MedMij:V2017.01 FHIR IG - Bewerkingsoverzicht

Maarten Ligtvoet: Tekst vervangen - "{{#customtitle:" door "{{DISPLAYTITLE:"

2020-07-20T01:12:11Z

Tekst vervangen - "{{#customtitle:" door "{{DISPLAYTITLE:"

← Oudere versie		Versie van 20 jul 2020 01:12
Regel 1:		Regel 1:
	{{~~#customtitle~~:MedMij FHIR Implementation Guide, version 2017.01}}		{{DISPLAYTITLE:MedMij FHIR Implementation Guide, version 2017.01}}
	{{IssueBox\|A newer version is available, see https://informatiestandaarden.nictiz.nl/wiki/MedMij:Vcurrent_FHIR_IG}}		{{IssueBox\|A newer version is available, see https://informatiestandaarden.nictiz.nl/wiki/MedMij:Vcurrent_FHIR_IG}}

Ardon Toonstra: /* Release Notes */

2018-04-03T09:35:51Z

Release Notes

← Oudere versie		Versie van 3 apr 2018 09:35
Regel 115:		Regel 115:
	! Version !! Date !! Notes		! Version !! Date !! Notes
	\|-		\|-
	\| [[MedMij:V2017.01_FHIR_IG\|2017.01]] \|\| 2017-10-02 \|\| Initial version containing Patient Administration Resources, Patient Summary (BgZ), ~~Medication, Laboratory results, AllergyIntolerance, Self-measurements~~		\| [[MedMij:V2017.01_FHIR_IG\|2017.01]] \|\| 2017-10-02 \|\| Initial version containing Patient Administration Resources, Patient Summary (BgZ),
	\|}		\|}

Ardon Toonstra: /* Contact */ Added Release Notes

2018-04-03T09:29:34Z

Contact: Added Release Notes

← Oudere versie		Versie van 3 apr 2018 09:29
Regel 109:		Regel 109:

	chat.fhir.org		chat.fhir.org

			=Release Notes=

			{\| class="wikitable"
			! Version !! Date !! Notes
			\|-
			\| [[MedMij:V2017.01_FHIR_IG\|2017.01]] \|\| 2017-10-02 \|\| Initial version containing Patient Administration Resources, Patient Summary (BgZ), Medication, Laboratory results, AllergyIntolerance, Self-measurements
			\|}

Ardon Toonstra op 13 dec 2017 om 09:44

2017-12-13T09:44:09Z

← Oudere versie		Versie van 13 dec 2017 09:44
Regel 1:		Regel 1:
	{{#customtitle:MedMij FHIR Implementation Guide, version 2017.01}}		{{#customtitle:MedMij FHIR Implementation Guide, version 2017.01}}
			{{IssueBox\|A newer version is available, see https://informatiestandaarden.nictiz.nl/wiki/MedMij:Vcurrent_FHIR_IG}}

	[[Bestand:MedMij2.png \|link=https://www.medmij.nl/\|rechts\|Naar medmij.nl]]		[[Bestand:MedMij2.png \|link=https://www.medmij.nl/\|rechts\|Naar medmij.nl]]

Ahenket op 7 nov 2017 om 20:15

2017-11-07T20:15:16Z

← Oudere versie		Versie van 7 nov 2017 20:15
Regel 23:		Regel 23:

	* Patient Administration Resources		* Patient Administration Resources
	* Patient Summary (~~BGZ~~)		* Patient Summary (BgZ)
	* Medication		* Medication
	* Laboratory results		* Laboratory results
	* Self-measurements		* Self-measurements

	The FHIR profiles created based on the Dutch Patient Summary, or ~~BGZ~~ ([[#Background\|see background]] for more information), can be used more broadly than only exchanging a patient's summary.		The FHIR profiles created based on the Dutch Patient Summary, or BgZ ([[#Background\|see background]] for more information), can be used more broadly than only exchanging a patient's summary.

