1. Medical Coding in Norway using FHIR Christer Brinchmann, DIPS ASA

2. 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

3. 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/pro files/0.3/Chapter.1.Welcom e/index.htmlhttp://www.hl7.no/fhir/pro files/0.3/Chapter.1.Welcom e/index.html FHIR in Norway

4. 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

6. –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

7. 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

8. Hosting connectathon DSTU 2 compliance FHIR in DIPS – Next Steps

9. Thank you for your attention. DIPS ASA Jernbaneveien 85 Bodø Tel.: Tel.: (+47) 75 59 20 00 www.dips.no Tel.: post@dips.no Christer Brinchmann (+47) 75 59 22 40 Senior Systems Developer