{
 "id": "hl7-v2-conformance",
 "url": "/fr/hl7-v2-dialectes-et-profils-de-conformite/",
 "md_url": "/fr/hl7-v2-dialectes-et-profils-de-conformite.md",
 "json_url": "/fr/hl7-v2-dialectes-et-profils-de-conformite.json",
 "claims_url": "/fr/hl7-v2-dialectes-et-profils-de-conformite/beweringen/",
 "type": {
  "code": "Topic",
  "label": "Aperçu ou dossier"
 },
 "schema_type": "Thing",
 "lang": "fr",
 "translation": {
  "lang": "fr",
  "source_url": "/hl7-v2-conformance/",
  "date": "2026-11-13",
  "stale": false,
  "fields": [
   "in_het_kort",
   "lifecycle_note",
   "sectie:fase",
   "sectie:onzekerheden-en-tegenstrijdige-informatie",
   "sectie:wat-betekent-het-voor-een-ziekenhuis",
   "sectie:wat-is-het",
   "summary",
   "title"
  ]
 },
 "title": "HL7 v2 : dialectes et profils de conformité",
 "aliases": [
  "HL7 v2-dialecten",
  "HL7 v2 conformance",
  "HL7 v2 Conformance Methodology",
  "message profile",
  "conformanceprofiel",
  "Z-segment",
  "IGAMT"
 ],
 "names": {
  "nl": "HL7 v2: dialecten en conformanceprofielen",
  "fr": "HL7 v2 : dialectes et profils de conformité",
  "en": "HL7 v2 dialects and conformance profiles",
  "de": "HL7 v2: Dialekte und Konformitätsprofile"
 },
 "jurisdiction": [
  {
   "code": "internationaal",
   "label": "International"
  },
  {
   "code": "belgie",
   "label": "Belgique (fédéral/interfédéral)"
  }
 ],
 "themes": [
  {
   "code": "architectuur-en-infrastructuur",
   "label": "Architecture et infrastructure"
  },
  {
   "code": "standaardisatie-en-governance",
   "label": "Normalisation et gouvernance"
  }
 ],
 "lifecycle": {
  "code": "nvt",
  "label": "sans objet"
 },
 "lifecycle_note_html": "Vue d'ensemble d'un aspect de HL7 v2, sans phase de cycle de vie propre. Lu jusqu'au 12 novembre 2026 ; la méthodologie est citée d'après le projet soumis au ballot de 2019.",
 "version": null,
 "vendor": null,
 "sectors": [],
 "homologations": [],
 "links": [
  {
   "kind": {
    "code": "documentatie",
    "label": "Documentation"
   },
   "url": "https://v2.hl7.org/conformance/HL7v2_Conformance_Methodology_R1_O1_Ballot_Revised_D9_-_September_2019_Introduction.html",
   "label": "HL7 v2 Conformance Methodology (ballotontwerp 2019)",
   "host": "v2.hl7.org",
   "lang": "en"
  },
  {
   "kind": {
    "code": "website",
    "label": "Site web"
   },
   "url": "https://www.nist.gov/itl/nist-health-it-program-legacy-website",
   "label": "NIST Health IT Program Legacy Website",
   "host": "www.nist.gov",
   "lang": "en"
  },
  {
   "kind": {
    "code": "documentatie",
    "label": "Documentation"
   },
   "url": "https://profiles.ihe.net/ITI/TF/Volume2/ch-C.html",
   "label": "IHE ITI TF-2 Appendix C: HL7 v2.x Messages",
   "host": "profiles.ihe.net",
   "lang": "en"
  }
 ],
 "summary_text": "HL7 v2 laisse beaucoup de latitude: les champs et les segments sont souvent facultatifs, les segments Z locaux, les séquences d'échappement et les tables de codes locales sont autorisés, et les profils mélangent parfois des versions. De ce fait, les interfaces de partenaires qui ne conviennent de rien au préalable s'accordent rarement entre elles; chaque interface devient ainsi un « dialecte » propre. Les profils de conformité restreignent cette latitude à des exigences mesurables, et les profils IHE et les extensions nationales le font par domaine ou par pays. Des outils du NIST comme IGAMT soutiennent ce travail, depuis septembre 2026 chez Prometheus Computing. Aucun profil v2 belge n'a été trouvé.",
 "summary_html": "<p>HL7 v2 laisse beaucoup de latitude : les champs et les segments sont souvent facultatifs, les segments Z locaux, les séquences d'échappement et les tables de codes locales sont autorisés, et les profils mélangent parfois des versions. De ce fait, les interfaces de partenaires qui ne conviennent de rien au préalable s'accordent rarement entre elles ; chaque interface devient ainsi un « dialecte » propre. Les profils de conformité restreignent cette latitude à des exigences mesurables, et les profils IHE et les extensions nationales le font par domaine ou par pays. Des outils du NIST comme IGAMT soutiennent ce travail, depuis septembre 2026 chez Prometheus Computing. Aucun profil v2 belge n'a été trouvé.</p>",
 "last_verified": "2026-11-12",
 "verification_outdated": false,
 "sections": [
  {
   "id": "en-bref",
   "title": "En bref",
   "kind": "tekst",
   "html": "<ul>\n<li><strong>Quoi</strong> : la norme HL7 v2 seule ne garantit pas l'interopérabilité, car elle offre de nombreuses options et des partenaires qui ne conviennent de rien au préalable en choisiront probablement des incompatibles.<sup class=\"cite\" id=\"t-CLM-6217ffac\" data-claims=\"CLM-6217ffac\"><a class=\"cite-ref\" href=\"#bron-1\" aria-label=\"Source 1\">[1]</a></sup></li>\n<li><strong>Pourquoi des dialectes</strong> : les segments Z locaux, les tables de codes définies localement et les séquences d'échappement locales sont autorisés au sein de la norme.<span class=\"cite-anchor\" id=\"t-CLM-cd316fda\"></span><span class=\"cite-anchor\" id=\"t-CLM-4ec055b7\"></span><sup class=\"cite\" id=\"t-CLM-b2d45649\" data-claims=\"CLM-b2d45649 CLM-cd316fda CLM-4ec055b7\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a><a class=\"cite-ref\" href=\"#bron-3\" aria-label=\"Source 3\">[3]</a></sup></li>\n<li><strong>Comment restreindre</strong> : un profil de conformité réduit ou supprime l'optionnalité de la norme de base et fournit des exigences mesurables pour déterminer la conformité.<sup class=\"cite\" id=\"t-CLM-43a094ed\" data-claims=\"CLM-43a094ed\"><a class=\"cite-ref\" href=\"#bron-4\" aria-label=\"Source 4\">[4]</a></sup></li>\n<li><strong>Par domaine et par pays</strong> : les profils IHE fixent par transaction la version et les messages, et les extensions nationales peuvent y ajouter des exigences mais non les assouplir.<span class=\"cite-anchor\" id=\"t-CLM-c421c8be\"></span><sup class=\"cite\" id=\"t-CLM-fe73a72b\" data-claims=\"CLM-fe73a72b CLM-c421c8be\"><a class=\"cite-ref\" href=\"#bron-5\" aria-label=\"Source 5\">[5]</a><a class=\"cite-ref\" href=\"#bron-6\" aria-label=\"Source 6\">[6]</a></sup></li>\n<li><strong>Outils</strong> : l'outil du NIST IGAMT-2 pour les guides d'implémentation v2 a été transféré à Prometheus Computing, transfert achevé le 21 septembre 2026.<sup class=\"cite\" id=\"t-CLM-e7c3a2e5\" data-claims=\"CLM-e7c3a2e5\"><a class=\"cite-ref\" href=\"#bron-7\" aria-label=\"Source 7\">[7]</a></sup></li>\n<li><strong>Belgique</strong> : l'ITI TF Volume 4 contient des extensions nationales pour les États-Unis, la France et l'Allemagne, et aucune belge (lecture de la table des matières).<sup class=\"cite\" id=\"t-CLM-5c07a3c2\" data-claims=\"CLM-5c07a3c2\"><a class=\"cite-ref\" href=\"#bron-8\" aria-label=\"Source 8\">[8]</a></sup></li>\n<li><strong>Pour un hôpital</strong> : chaque interface en production est un profil entièrement restreint, documenté ou non ; la question est donc de savoir si ce profil est consigné par écrit.<sup class=\"cite\" id=\"t-CLM-89d039be\" data-claims=\"CLM-89d039be\"><a class=\"cite-ref\" href=\"#bron-9\" aria-label=\"Source 9\">[9]</a></sup></li>\n</ul>"