	==Background==		==Background==
Regel 36:		Regel 36:
	Information standards have a functional and technical component. The functional part contains definitions of appropriate concepts (dataset) and scenario’s that define when to exchange which of those concepts. MedMij will not create new functional components of information standards. The technical part translates the functional scenario’s in an exchange format (such as HL7v3 or FHIR). MedMij does make it possible to use a new exchange format: FHIR.		Information standards have a functional and technical component. The functional part contains definitions of appropriate concepts (dataset) and scenario’s that define when to exchange which of those concepts. MedMij will not create new functional components of information standards. The technical part translates the functional scenario’s in an exchange format (such as HL7v3 or FHIR). MedMij does make it possible to use a new exchange format: FHIR.

	A different program, named ‘Registratie aan de bron’ (Data capture at the point of Care), has defined Health and Care Information models (zorginformatiebouwstenen or ZIB's) for The Netherlands. ZIB's contain definitions of healthcare concepts. Next to these ZIB's, the program ‘Registratie aan de bron’ also made a selection of these ZIB's into the so called ‘Basisgegevensset Zorg’ (Common Clinical Dataset, a Dutch version of a ‘patient summary’, further referred to as ~~‘BGZ’~~). The ~~BGZ~~ serves as a minimal healthcare dataset that is always appropriate for caregivers in order to provide continuity of care for a patient.		A different program, named ‘Registratie aan de bron’ (Data capture at the point of Care), has defined Health and Care Information models (zorginformatiebouwstenen or ZIB's) for The Netherlands. ZIB's contain definitions of healthcare concepts. Next to these ZIB's, the program ‘Registratie aan de bron’ also made a selection of these ZIB's into the so called ‘Basisgegevensset Zorg’ (Common Clinical Dataset, a Dutch version of a ‘patient summary’, further referred to as ‘BgZ’). The BgZ serves as a minimal healthcare dataset that is always appropriate for caregivers in order to provide continuity of care for a patient.

	MedMij uses the ~~BGZ~~ as the starting point for the functional part of the information standards that are part of MedMij. This means that every MedMij information standard is mapped to ZIB's, which are also in scope of ~~BGZ~~. The ~~BGZ~~ does not always use the complete ZIB. MedMij information standards, however, will use the full ZIB, so as to enable context-free implementation. This enables interoperability for health information.		MedMij uses the BgZ as the starting point for the functional part of the information standards that are part of MedMij. This means that every MedMij information standard is mapped to ZIB's, which are also in scope of BgZ. The BgZ does not always use the complete ZIB. MedMij information standards, however, will use the full ZIB, so as to enable context-free implementation. This enables interoperability for health information.

	The stakeholders in MedMij have chosen to introduce FHIR as a modern standard to exchange information in MedMij. MedMij delivers a FHIR representation for each domain in [[#Scope]]. However, as noted before, already implemented standards may be part of MedMij as well. Just like the already implemented standards, FHIR is mapped to the ZIB's.		The stakeholders in MedMij have chosen to introduce FHIR as a modern standard to exchange information in MedMij. MedMij delivers a FHIR representation for each domain in [[#Scope]]. However, as noted before, already implemented standards may be part of MedMij as well. Just like the already implemented standards, FHIR is mapped to the ZIB's.
Regel 52:		Regel 52:

	=Use Cases=		=Use Cases=
	Functional explanation of MedMij use cases are described in more detail [[MedMij:V2017.01_Ontwerpen\|here (Dutch)]]. This IG will narrow down to the technical FHIR implementation guidance of these use cases. From here you can link to a specific use case. This current publication contains only the ~~BGZ~~ use case.		Functional explanation of MedMij use cases are described in more detail [[MedMij:V2017.01_Ontwerpen\|here (Dutch)]]. This IG will narrow down to the technical FHIR implementation guidance of these use cases. From here you can link to a specific use case. This current publication contains only the BgZ use case.



