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

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

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