  },
  {
   "id": "qu-est-ce-que-c-est",
   "title": "Qu'est-ce que c'est ?",
   "kind": "tekst",
   "html": "<p><a href=\"/fr/hl7-version-2/\">HL7 version 2</a> est une norme de messagerie conçue pour s'adapter à de très nombreux processus de soins différents ; selon une étude du NIST, il en est résulté une norme comportant de nombreux composants facultatifs, ce qui rendait difficile l'alignement des interfaces.<sup class=\"cite\" id=\"t-CLM-029beaca\" data-claims=\"CLM-029beaca\"><a class=\"cite-ref\" href=\"#bron-1\" aria-label=\"Source 1\">[1]</a></sup> La même étude affirme que la norme seule ne garantit pas l'interopérabilité : des partenaires commerciaux qui ne conviennent de rien au préalable n'implémenteront probablement pas des options compatibles.<sup class=\"cite\" data-claims=\"CLM-6217ffac\"><a class=\"cite-ref\" href=\"#bron-1\" aria-label=\"Source 1\">[1]</a></sup> En pratique, les spécifications des fournisseurs ne s'accordent pas bien entre elles, de sorte que les différences doivent être absorbées connexion par connexion.<sup class=\"cite\" id=\"t-CLM-9545e508\" data-claims=\"CLM-9545e508\"><a class=\"cite-ref\" href=\"#bron-1\" aria-label=\"Source 1\">[1]</a></sup> HL7 International présente lui-même comme un avantage le fait que v2 « provides a framework for negotiations of what is not in the standard ».<sup class=\"cite\" id=\"t-CLM-504c1f1d\" data-claims=\"CLM-504c1f1d\"><a class=\"cite-ref\" href=\"#bron-10\" aria-label=\"Source 10\">[10]</a></sup></p>\n<p>La HL7 v2 Conformance Methodology décrit donc la norme de base comme un cadre comportant, par événement, un premier modèle de message qui doit être restreint pour un usage spécifique ; cette restriction s'appelle le profilage et produit un message profile ou profil de conformité.<sup class=\"cite\" id=\"t-CLM-99025c76\" data-claims=\"CLM-99025c76\"><a class=\"cite-ref\" href=\"#bron-4\" aria-label=\"Source 4\">[4]</a></sup> Sur cette page, « dialecte » n'est pas un terme officiel : c'est une dénomination propre à cette page pour la somme des choix qu'une interface fait dans l'espace que la norme laisse ouvert (<strong>interprétation</strong>).</p>"
  },
  {
   "id": "bouwstenen",
   "title": "Bouwstenen",
   "kind": "tekst",
   "html": "<h3>Waar de ruimte zit</h3>\n<table>\n<thead>\n<tr>\n<th>Bron van variatie</th>\n<th>Wat de standaard toelaat</th>\n<th>Claim</th>\n</tr>\n</thead>\n<tbody>\n<tr>\n<td>Optionaliteit</td>\n<td>veel optionele velden, segmenten en componenten</td>\n<td><sup class=\"cite\" data-claims=\"CLM-029beaca\"><a class=\"cite-ref\" href=\"#bron-1\" aria-label=\"Source 1\">[1]</a></sup></td>\n</tr>\n<tr>\n<td>Z-segmenten en Z-berichten</td>\n<td>codes die met Z beginnen zijn gereserveerd voor lokale berichten en segmenten; HL7 definieert zelf geen Z-codes</td>\n<td><sup class=\"cite\" data-claims=\"CLM-b2d45649\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a></sup></td>\n</tr>\n<tr>\n<td>Lokale velden</td>\n<td>segmenten uitbreiden met lokale velden is niet verboden maar onverstandig</td>\n<td><sup class=\"cite\" id=\"t-CLM-b79dbb4f\" data-claims=\"CLM-b79dbb4f\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a></sup></td>\n</tr>\n<tr>\n<td>Lokale escapesequenties</td>\n<td>de interpretatie van <code>\\Z...\\</code> is volledig een afspraak tussen zender en ontvanger</td>\n<td><sup class=\"cite\" data-claims=\"CLM-4ec055b7\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a></sup></td>\n</tr>\n<tr>\n<td>Codetabellen</td>\n<td>lokale implementaties mogen tabelwaarden beperken of uitbreiden; in User Defined tables bepaalt men codes lokaal</td>\n<td><sup class=\"cite\" id=\"t-CLM-eb92e078\" data-claims=\"CLM-eb92e078 CLM-cd316fda\"><a class=\"cite-ref\" href=\"#bron-3\" aria-label=\"Source 3\">[3]</a></sup></td>\n</tr>\n<tr>\n<td>Tekenset</td>\n<td>de binaire voorstelling van de scheidingstekens hangt af van de tekenset</td>\n<td><sup class=\"cite\" id=\"t-CLM-eaa92fbd\" data-claims=\"CLM-eaa92fbd\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a></sup></td>\n</tr>\n<tr>\n<td>Gebeurtenis per context</td>\n<td>IHE PAM stuurt een wijziging van patiëntgegevens als A31 buiten een verblijf en als A08 binnen een verblijf</td>\n<td><sup class=\"cite\" id=\"t-CLM-bb49fc3a\" data-claims=\"CLM-bb49fc3a\"><a class=\"cite-ref\" href=\"#bron-5\" aria-label=\"Source 5\">[5]</a></sup></td>\n</tr>\n<tr>\n<td>Versiemengvormen</td>\n<td>het IHE-bericht PCD-01 (ORU^R01) laat op basis van v2.6 PRT-segmenten toe die pas in v2.7 bestaan</td>\n<td><sup class=\"cite\" id=\"t-CLM-1dd765cb\" data-claims=\"CLM-1dd765cb\"><a class=\"cite-ref\" href=\"#bron-11\" aria-label=\"Source 11\">[11]</a></sup></td>\n</tr>\n</tbody>\n</table>\n<p>Lokale Z-segmenten zijn volgens HL7 ook binnen een segmentgroep toegestaan.<sup class=\"cite\" id=\"t-CLM-6d236019\" data-claims=\"CLM-6d236019\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a></sup> Sommige sites nemen een voorgesteld veld al vroeg lokaal op met een hoog volgnummer; HL7 waarschuwt dat de lokale implementatie zich moet aanpassen als dat later botst met een officieel veld.<sup class=\"cite\" id=\"t-CLM-a38803a0\" data-claims=\"CLM-a38803a0\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a></sup> Een lokaal veld geeft volgens HL7 waarschijnlijk conformiteitsproblemen met de volgende release.