case study - health level seven international...hl7 aid wgm, sun oct 4, 2015, atlanta, ga, usa 3©...

1HL7 AID WGM, Sun Oct 4, 2015, Atlanta, GA, USA © Jörg-Uwe Meyer, Ph.D., MT2IT

– your safe medical network®

Case study:

“HL7 ORM v2.3 into FHIR REST-API”

Jörg-Uwe Meyer,

MT2IT GmbH & Co. KG, Germany

[email protected]

www.mt2it.com

mailto:[email protected]

http://www.mt2it.com/



Company Info: MT2IT – your safe medical network®

OR

Hospital

Communication

Server

Interoperability

Gateway• MT2IT enterprise founded in Nov.

2011 by Dr. J.-Uwe Meyer

• MT2IT provides cloud-based

software services for HDOs and

medical device companies

• MT2IT interconnects medical devices

and medical information systems

• Work in progress: Smart app for

managing chronic wounds

• Work in progress: Smart app for

surgical documentation and machine

supported logging of procedures and

events in the OR



Exchange of Patient-Specific Resources

Clinical IT-Network

Point-of-Care Network

w/ HL7 HCD/ IEEE 11073 medical devices

ITAS UKSH-IT

VM Windows Azure Web Server

(IIS8, ASP.NET, OWIN, Service

Bus)

VM Windows

Web Server

(IIS8, ASP.NET)

(Information Technology

Application Server)

SESAPMT2IT Interoperability

Gateway/Engine

Public Cloud

(Secure Service

Application Proxy )

VM Servers ITAS & SESAP



«ITAS (IT Application Server)»/ Mediation Server

HL7-FHIR Spark Engine Library

«SESAPAzure DSTU-2

Client»

HL7-FHIR Spark Mongo Library

Web-Application

FHIR-Controller

FHIR

MongoDB

Mediation

Server

Accomplished by Sept. 29, 2015: Spark Engine Library, Spark Mongo Library und Mongo DB Driver are installed

UKSH-ITAS http://193.175.223.99:1397/

http://193.175.223.99:1397/



http://193.175.223.99:1397/

Implementation of FHIR DSTU2 Server on ITAS

http://193.175.223.99:1397/



Order-Query

Case Study:

Mapping HL7 ORM in FHIR Resources and Services

User Registration

UKSH-

Kommunikations-

server

OR

Safety

Manager

User Client

Clinical

Information System

IS

Application

Software

IT-App Server

«ITAS FHIR

Server»

«UKSHKomm.Server»

«SESAP App/Int.Engine»

«UKSHKIS»



AGFA ORBIS ORM User Template

7



HL7 General Order Message (ORM) v2.3

8



HL7 ORM into FHIR Services: Systems Deployment

9



HL7 v2.3 ORM-Message File (German)

MSH|^~\&|ORBIS-LSTM|LSTM|MEDNOVOL|Neurochirurgie|

20150713130815||ORMÔ01|MSGLSTM15014375|P|2.3

PID|||1804260|7035875|Barez^HOLGER^^""|""|19501105|M|||Maria-

Goeppert-StraÃYe 7 71^^LÃ¼beck^^23538^D ||||||||

PV1||I|LZ390SC^^^LNEUR^^^^^26528001||||WILL-

A^Gutow^Michel^^Dr.|||N|||||||||7035875

|||||||||||||||||||||||||20150216153700||||||LSTM-2015-036624

ORC|NW|1529430062|LSTM-2015-036624^^

1.2.40.0.13.0.11.9346.5.2015036624.181958.20150713130807||||||

20150713130816|WILL-A^Gutow^Michel^^Dr.||WILL-

A^Gutow^Michel^^Dr.||||||ÔT||

OBR||1529430062|LSTM-2015-036624^^

1.2.40.0.13.0.11.9346.5.2015036624.181958.20150713130807

|LNCHIOP025Êxzision HypophysentumorÊxzision

Hypophysentumor^L OPÔT|||||||||Fragestellung: Entfernung des

Tumors erbeten|||WILL-A^Gutow^Michel^^Dr.||||||20150713130816

||OT|S|||||||||||20150713133000||||||||



Parsing HL7 ORM Message Attributes 1/2

In the following table provides a list of attributes in the ORM^O01 General Entry

Order message that have to be parsed from the segments MSH, EVN, PID, PV1,

ORC and OBR of the example file “Barez7035875.hl7”:



Parsing HL7 ORM Message Attributes 2/2

In the following table provides a list of attributes in the ORM^O01 General Entry

Order message that have to be parsed from the segments MSH, EVN, PID, PV1,

ORC and OBR of the example file “Barez7035875.hl7”:



Mapping HL7 ORM Segments into FHIR Resources/Objects



Mapping HL7 ORM Segments into FHIR Resources/Data Type



Referencing the Identified HL7 ORM FHIR Resources …?

Order

Procedure Request

Message Header

Encounter

Patient(undergoing

surgery)

Location(OR)

Practitioner(Surgeon)

Organization

Organization

Application: Surgical Procedure Session



Point-of-Care Network

Clinical IT Network

Open WebInterface(OWIN)

1

2

3

HL7-FHIR = Fast HealthcareInteroperability Resources:Standard for Mobile Communication in Healthcare

4

5

67

«FHIR Server»

Doctors,Nurses,…

Patient

«Interoperability Gateway»Service App Engine

View Engine

Sensors



Thank you!

“HL7 ORM v2.3 into FHIR REST-API”

Jörg-Uwe Meyer,

MT2IT GmbH & Co. KG, Germany

[email protected]

www.mt2it.com

mailto:[email protected]

http://www.mt2it.com/

case study - health level seven international...hl7 aid wgm, sun oct 4, 2015, atlanta, ga, usa 3©...

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