	{\|		{\|
	! [[Bestand:BGZ_icoon.png \|link=MedMij:V2017.01_FHIR_BGZ \|128px\|Patient Summary (~~BGZ~~)]]		! [[Bestand:BGZ_icoon.png \|link=MedMij:V2017.01_FHIR_BGZ \|128px\|Patient Summary (BgZ)]]
	! [[Bestand:Medication-gray.png\|link= \|128px\|Medication process]]		! [[Bestand:Medication-gray.png\|link= \|128px\|Medication process]]
	! [[Bestand:Self-Measurements-gray.png \|link=\|132px \|Self-Measurements]]		! [[Bestand:Self-Measurements-gray.png \|link=\|132px \|Self-Measurements]]
Regel 77:		Regel 77:

	====Patient Summary====		====Patient Summary====
	The [https://www.registratieaandebron.nl/pdf/Basisgegevensset_Zorg_v1_0.pdf Basisgegevensset Zorg 1.0](~~BGZ~~) covers a subsection of selected information concepts within 26 ZIBs of the 2015 release. The ~~BGZ~~ can be seen as representation of a patient summary. MedMij created FHIR profiles that represent these 26 ZIBs completely, if no existing and usable profiles were available. The profiles represent their entire respective ZIB, to make them applicable in a broader context than a patient summary or a MedMij context. An example for reuse of existing profiles are those of the patient administration resources and vital signs, which will be described in more detail below.		The [https://www.registratieaandebron.nl/pdf/Basisgegevensset_Zorg_v1_0.pdf Basisgegevensset Zorg 1.0](BgZ) covers a subsection of selected information concepts within 26 ZIBs of the 2015 release. The BgZ can be seen as representation of a patient summary. MedMij created FHIR profiles that represent these 26 ZIBs completely, if no existing and usable profiles were available. The profiles represent their entire respective ZIB, to make them applicable in a broader context than a patient summary or a MedMij context. An example for reuse of existing profiles are those of the patient administration resources and vital signs, which will be described in more detail below.

	Profiles:'''[[MedMij:V2017.01_FHIR_BGZ#List_of_StructureDefinitions\|Patient Summary / ~~BGZ~~]]'''		Profiles:'''[[MedMij:V2017.01_FHIR_BGZ#List_of_StructureDefinitions\|Patient Summary / BgZ]]'''

	====Medication Process====		====Medication Process====
Regel 87:		Regel 87:

	====Vital Signs / Self-Measurements ====		====Vital Signs / Self-Measurements ====
	The ~~BGZ~~ includes blood pressure, body height and body weight as vital signs. For this purpose, MedMij uses the official HL7 profiles designed and published for vital signs. HL7 designed these profiles because vital signs is one of the first areas where there is a need for a single, global vocabulary to allow for ubiquitous access and re-use. Moreover, vital sign information is increasingly used in wearables by patients where they want to/need to share information from those devices. MedMij uses all the vital signs profiles published by HL7 that have a corresponding ZIB.		The BgZ includes blood pressure, body height and body weight as vital signs. For this purpose, MedMij uses the official HL7 profiles designed and published for vital signs. HL7 designed these profiles because vital signs is one of the first areas where there is a need for a single, global vocabulary to allow for ubiquitous access and re-use. Moreover, vital sign information is increasingly used in wearables by patients where they want to/need to share information from those devices. MedMij uses all the vital signs profiles published by HL7 that have a corresponding ZIB.

	Profiles:'''[[MedMij:V2017.01_FHIR_VitalSigns#List_of_StructureDefinitions\|Vital Signs / Self-Measurements]]'''		Profiles:'''[[MedMij:V2017.01_FHIR_VitalSigns#List_of_StructureDefinitions\|Vital Signs / Self-Measurements]]'''

Ardon Toonstra: /* Contact */

2017-10-02T15:54:29Z

Contact

← Oudere versie		Versie van 2 okt 2017 15:54
Regel 95:		Regel 95:
	'''MedMij'''		'''MedMij'''

	W: http://www.medmij.nl ~~(Dutch)~~		W: http://www.medmij.nl

	E: standaarden@medmij.nl		E: standaarden@medmij.nl
Regel 101:		Regel 101:
	'''Nictiz'''		'''Nictiz'''

	W: ~~Meer Regie over Gezondheid (Dutch)~~		W: https://www.nictiz.nl

	T: +31-70 317 3450		T: +31-70 317 3450

Ardon Toonstra: /* Contact */

2017-10-02T15:51:39Z

Contact

← Oudere versie		Versie van 2 okt 2017 15:51
Regel 94:		Regel 94:

	'''MedMij'''		'''MedMij'''

	W: http://www.medmij.nl (Dutch)		W: http://www.medmij.nl (Dutch)