<sup class=\"cite\" data-claims=\"CLM-b79dbb4f\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Source 2\">[2]</a></sup></p>\n<p>Ook de versie zelf varieert. In oudere versies zoals v2.3.1 ontbreekt in MSH-9 vaak de berichtstructuur (MSH-9.3), omdat de standaard die toen niet altijd in de berichtdefinitie opnam.<sup class=\"cite\" id=\"t-CLM-9a967098\" data-claims=\"CLM-9a967098\"><a class=\"cite-ref\" href=\"#bron-3\" aria-label=\"Source 3\">[3]</a></sup> Het onderscheid tussen A31 en A08 is in de gelezen bronnen enkel via <a href=\"/fr/ihe-patient-administration-management-pam/\">IHE PAM</a> gedocumenteerd: het samenvoegbericht van ITI-30 dient enkel om twee identificatoren van dezelfde patiënt samen te voegen, en voor andere wijzigingen hoort A31.<sup class=\"cite\" id=\"t-CLM-d2e7c49a\" data-claims=\"CLM-d2e7c49a\"><a class=\"cite-ref\" href=\"#bron-5\" aria-label=\"Source 5\">[5]</a></sup> Het PCD-01-bericht steunt op hoofdstuk 7 van v2.6 voor de syntaxis van observaties uit toestellen<sup class=\"cite\" id=\"t-CLM-6d8400cf\" data-claims=\"CLM-6d8400cf\"><a class=\"cite-ref\" href=\"#bron-11\" aria-label=\"Source 11\">[11]</a></sup>, en de PRT-uitbreiding is een bewuste mengvorm van versies<sup class=\"cite\" data-claims=\"CLM-1dd765cb\"><a class=\"cite-ref\" href=\"#bron-11\" aria-label=\"Source 11\">[11]</a></sup>.</p>\n<h3>Conformanceprofielen</h3>\n<p>Profielen verkleinen of schrappen de optionaliteit of openheid van de basisstandaard en leveren meetbare eisen om conformiteit van implementaties te bepalen.<sup class=\"cite\" data-claims=\"CLM-43a094ed\"><a class=\"cite-ref\" href=\"#bron-4\" aria-label=\"Source 4\">[4]</a></sup> De methodologie onderscheidt twee soorten:</p>\n<table>\n<thead>\n<tr>\n<th>Soort</th>\n<th>Wat</th>\n<th>Claim</th>\n</tr>\n</thead>\n<tbody>\n<tr>\n<td>Constrainable profile</td>\n<td>afgeleid van de standaard of van een ander constrainable profile, met extra beperkingen; bv. een profiel voor een Amerikaanse staat op een nationaal profiel</td>\n<td><sup class=\"cite\" id=\"t-CLM-99d35d68\" data-claims=\"CLM-99d35d68\"><a class=\"cite-ref\" href=\"#bron-9\" aria-label=\"Source 9\">[9]</a></sup></td>\n</tr>\n<tr>\n<td>Implementable profile</td>\n<td>alle optionaliteit en openheid verwijderd; elke interface in productie is er een, gedocumenteerd of niet</td>\n<td><sup class=\"cite\" data-claims=\"CLM-89d039be\"><a class=\"cite-ref\" href=\"#bron-9\" aria-label=\"Source 9\">[9]</a></sup></td>\n</tr>\n<tr>\n<td>Profile component</td>\n<td>vult een nationaal profiel aan met regionale eisen, bv. voor volksgezondheid</td>\n<td><sup class=\"cite\" id=\"t-CLM-8934449c\" data-claims=\"CLM-8934449c\"><a class=\"cite-ref\" href=\"#bron-4\" aria-label=\"Source 4\">[4]</a></sup></td>\n</tr>\n<tr>\n<td>Conformance statement</td>\n<td>expliciete verklaring in tekst of als testbare expressie die een beperking vastlegt</td>\n<td><sup class=\"cite\" id=\"t-CLM-4fe212fb\" data-claims=\"CLM-4fe212fb\"><a class=\"cite-ref\" href=\"#bron-9\" aria-label=\"Source 9\">[9]</a></sup></td>\n</tr>\n</tbody>\n</table>\n<p>Een expliciete conformancemethodologie kwam in de standaard met versie 2.5 en werd in latere versies herzien.<sup class=\"cite\" id=\"t-CLM-7ef7c3e0\" data-claims=\"CLM-7ef7c3e0\"><a class=\"cite-ref\" href=\"#bron-4\" aria-label=\"Source 4\">[4]</a></sup> Het methodologiedocument vervangt de conformancehoofdstukken uit eerdere v2-versies en is bedoeld voor elke v2-versie.<sup class=\"cite\" id=\"t-CLM-18e4cca7\" data-claims=\"CLM-18e4cca7\"><a class=\"cite-ref\" href=\"#bron-4\" aria-label=\"Source 4\">[4]</a></sup> De versies 2.1 en 2.2 vallen er bewust buiten omdat hun constructies te onrijp zijn; nieuwe implementatiegidsen op die versies worden sterk afgeraden.<sup class=\"cite\" id=\"t-CLM-5f3a3023\" data-claims=\"CLM-5f3a3023\"><a class=\"cite-ref\" href=\"#bron-4\" aria-label=\"Source 4\">[4]</a></sup> Bij certificatie hoort een conformiteitsfout tot falen te leiden, terwijl dezelfde fout in een productie-interface kan leiden tot alles tussen het bericht weigeren en niets doen.<sup class=\"cite\" id=\"t-CLM-bdc8d3b0\" data-claims=\"CLM-bdc8d3b0\"><a class=\"cite-ref\" href=\"#bron-4\" aria-label=\"Source 4\">[4]</a></sup></p>\n<h3>IHE-profielen</h3>\n<p><a href=\"/fr/ihe-integrating-the-healthcare-enterprise/\">IHE</a> perkt v2 per werkstroom in. In IHE-transacties mogen Z-segmenten enkel voorkomen als het profiel ze uitdrukkelijk voorziet.<sup class=\"cite\" id=\"t-CLM-77581660\" data-claims=\"CLM-77581660\"><a class=\"cite-ref\" href=\"#bron-12\" aria-label=\"Source 12\">[12]</a></sup> PAM definieert zelf een Z-segment (ZBE) en een Z-bericht (Z99) voor de optie Historic Movement Management.<sup class=\"cite\" id=\"t-CLM-12706446\" data-claims=\"CLM-12706446\"><a class=\"cite-ref\" href=\"#bron-5\" aria-label=\"Source 5\">[5]</a></sup> In ITI-30 moet MSH-12 met '2.5' beginnen.<sup class=\"cite\" data-claims=\"CLM-fe73a72b\"><a class=\"cite-ref\" href=\"#bron-5\" aria-label=\"Source 5\">[5]</a></sup> IHE noemt de aangepaste HL7 2.5-tabellen in zijn ITI Technical Framework zelf een profiel<sup class=\"cite\" id=\"t-CLM-5dbe7eb8\" data-claims=\"CLM-5dbe7eb8\"><a class=\"cite-ref\" href=\"#bron-12\" aria-label=\"Source 12\">[12]</a></sup>, en beveelt aan dat berichten vanaf v2.5 in MSH-21 de IHE-transactie als profielidentificator dragen (bv. 'ITI-10^IHE')<sup class=\"cite\" id=\"t-CLM-1b211281\" data-claims=\"CLM-1b211281\"><a class=\"cite-ref\" href=\"#bron-12\" aria-label=\"Source 12\">[12]</a></sup>.