1. Michael van der Zel HIT-Architect University Medical Center Groningen, Netherlands MDA Forms Based on DCMs @UMCG HL7 UK TC & RIMBAA Joint WGM London UK, 04-nov-2010

2. Michael van der Zel 2010-nov-042 Me Michael van der Zel Personality (MBTI) INFJ – Idealist, Perfectionist, Chaotic INFJs prefer the future and the pathway along which they aspire for profundity. University Medical Center Groningen, Netherlands HIT Architect, Information Systems (EHR-S) Results 4 Care, Netherlands Detailed Clinical Models (ISO), HL7 v3 HL7 WG's: RIMBAA, EHR-S FM, ArB, PC

3. Michael van der Zel 2010-nov-043 UMCG – Some Numbers 1 of 8 UMCs, 1 of 120 hospitals in the Netherlands 900 trauma helicopter flights 9.756 employees 1.339 beds (including cradles) 32.831 admissions 326.400 nursing days 460.297 visits to outpatient clinics 11.823 day care treatments psychiatry (2006) 20.758 day care treatments (excl. Psychiatry) Source: annual report 31-12-2007

4. Michael van der Zel 2010-nov-044 Subject In the Agenda: Practical experiences of a Model Driven Architecture (MDA), based on DCMs (ISO Templates). The architecture is fully model driven, inclusive of the database model. Michael will also discuss the extensive role of terminology in this project.

5. Michael van der Zel 2010-nov-045 Actual Subjects Form Section definition based on DCM and generation of HL7 v3 Form generation based on HL7 v3 Templates and CUI Clinical Noting in Forms Guidance Clinical Data Repository to store instances

6. Michael van der Zel 2010-nov-046 free text BL observations in section dizzyness CD observation with ValueSet of 4.

7. Michael van der Zel 2010-nov-047 derived PQ observation

8. Michael van der Zel 2010-nov-048 The Model Behind a Form Form has Sections Form has status Section is possibly reusable Section is possibly repeatable Section has Sections Section has Observations Observation is of type X

9. Michael van der Zel 2010-nov-049 Each Observation pattern will have a UI BL will have a label and a Yes, No answer PQ will have a label and a number input field with a unit behind it CD with a valueset of <4 will have a label and list of items as radio buttons CD with a valueset of >=4 and <32 will have a list CD with a valueset of >1000 will have a Google Search etc.

10. Michael van der Zel 2010-nov-0410 CUI Clinical Noting in Forms Guidance

11. Michael van der Zel 2010-nov-0411

12. Michael van der Zel 2010-nov-0412 A_CareStatement (REPC_MT000100UV01)

13. Michael van der Zel 2010-nov-0413 Database Actually a CDR CRUD ervice Can store instances of CareStatement and check it against a Template A Template is also an instance of CareStatement Hybrid XML / RDBMS Database

14. Michael van der Zel 2010-nov-0414 CDR XML SQL Diagram XML in column (e.g. SQL-Server 2005) With XPath index columns

15. Michael van der Zel 2010-nov-0415 Detailed Clinical Models Back to the MDA Leaf Form Sections (like Smoking) will be defined by Detailed Clinical Models Mapping from DCM Information Model to HL7 v3 Care Statement Actually I will define the form similar to DCM's

16. Michael van der Zel 2010-nov-0416 Payload Detailed Clinical Model Convert to Care Statement Template Care Record Template (Logical) DCM Information Model

17. Michael van der Zel 2010-nov-0417 Hospital IT Europe Magazine

18. Michael van der Zel 2010-nov-0418 Thanks. m.van.der.zel AT ict.umcg.nl