	E: standaarden@medmij.nl		E: standaarden@medmij.nl

	'''Nictiz'''		'''Nictiz'''

	W: Meer Regie over Gezondheid (Dutch)		W: Meer Regie over Gezondheid (Dutch)

	T: +31-70 317 3450		T: +31-70 317 3450

	'''FHIR Discussions'''		'''FHIR Discussions'''

	chat.fhir.org		chat.fhir.org

Ardon Toonstra: /* Profiles */

2017-10-02T15:51:05Z

Profiles

← Oudere versie		Versie van 2 okt 2017 15:51
Regel 90:		Regel 90:

	Profiles:'''[[MedMij:V2017.01_FHIR_VitalSigns#List_of_StructureDefinitions\|Vital Signs / Self-Measurements]]'''		Profiles:'''[[MedMij:V2017.01_FHIR_VitalSigns#List_of_StructureDefinitions\|Vital Signs / Self-Measurements]]'''

			=Contact=

			'''MedMij'''
			W: http://www.medmij.nl (Dutch)
			E: standaarden@medmij.nl

			'''Nictiz'''
			W: Meer Regie over Gezondheid (Dutch)
			T: +31-70 317 3450

			'''FHIR Discussions'''
			chat.fhir.org

Ardon Toonstra op 2 okt 2017 om 11:27

2017-10-02T11:27:48Z

← Oudere versie		Versie van 2 okt 2017 11:27
Regel 36:		Regel 36:
	Information standards have a functional and technical component. The functional part contains definitions of appropriate concepts (dataset) and scenario’s that define when to exchange which of those concepts. MedMij will not create new functional components of information standards. The technical part translates the functional scenario’s in an exchange format (such as HL7v3 or FHIR). MedMij does make it possible to use a new exchange format: FHIR.		Information standards have a functional and technical component. The functional part contains definitions of appropriate concepts (dataset) and scenario’s that define when to exchange which of those concepts. MedMij will not create new functional components of information standards. The technical part translates the functional scenario’s in an exchange format (such as HL7v3 or FHIR). MedMij does make it possible to use a new exchange format: FHIR.

	A different program, named ‘Registratie aan de bron’ (Data capture at the point of Care), has defined ~~clinical building blocks~~ (zorginformatiebouwstenen or ZIB's) for The Netherlands. ~~Clinical building blocks~~ contain definitions of healthcare concepts. Next to these ~~clinical building blocks~~, the program ‘Registratie aan de bron’ also made a selection of these ~~clinical building blocks~~ into the so called ‘Basisgegevensset Zorg’ (Common Clinical Dataset, a Dutch version of a ‘patient summary’, further referred to as ‘BGZ’). The BGZ serves as a minimal healthcare dataset that is always appropriate for caregivers in order to provide continuity of care for a patient.		A different program, named ‘Registratie aan de bron’ (Data capture at the point of Care), has defined Health and Care Information models (zorginformatiebouwstenen or ZIB's) for The Netherlands. ZIB's contain definitions of healthcare concepts. Next to these ZIB's, the program ‘Registratie aan de bron’ also made a selection of these ZIB's into the so called ‘Basisgegevensset Zorg’ (Common Clinical Dataset, a Dutch version of a ‘patient summary’, further referred to as ‘BGZ’). The BGZ serves as a minimal healthcare dataset that is always appropriate for caregivers in order to provide continuity of care for a patient.

	MedMij uses the BGZ as the starting point for the functional part of the information standards that are part of MedMij. This means that every MedMij information standard is mapped to ~~clinical building blocks~~, which are also in scope of BGZ. ~~Sometimes the~~ BGZ does not use ~~a full clinical building block~~. MedMij information standards will use the full ~~clinical building block~~, so as to enable context-free implementation. This enables interoperability for health information.		MedMij uses the BGZ as the starting point for the functional part of the information standards that are part of MedMij. This means that every MedMij information standard is mapped to ZIB's, which are also in scope of BGZ. The BGZ does not always use the complete ZIB. MedMij information standards, however, will use the full ZIB, so as to enable context-free implementation. This enables interoperability for health information.