</p>\n<table>\n<thead>\n<tr>\n<th>Profiel</th>\n<th>Domein</th>\n<th>v2-versie</th>\n<th>Claim</th>\n</tr>\n</thead>\n<tbody>\n<tr>\n<td><a href=\"/fr/ihe-patient-administration-management-pam/\">PAM</a></td>\n<td>patiëntidentiteit, verblijf, bewegingen</td>\n<td>2.5</td>\n<td><sup class=\"cite\" id=\"t-CLM-cc7c22f5\" data-claims=\"CLM-cc7c22f5 CLM-fe73a72b\"><a class=\"cite-ref\" href=\"#bron-13\" aria-label=\"Source 13\">[13]</a><a class=\"cite-ref\" href=\"#bron-5\" aria-label=\"Source 5\">[5]</a></sup></td>\n</tr>\n<tr>\n<td>SWF (oorspronkelijk)</td>\n<td>ADT, orderaanvraag en ordeplanning (RIS)</td>\n<td>2.3, optie 2.5.1</td>\n<td><span class=\"cite-anchor\" id=\"t-CLM-0eb58272\"></span><sup class=\"cite\" id=\"t-CLM-440e1337\" data-claims=\"CLM-440e1337 CLM-0eb58272\"><a class=\"cite-ref\" href=\"#bron-14\" aria-label=\"Source 14\">[14]</a><a class=\"cite-ref\" href=\"#bron-15\" aria-label=\"Source 15\">[15]</a></sup></td>\n</tr>\n<tr>\n<td>SWF.b (Trial Implementation, 2019)</td>\n<td>idem</td>\n<td>2.5.1 verplicht</td>\n<td><sup class=\"cite\" id=\"t-CLM-b492a277\" data-claims=\"CLM-b492a277\"><a class=\"cite-ref\" href=\"#bron-15\" aria-label=\"Source 15\">[15]</a></sup></td>\n</tr>\n<tr>\n<td>LTW</td>\n<td>labo-orders en -resultaten</td>\n<td>2.5 of 2.5.1</td>\n<td><sup class=\"cite\" id=\"t-CLM-073dde29\" data-claims=\"CLM-073dde29\"><a class=\"cite-ref\" href=\"#bron-16\" aria-label=\"Source 16\">[16]</a></sup></td>\n</tr>\n<tr>\n<td>DEC / PCD-01</td>\n<td>toestelgegevens naar enterprise-systemen</td>\n<td>2.6 met PRT uit 2.7</td>\n<td><sup class=\"cite\" id=\"t-CLM-1972ba73\" data-claims=\"CLM-1972ba73 CLM-1dd765cb\"><a class=\"cite-ref\" href=\"#bron-17\" aria-label=\"Source 17\">[17]</a><a class=\"cite-ref\" href=\"#bron-11\" aria-label=\"Source 11\">[11]</a></sup></td>\n</tr>\n</tbody>\n</table>\n<p>DEC zet gegevens van patiëntgebonden toestellen om van eigen syntaxis en semantiek naar één gemeenschappelijke voorstelling voor de enterprise-systemen.<sup class=\"cite\" data-claims=\"CLM-1972ba73\"><a class=\"cite-ref\" href=\"#bron-17\" aria-label=\"Source 17\">[17]</a></sup> Zie ook <a href=\"/fr/profils-ihe-d-imagerie/\">Profils IHE d'imagerie (XDS-I.b, XCA-I, MADO)</a> en <a href=\"/fr/ihe-sdpi/\">IHE SDPi (Service-oriented Device Point-of-care Interoperability)</a>.</p>\n<h3>Nationale extensies</h3>\n<p>Een nationale extensie op het IHE Technical Framework vereist eerst een nationaal IHE-initiatief<sup class=\"cite\" id=\"t-CLM-ff64a8be\" data-claims=\"CLM-ff64a8be\"><a class=\"cite-ref\" href=\"#bron-6\" aria-label=\"Source 6\">[6]</a></sup>, en mag eisen toevoegen maar niet versoepelen<sup class=\"cite\" data-claims=\"CLM-c421c8be\"><a class=\"cite-ref\" href=\"#bron-6\" aria-label=\"Source 6\">[6]</a></sup>. Voor PAM moet een nationale extensie minstens één van de opties Merge en Link/Unlink kiezen en dezelfde optie aan leverancier en afnemer opleggen.<sup class=\"cite\" id=\"t-CLM-c11bf782\" data-claims=\"CLM-c11bf782\"><a class=\"cite-ref\" href=\"#bron-13\" aria-label=\"Source 13\">[13]</a></sup></p>\n<table>\n<thead>\n<tr>\n<th>Land</th>\n<th>Wat de extensie toevoegt</th>\n<th>Claim</th>\n</tr>\n</thead>\n<tbody>\n<tr>\n<td>Frankrijk (PAM 2.10)</td>\n<td>beperkingen op en aanvullingen bij de v2.5-gebeurtenissen en -segmenten; 'FRA' in MSH-12; eigen Z-segmenten zoals ZFA (status van het DMP); verbod op velden voor ras, religie en etnische groep; tekensets ISO 8859/1 en 8859/15</td>\n<td><span class=\"cite-anchor\" id=\"t-CLM-5d5b354c\"></span><span class=\"cite-anchor\" id=\"t-CLM-6b45c35d\"></span><span class=\"cite-anchor\" id=\"t-CLM-ee3cd757\"></span><span class=\"cite-anchor\" id=\"t-CLM-95551948\"></span><sup class=\"cite\" id=\"t-CLM-1f2cd76d\" data-claims=\"CLM-1f2cd76d CLM-5d5b354c CLM-6b45c35d CLM-ee3cd757 CLM-95551948\"><a class=\"cite-ref\" href=\"#bron-18\" aria-label=\"Source 18\">[18]</a><a class=\"cite-ref\" href=\"#bron-19\" aria-label=\"Source 19\">[19]</a></sup></td>\n</tr>\n<tr>\n<td>Duitsland</td>\n<td>verwijst naar de Duitse HL7-editie 2.5 en de Duitse berichtprofielen van 2003-2004, afgestemd op PAM in een driejarig project; tekensets 8859/1 en 8859/15 in MSH-18</td>\n<td><span class=\"cite-anchor\" id=\"t-CLM-bf528c1c\"></span><span class=\"cite-anchor\" id=\"t-CLM-0cc302ef\"></span><sup class=\"cite\" id=\"t-CLM-69bdd0d5\" data-claims=\"CLM-69bdd0d5 CLM-bf528c1c CLM-0cc302ef\"><a class=\"cite-ref\" href=\"#bron-20\" aria-label=\"Source 20\">[20]</a></sup></td>\n</tr>\n<tr>\n<td>Verenigde Staten</td>\n<td>nationale gidsen op v2.5.1, bv. voor immunisatieberichten met eigen OBX-gebruik</td>\n<td><sup class=\"cite\" id=\"t-CLM-8cacf366\" data-claims=\"CLM-8cacf366\"><a class=\"cite-ref\" href=\"#bron-3\" aria-label=\"Source 3\">[3]</a></sup></td>\n</tr>\n</tbody>\n</table>\n<p>De Franse PAM-extensie 2.10 (12 juli 2021) is gepubliceerd met status Trial Implementation, waardoor de vorige versie 2.9 als Final Text geldt.<sup class=\"cite\" id=\"t-CLM-546b7ac9\" data-claims=\"CLM-546b7ac9\"><a class=\"cite-ref\" href=\"#bron-19\" aria-label=\"Source 19\">[19]</a></sup> De Duitse extensie stelt dat IHE-profielen op basis van HL7 v2 waar nodig uitbreidingen zoals het ZBE-segment definiëren.<sup class=\"cite\" id=\"t-CLM-bf45c729\" data-claims=\"CLM-bf45c729\"><a class=\"cite-ref\" href=\"#bron-20\" aria-label=\"Source 20\">[20]</a></sup></p>\n<h3>Tools: NIST en IGAMT</h3>\n<p>IGAMT-2 is een tool om HL7 v2.x-implementatiegidsen met een of meer conformanceprofielen op te stellen.<sup class=\"cite\" id=\"t-CLM-755e1b4a\" data-claims=\"CLM-755e1b4a\"><a class=\"cite-ref\" href=\"#bron-7\" aria-label=\"Source 7\">[7]</a></sup> Het NIST Health IT-programma loopt af; veel kerntools voor conformance en testen gaan naar externe organisaties, vooral Prometheus Computing, zodat ze onderhouden en publiek beschikbaar blijven.<sup class=\"cite\" id=\"t-CLM-eaf49422\" data-claims=\"CLM-eaf49422\"><a class=\"cite-ref\" href=\"#bron-21\" aria-label=\"Source 21\">[21]</a></sup> IGAMT-2 draait sindsdien op hun AWS-omgeving; de overdracht was afgerond op 21 september 2026.<sup class=\"cite\" data-claims=\"CLM-e7c3a2e5\"><a class=\"cite-ref\" href=\"#bron-7\" aria-label=\"Source 7\">[7]</a></sup> De oude versie IGAMT-1 ging op 30 juni 2026 offline.<sup class=\"cite\" id=\"t-CLM-f20dc939\" data-claims=\"CLM-f20dc939\"><a class=\"cite-ref\" href=\"#bron-22\" aria-label=\"Source 22\">[22]</a></sup></p>"
