query Fulfiller QURX_AR990120NL Medication Dispense Event Query Fulfiller QURX_IN990011NL Medication Dispense Event Query QURX_IN990011NL Medication Dispense Event Query QURX_IN990013NL Medication Dispense Event Query Response QURX_IN990013NL Medication Dispense Event Query Response

10 Refinement through Constraints

11 XML fragment

12 Person Healthcare

13

14 Person Healthcare De klasse Person heeft de volgende attributen: classcode determinercode id name administrativegendercode birthtime deceasedind deceasedtime multiplebirthind multiplebirthordernumber maritalstatuscode educationlevelcode PSN (Person) Een persoon (mens) INSTANCE Een specifiek persoon (individu) Persoonsnummer Naam Geslacht Geboortedatum (en evt. tijd) Overlijdensindicatie Overlijdensdatum (en evt. tijd) Meerlingindicatie Meerlingvolgnummer Burgerlijke staat Opleidingsniveau

15 Person Healthcare De klasse Person heeft de volgende associaties: Employment Beroep * ContactParty Contactpers(o)n(en) 0..1 PatientOfOtherProvider Relatie met de huisarts 0..1 Birthplace Geboorteplaats 0..* CoveredParty Zorgverzekering(en)

16 Identification

17 RIM (Reference Information Model) Act Relationship 0..* 0..* 1 1 Entity Role Participation Act 1 0..* 0..* 1 0..* 1 Organization Living Subject Material Place Health Chart Patient Guarantor Healthcare provider Insurer Practitioner Referral Transportation Supply Procedure Condition Node Consent Observation Medication Act complex Financial act

18 RIM Entities (Person, Organization, Medication) Roles (Registered Nurse, Anesthesia Resident) Participations (provider, recipient) Acts (administer, prescribe)

19 Identification in HL7 HL7v3 datatype Instance Identifier <patientid> <value extension=" " root=" "/> </patientid> roots are OID s (Object IDentifier) ITU-T ASN.1 hierarchy extension is local identification system in this case, BSN (social security number)

20 HL7 in the OID tree

21 A root OID HL7.org HL7 international affiliates HL7 Netherlands external id s AORTA application-id s root node app in hospital X prescription number within PIS

22 Identification in HL7

23 Identification in HL7

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