	An exception is made for the medication domain. A parallel program ‘Medicatieproces’ has defined new clinical building blocks and published their draft information standard in July 2016 (‘Medicatieproces 9.0’). These new clinical building blocks are not yet part of the BGZ, but they are the starting point for the functional part of the subdomain Medication in MedMij. This means that every MedMij medication information standard is mapped to the Medicatieproces 9.0 clinical building blocks.		The stakeholders in MedMij have chosen to introduce FHIR as a modern standard to exchange information in MedMij. MedMij delivers a FHIR representation for each domain in [[#Scope]]. However, as noted before, already implemented standards may be part of MedMij as well. Just like the already implemented standards, FHIR is mapped to the ZIB's.

	The stakeholders in MedMij have chosen to introduce FHIR as a modern standard to exchange information in MedMij. MedMij delivers a FHIR representation for each domain in [[#Scope]]. However, as noted before, already implemented standards may be part of MedMij as well. Just like the already implemented standards, FHIR is mapped to the ~~BGZ / Medicatieproces 9.0 building blocks~~.

	==Audience==		==Audience==
Regel 72:		Regel 70:

	====Patient Administration Resources====		====Patient Administration Resources====
	This group of profiles cover the demographic and administrative data used to describe patients, persons, service delivery locations, including healthcare providers, places, organizations, and their relationships in the context of healthcare encounters. They form the base of clinical use cases. ~~Profiles are based on Clinical Building Blocks (CBB - Dutch: Zorginformatiebouwstenen (ZIB))~~		This group of profiles cover the demographic and administrative data used to describe patients, persons, service delivery locations, including healthcare providers, places, organizations, and their relationships in the context of healthcare encounters. They form the base of clinical use cases.

	These profiles are published and governed by [http://www.hl7.nl/ HL7 Netherlands]. The naming is marked slightly different in the name (nl-core-), the canonical url (http://fhir.nl/) and their publisher (HL7 Netherlands). These profiles are based on the functional ZIBs created by another program called 'Registratie aan de Bron', see the [[#Background\| background section]] for more information. Mappings to the related ZIBs are included in the profiles.		These profiles are published and governed by [http://www.hl7.nl/ HL7 Netherlands]. The naming is marked slightly different in the name (nl-core-), the canonical url (http://fhir.nl/) and their publisher (HL7 Netherlands). These profiles are based on the functional ZIBs created by another program called 'Registratie aan de Bron', see the [[#Background\| background section]] for more information. Mappings to the related ZIBs are included in the profiles.
Regel 84:		Regel 82:

	====Medication Process====		====Medication Process====
	The parallel running program called [https://www.nictiz.nl/Paginas/Informatiestandaard-medicatieproces.aspx 'Medicationprocess’] created medication clinical building blocks. In 2017, Registration aan de Bon published ZIBs that are derived from these building blocks. The 2015 version of the medication ZIBs was		The parallel running program called [https://www.nictiz.nl/Paginas/Informatiestandaard-medicatieproces.aspx 'Medicationprocess’] created medication clinical building blocks. In 2017, Registration aan de Bon published ZIBs that are derived from these building blocks. The 2015 version of the medication ZIBs was insufficiently developed. The profiles created for all medication building blocks are therefore based on the 2017 ZIB version instead of the 2015 version.
	insufficiently developed. The profiles created for all medication building blocks are therefore based on the 2017 ZIB version instead of the 2015 version.

	Profiles:'''[[MedMij:V2017.01_FHIR_MedicationProcess#List_of_StructureDefinitions\|Medication Process]]'''		Profiles:'''[[MedMij:V2017.01_FHIR_MedicationProcess#List_of_StructureDefinitions\|Medication Process]]'''

Ardon Toonstra op 2 okt 2017 om 10:47

2017-10-02T10:47:21Z

← Oudere versie		Versie van 2 okt 2017 10:47
Regel 1:		Regel 1:
	{{#customtitle:MedMij FHIR Implementation Guide}}		{{#customtitle:MedMij FHIR Implementation Guide, version 2017.01}}

	[[Bestand:MedMij2.png \|link=https://www.medmij.nl/\|rechts\|Naar medmij.nl]]		[[Bestand:MedMij2.png \|link=https://www.medmij.nl/\|rechts\|Naar medmij.nl]]