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   "html": "<p>La méthodologie est facultative mais recommandée en production, et obligatoire pour les nouveaux guides d'implémentation HL7 v2 soumis au ballot.<sup class=\"cite\" id=\"t-CLM-0104f3f5\" data-claims=\"CLM-0104f3f5\"><a class=\"cite-ref\" href=\"#bron-4\" aria-label=\"Source 4\">[4]</a></sup> Cette règle provient du projet soumis au ballot de 2019 ; la version publiée n'a pas été lue. Les outils du NIST sont en pleine transition vers Prometheus Computing (voir ci-dessus).<sup class=\"cite\" data-claims=\"CLM-eaf49422\"><a class=\"cite-ref\" href=\"#bron-21\" aria-label=\"Source 21\">[21]</a></sup> En ce qui concerne la France, le statut de l'extension PAM 2.10 est documenté de manière contradictoire (voir ci-dessous).<sup class=\"cite\" data-claims=\"CLM-546b7ac9\"><a class=\"cite-ref\" href=\"#bron-19\" aria-label=\"Source 19\">[19]</a></sup> La conversion de v2 vers FHIR part de la norme de base et ne tient compte ni des contraintes issues de guides d'implémentation spécifiques ni des variantes locales non conformes à la norme de base ; voir <a href=\"/hl7-v2-to-fhir/\">HL7 Version 2 to FHIR</a>.<sup class=\"cite\" id=\"t-CLM-afbc9170\" data-claims=\"CLM-afbc9170\"><a class=\"cite-ref\" href=\"#bron-23\" aria-label=\"Source 23\">[23]</a></sup> Les données Z ne sont pas reprises dans ces mappings.<sup class=\"cite\" id=\"t-CLM-15945748\" data-claims=\"CLM-15945748\"><a class=\"cite-ref\" href=\"#bron-23\" aria-label=\"Source 23\">[23]</a></sup></p>"
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   "title": "Qu'est-ce que cela signifie pour un hôpital ?",
   "kind": "tekst",
   "html": "<p>Comme chaque interface en production est un implementable profile, documenté ou non<sup class=\"cite\" data-claims=\"CLM-89d039be\"><a class=\"cite-ref\" href=\"#bron-9\" aria-label=\"Source 9\">[9]</a></sup>, une spécification d'interface qui se contente de dire « HL7 v2 » ne décrit pas le dialecte réel. L'ITI TF Volume 4 ne contient aucune extension nationale belge (lecture de la table des matières de la Revision 20.2)<sup class=\"cite\" data-claims=\"CLM-5c07a3c2\"><a class=\"cite-ref\" href=\"#bron-8\" aria-label=\"Source 8\">[8]</a></sup>, et une extension nationale requiert d'abord une initiative IHE nationale<sup class=\"cite\" data-claims=\"CLM-ff64a8be\"><a class=\"cite-ref\" href=\"#bron-6\" aria-label=\"Source 6\">[6]</a></sup>. Aucun profil HL7 v2 belge émanant de HL7 Belgium, d'une initiative IHE ou des pouvoirs publics n'a été trouvé. Deux marchés publics hospitaliers belges lus mentionnent « HL7 of een API » ou une interface ADT, sans version ni profil.<span class=\"cite-anchor\" id=\"t-CLM-71d40f44\"></span><sup class=\"cite\" id=\"t-CLM-4aeee9d1\" data-claims=\"CLM-4aeee9d1 CLM-71d40f44\"><a class=\"cite-ref\" href=\"#bron-24\" aria-label=\"Source 24\">[24]</a><a class=\"cite-ref\" href=\"#bron-25\" aria-label=\"Source 25\">[25]</a></sup> En outre, les segments Z locaux sont perdus dans les mappings standard vers FHIR.<sup class=\"cite\" data-claims=\"CLM-15945748\"><a class=\"cite-ref\" href=\"#bron-23\" aria-label=\"Source 23\">[23]</a></sup></p>\n<p class=\"aanbeveling\"><strong>Recommandation (propre) :</strong> lors d'un marché public ou d'un remplacement, fixez pour chaque interface un profil de conformité : version v2, types de messages et déclencheurs (p. ex. A08 ou A31), segments Z, tables de codes et jeu de caractères ; renvoyez si possible à un profil IHE (PAM, SWF.b, LTW, DEC) et demandez au fournisseur un conformance statement.</p>"
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   "html": "<ul>\n<li><strong>Statut de l'extension française PAM 2.10</strong> : la page de titre indique « Final Text », le paragraphe sur le cycle de vie « Trial Implementation », avec 2.9 comme Final Text.<sup class=\"cite\" data-claims=\"CLM-546b7ac9\"><a class=\"cite-ref\" href=\"#bron-19\" aria-label=\"Source 19\">[19]</a></sup></li>\n<li><strong>Version de base de SWF</strong> : le supplément SWF.b indique que le SWF original exige v2.3<sup class=\"cite\" data-claims=\"CLM-0eb58272\"><a class=\"cite-ref\" href=\"#bron-15\" aria-label=\"Source 15\">[15]</a></sup> ; une page de travail IHE plus ancienne parle d'implémentations sur v2.3 à v2.3.1<sup class=\"cite\" id=\"t-CLM-94908358\" data-claims=\"CLM-94908358\"><a class=\"cite-ref\" href=\"#bron-26\" aria-label=\"Source 26\">[26]</a></sup>. Vraisemblablement la même lignée 2.3.x (<strong>interprétation</strong>).</li>\n<li>La méthodologie est citée d'après le projet D9 soumis au ballot de 2019, et non d'après la R1 publiée.<sup class=\"cite\" data-claims=\"CLM-99025c76\"><a class=\"cite-ref\" href=\"#bron-4\" aria-label=\"Source 4\">[4]</a></sup></li>\n<li>Les conclusions belges reposent sur une table des matières et sur des avis de marché ; les cahiers des charges complets et l'éventuel matériel réservé aux membres de HL7 Belgium n'ont pas été lus.<sup class=\"cite\" data-claims=\"CLM-5c07a3c2 CLM-4aeee9d1\"><a class=\"cite-ref\" href=\"#bron-8\" aria-label=\"Source 8\">[8]</a><a class=\"cite-ref\" href=\"#bron-24\" aria-label=\"Source 24\">[24]</a></sup></li>\n</ul>"
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    "publisher": "HL7 International",
    "url": "https://v2.hl7.org/conformance/HL7v2_Conformance_Methodology_R1_O1_Ballot_Revised_D9_-_September_2019_Introduction.html",
    "published": "2019-09-01"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-b79dbb4f",
   "statement": "HL7 noemt het uitbreiden van een HL7-segment met lokaal gedefinieerde velden niet verboden maar onverstandig, omdat het waarschijnlijk conformiteitsproblemen geeft met de volgende release.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sectie 'Local Extension'",
   "as_of": "2026-11-12",
   "source": {
    "id": "SRC-e28637f88a",
    "title": "HL7 v2+ demonstration site - Control (Messaging)",
    "publisher": "NIST / HL7 International",
    "url": "https://usnistgov.github.io/v2plusDemo/domain/Control.html",
    "published": null
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-eb92e078",
   "statement": "Lokale implementaties mogen de waarden van de tabellen uit de basisstandaard beperken of uitbreiden.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sectie over HL7-tabellen",
   "as_of": "2026-11-12",
   "source": {
    "id": "SRC-f3c6e0ad3c",
    "title": "HL7 Version 2 to FHIR - Implementation Considerations",
    "publisher": "HL7 International",
    "url": "https://hl7.org/fhir/uv/v2mappings/implementation_considerations.html",
    "published": null
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-eaa92fbd",
   "statement": "De binaire voorstelling van de scheidingstekens in een v2-bericht hangt af van de gebruikte tekenset.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sectie over scheidingstekens",
   "as_of": "2026-11-12",
   "source": {
    "id": "SRC-e28637f88a",
    "title": "HL7 v2+ demonstration site - Control (Messaging)",
    "publisher": "NIST / HL7 International",
    "url": "https://usnistgov.github.io/v2plusDemo/domain/Control.html",
    "published": null
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-bb49fc3a",
   "statement": "In IHE PAM wordt een wijziging van patiëntgegevens buiten een verblijf verstuurd als A31 (transactie ITI-30) en binnen de context van een verblijf als A08 (transactie ITI-31).",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sectie 3.30, PID-velden",
   "as_of": "2026-11-12",
   "source": {
    "id": "SRC-99734ac797",
    "title": "IHE ITI TF-2, 3.30 Patient Identity Management [ITI-30]",
    "publisher": "IHE International",
    "url": "https://profiles.ihe.net/ITI/TF/Volume2/ITI-30.html",
    "published": null
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-1dd765cb",
   "statement": "Het PCD-01-bericht (ORU^R01) wijkt af van de basis-v2.6 door PRT-segmenten toe te laten, een segment dat pas in v2.7 bestaat: een bewuste mengvorm van versies.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "p. 15, sectie 3.1.4.1.1",
   "as_of": "2026-11-12",
   "source": {
    "id": "SRC-8c4f9f0f32",
    "title": "IHE Devices Technical Framework, Volume 2 (DEV TF-2): Transactions, Revision 10.0 - Final Text",
    "publisher": "IHE International",
    "url": "https://www.ihe.net/uploadedFiles/Documents/DEV/IHE_DEV_TF_Vol2.pdf",
    "published": "2024-11-04"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-6d236019",
   "statement": "Volgens HL7 is het lokaal opnemen van een Z-segment in een segmentgroep toegestaan.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sectie 'Local Extension'",
   "as_of": "2026-11-12",
   "source": {
    "id": "SRC-e28637f88a",
    "title": "HL7 v2+ demonstration site - Control (Messaging)",
    "publisher": "NIST / HL7 International",
    "url": "https://usnistgov.github.io/v2plusDemo/domain/Control.html",
    "published": null
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-a38803a0",
   "statement": "Sommige sites voegen een voorgesteld veld vroegtijdig lokaal toe met een hoog volgnummer; HL7 waarschuwt dat de lokale implementatie zich moet aanpassen als dat later botst met een officieel veld.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sectie 'Local Extension'",
   "as_of": "2026-11-12",
   "source": {
    "id": "SRC-e28637f88a",
    "title": "HL7 v2+ demonstration site - Control (Messaging)",
    "publisher": "NIST / HL7 International",
    "url": "https://usnistgov.github.io/v2plusDemo/domain/Control.html",
    "published": null
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-9a967098",
   "statement": "In oudere versies zoals v2.3.1 ontbreekt in MSH-9 vaak de berichtstructuur (MSH-9.3), omdat de standaard ze toen niet altijd in de berichtdefinitie opnam.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sectie over berichtstructuur in MSH-9",
   "as_of": "2026-11-12",
   "source": {
    "id": "SRC-f3c6e0ad3c",
    "title": "HL7 Version 2 to FHIR - Implementation Considerations",
    "publisher": "HL7 International",
    "url": "https://hl7.org/fhir/uv/v2mappings/implementation_considerations.html",
    "published": null
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-d2e7c49a",
   "statement": "Het samenvoegbericht van ITI-30 dient enkel om twee identificatoren van dezelfde patiënt samen te voegen; voor andere wijzigingen van patiëntgegevens hoort A31.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sectie 3.30.6, Merge",
   "as_of": "2026-11-12",
   "source": {
    "id": "SRC-99734ac797",
    "title": "IHE ITI TF-2, 3.30 Patient Identity Management [ITI-30]",
    "publisher": "IHE International",
    "url": "https://profiles.ihe.net/ITI/TF/Volume2/ITI-30.html",
    "published": null
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-6d8400cf",
   "statement": "Het IHE Devices Technical Framework (Rev. 10.0, Final Text, 4 november 2024) gebruikt HL7 v2.6 hoofdstuk 7 voor de syntaxis van observaties uit toestellen.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "p. 14, sectie 3.1.3",
   "as_of": "2026-11-12",
   "source": {
    "id": "SRC-8c4f9f0f32",
    "title": "IHE Devices Technical Framework, Volume 2 (DEV TF-2): Transactions, Revision 10.0 - Final Text",
    "publisher": "IHE International",
    "url": "https://www.ihe.net/uploadedFiles/Documents/DEV/IHE_DEV_TF_Vol2.pdf",
    "published": "2024-11-04"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-99d35d68",
   "statement": "Een constrainable profile is afgeleid van de standaard of van een ander constrainable profile en voegt beperkingen toe, bijvoorbeeld een profiel voor een Amerikaanse staat op basis van een nationaal profiel.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "glossarium, term 'Constrainable Profile'",
   "as_of": "2026-11-12",
   "source": {
    "id": "SRC-60027ae387",
    "title": "HL7 Version 2 Conformance Methodology R1 - Ballot Revised D9 (september 2019) - Glossary",
    "publisher": "HL7 International",
    "url": "https://v2.hl7.org/conformance/HL7v2_Conformance_Methodology_R1_O1_Ballot_Revised_D9_-_September_2019_Glossary.html",
    "published": "2019-09-01"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-8934449c",
   "statement": "Met profile components kan een nationaal profiel worden aangevuld met regionale eisen; samen drukken ze de volledige eisen voor die regio uit (voorbeeld: volksgezondheid).",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sectie over profile components",
   "as_of": "2026-11-12",
   "source": {
    "id": "SRC-4e4b02b72a",
    "title": "HL7 Version 2 Conformance Methodology R1 - Ballot Revised D9 (september 2019) - Introduction",
    "publisher": "HL7 International",
    "url": "https://v2.hl7.org/conformance/HL7v2_Conformance_Methodology_R1_O1_Ballot_Revised_D9_-_September_2019_Introduction.html",
    "published": "2019-09-01"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-4fe212fb",
   "statement": "Een conformance statement is in de methodologie een expliciete verklaring in tekst of als testbare expressie die een beperking vastlegt.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "glossarium, term 'Conformance Statement'",
   "as_of": "2026-11-12",
   "source": {
    "id": "SRC-60027ae387",
    "title": "HL7 Version 2 Conformance Methodology R1 - Ballot Revised D9 (september 2019) - Glossary",
    "publisher": "HL7 International",
    "url": "https://v2.hl7.org/conformance/HL7v2_Conformance_Methodology_R1_O1_Ballot_Revised_D9_-_September_2019_Glossary.html",
    "published": "2019-09-01"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-7ef7c3e0",
   "statement": "Een expliciete conformancemethodologie kwam in de HL7 v2-standaard met versie 2.5 en werd in latere versies herzien.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sectie 'Introduction'",
   "as_of": "2026-11-12",
   "source": {
    "id": "SRC-4e4b02b72a",
    "title": "HL7 Version 2 Conformance Methodology R1 - Ballot Revised D9 (september 2019) - Introduction",
    "publisher": "HL7 International",
    "url": "https://v2.hl7.org/conformance/HL7v2_Conformance_Methodology_R1_O1_Ballot_Revised_D9_-_September_2019_Introduction.html",
    "published": "2019-09-01"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-18e4cca7",
   "statement": "Het methodologiedocument vervangt de conformancehoofdstukken uit eerdere v2-versies en is bedoeld om op elke HL7 v2-versie te worden toegepast.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sectie 'Introduction'",
   "as_of": "2026-11-12",
   "source": {
    "id": "SRC-4e4b02b72a",
    "title": "HL7 Version 2 Conformance Methodology R1 - Ballot Revised D9 (september 2019) - Introduction",
    "publisher": "HL7 International",
    "url": "https://v2.hl7.org/conformance/HL7v2_Conformance_Methodology_R1_O1_Ballot_Revised_D9_-_September_2019_Introduction.html",
    "published": "2019-09-01"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-5f3a3023",
   "statement": "De versies 2.1 en 2.2 vallen bewust buiten de methodologie, omdat hun constructies te onrijp zijn; nieuwe implementatiegidsen op die versies worden sterk afgeraden.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sectie 'Introduction'",
   "as_of": "2026-11-12",
   "source": {
    "id": "SRC-4e4b02b72a",
    "title": "HL7 Version 2 Conformance Methodology R1 - Ballot Revised D9 (september 2019) - Introduction",
    "publisher": "HL7 International",
    "url": "https://v2.hl7.org/conformance/HL7v2_Conformance_Methodology_R1_O1_Ballot_Revised_D9_-_September_2019_Introduction.html",
    "published": "2019-09-01"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-bdc8d3b0",
   "statement": "Bij certificatie hoort een conformiteitsfout tot falen te leiden, terwijl dezelfde fout in een productie-interface kan leiden tot alles tussen het bericht weigeren en niets doen.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sectie over conformance assessment",
   "as_of": "2026-11-12",
   "source": {
    "id": "SRC-4e4b02b72a",
    "title": "HL7 Version 2 Conformance Methodology R1 - Ballot Revised D9 (september 2019) - Introduction",
    "publisher": "HL7 International",
    "url": "https://v2.hl7.org/conformance/HL7v2_Conformance_Methodology_R1_O1_Ballot_Revised_D9_-_September_2019_Introduction.html",
    "published": "2019-09-01"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-77581660",
   "statement": "In IHE-transacties mogen Z-segmenten enkel voorkomen als het IHE-profiel ze uitdrukkelijk voorziet.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "Appendix C, inleiding",
   "as_of": "2026-11-12",
   "source": {
    "id": "SRC-b116a29d8b",
    "title": "IHE ITI Technical Framework Volume 2 - Appendix C: HL7 Profiling Conventions",
    "publisher": "IHE International",
    "url": "https://profiles.ihe.net/ITI/TF/Volume2/ch-C.html",
    "published": null
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-12706446",
   "statement": "IHE definieert in PAM zelf een Z-segment (ZBE, actie op een beweging) en een Z-bericht (Z99) voor de optie Historic Movement Management.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sectie EVN-segment",
   "as_of": "2026-11-12",
   "source": {
    "id": "SRC-99734ac797",
    "title": "IHE ITI TF-2, 3.30 Patient Identity Management [ITI-30]",
    "publisher": "IHE International",
    "url": "https://profiles.ihe.net/ITI/TF/Volume2/ITI-30.html",
    "published": null
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-5dbe7eb8",
   "statement": "IHE noemt de aangepaste HL7 2.5-tabellen in zijn ITI Technical Framework zelf een profiel.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "Appendix C, inleiding",
   "as_of": "2026-11-12",
   "source": {
    "id": "SRC-b116a29d8b",
    "title": "IHE ITI Technical Framework Volume 2 - Appendix C: HL7 Profiling Conventions",
    "publisher": "IHE International",
    "url": "https://profiles.ihe.net/ITI/TF/Volume2/ch-C.html",
    "published": null
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-1b211281",
   "statement": "IHE beveelt aan dat berichten vanaf v2.5 in MSH-21 de IHE-transactie als profielidentificator dragen (bv. 'ITI-10^IHE').",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "Appendix C, MSH-21",
   "as_of": "2026-11-12",
   "source": {
    "id": "SRC-b116a29d8b",
    "title": "IHE ITI Technical Framework Volume 2 - Appendix C: HL7 Profiling Conventions",
    "publisher": "IHE International",
    "url": "https://profiles.ihe.net/ITI/TF/Volume2/ch-C.html",
    "published": null
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-cc7c22f5",
   "statement": "Het IHE-profiel Patient Administration Management (PAM) definieert transacties op basis van berichtuitwisseling voor patiëntidentiteit, verblijfsgegevens en bewegingen binnen een acuut verblijf.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sectie 14.1",
   "as_of": "2026-11-12",
   "source": {
    "id": "SRC-6620a0a565",
    "title": "IHE ITI TF-1, 14 Patient Administration Management (PAM)",
    "publisher": "IHE International",
    "url": "https://profiles.ihe.net/ITI/TF/Volume1/ch-14.html",
    "published": null
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-440e1337",
   "statement": "Het IHE-profiel Scheduled Workflow legt het gebruik van HL7-berichten vast tussen patiëntregistratie (ADT), orderaanvraag en ordeplanning (RIS).",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sectie 'Details'",
   "as_of": "2026-11-12",
   "source": {
    "id": "SRC-e36aff9742",
    "title": "Scheduled Workflow (IHE wiki)",
    "publisher": "IHE International",
    "url": "https://wiki.ihe.net/index.php/Scheduled_Workflow",
    "published": null
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-0eb58272",
   "statement": "Het oorspronkelijke IHE-profiel Scheduled Workflow (SWF) vereist HL7 v2.3 en biedt een optie voor bijkomende ondersteuning van v2.5.1.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "p. 7, 'Introduction to this Supplement'",
   "as_of": "2026-11-12",
   "source": {
    "id": "SRC-eec48c0e30",
    "title": "IHE Radiology Technical Framework Supplement Scheduled Workflow.b (SWF.b), Rev. 1.7",
    "publisher": "IHE International",
    "url": "https://ihe.net/uploadedFiles/Documents/Radiology/IHE_RAD_Suppl_SWF.b.pdf",
    "published": "2019-08-09"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-b492a277",
   "statement": "De variant SWF.b (rev. 1.7, Trial Implementation, 9 augustus 2019) maakt HL7 v2.5.1 verplicht; v2.3 maakt er geen deel van uit.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "p. 7, 'Introduction to this Supplement'",
   "as_of": "2026-11-12",
   "source": {
    "id": "SRC-eec48c0e30",
    "title": "IHE Radiology Technical Framework Supplement Scheduled Workflow.b (SWF.b), Rev. 1.7",
    "publisher": "IHE International",
    "url": "https://ihe.net/uploadedFiles/Documents/Radiology/IHE_RAD_Suppl_SWF.b.pdf",
    "published": "2019-08-09"
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-073dde29",
   "statement": "Het IHE-profiel Laboratory Testing Workflow (LTW) definieert vijf transacties, allemaal op basis van HL7 versie 2.5 of 2.5.1; het internationale kader voor order- en resultaatberichten tussen klinisch systeem en LIS.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sectie Details, 'Transactions'",
   "as_of": "2026-09-28",
   "source": {
    "id": "SRC-e6ac8746c5",
    "title": "Laboratory Testing Workflow - IHE Wiki",
    "publisher": "IHE International",
    "url": "https://wiki.ihe.net/index.php/Laboratory_Testing_Workflow",
    "published": null
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-1972ba73",
   "statement": "Het IHE-profiel Device Enterprise Communication (DEC) zet gegevens van patiëntgebonden toestellen om van eigen syntaxis en semantiek naar één gemeenschappelijke voorstelling voor de enterprise-systemen.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sectie 'Details'",
   "as_of": "2026-11-12",
   "source": {
    "id": "SRC-0dc4ccbb28",
    "title": "PCD Profile DEC Overview",
    "publisher": "IHE International",
    "url": "https://wiki.ihe.net/index.php/Device_Enterprise_Communication",
    "published": null
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
   "on_page": true
  },
  {
   "id": "CLM-ff64a8be",
   "statement": "Een nationale extensie op het IHE Technical Framework vereist eerst een nationaal IHE-initiatief.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sectie 2.2",
   "as_of": "2026-11-12",
   "source": {
    "id": "SRC-a22f77008f",
    "title": "IHE ITI TF-4, 2 Overview of National Extensions to the Technical Framework",
    "publisher": "IHE International",
    "url": "https://profiles.ihe.net/ITI/TF/Volume4/ch-2.html",
    "published": null
   },
   "citaat": null,
   "figuur": null,
   "in_text": true,
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   "id": "CLM-c11bf782",
   "statement": "Een IHE-nationale extensie moet minstens één van de opties Merge en Link/Unlink kiezen en dezelfde optie voor leverancier en afnemer opleggen, om interoperabiliteit binnen dat land te verzekeren.",
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   "source": {
    "id": "SRC-6620a0a565",
    "title": "IHE ITI TF-1, 14 Patient Administration Management (PAM)",
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   "id": "CLM-1f2cd76d",
   "statement": "De Franse nationale extensie legt beperkingen op aan de HL7 v2.5-gebeurtenissen en -segmenten van PAM, en specificeert ook v2.5-gebeurtenissen en -segmenten die ITI TF-2 nog niet beschrijft.",
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   "locator": "sectie 4.1",
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    "id": "SRC-10c39d8afc",
    "title": "IHE ITI TF-4, 4 National Extensions for France",
    "publisher": "IHE International / IHE France",
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   "citaat": null,
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  {
   "id": "CLM-5d5b354c",
   "statement": "De Franse extensie vult in MSH-12 (ITI-30 en ITI-31) de internationaliseringscode 'FRA' in.",
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   "locator": "secties 4.1 en 4.1.1.4",
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   "source": {
    "id": "SRC-10c39d8afc",
    "title": "IHE ITI TF-4, 4 National Extensions for France",
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  {
   "id": "CLM-6b45c35d",
   "statement": "De Franse PAM-extensie bevat eigen Franse Z-segmenten, zoals ZFA met de status van het gedeelde dossier (DMP) van de patiënt.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "inhoudstafel, Segment ZFA",
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   "source": {
    "id": "SRC-a4bf00abc5",
    "title": "IHE PAM - National extension France, Release 2.10",
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  },
  {
   "id": "CLM-ee3cd757",
   "statement": "De Franse extensie verbiedt in alle HL7-berichten de velden voor ras, religie en etnische groep van de patiënt.",
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   "kind_label": "fait",
   "locator": "sectie 4.1.1.2",
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   "source": {
    "id": "SRC-10c39d8afc",
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    "publisher": "IHE International / IHE France",
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   "id": "CLM-95551948",
   "statement": "In de Franse nationale extensie moeten de tekensets ISO 8859/1 en ISO 8859/15 ondersteund worden.",
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    "id": "SRC-10c39d8afc",
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   "statement": "De Duitse nationale extensie verwijst naar de Duitse HL7-editie 2.5 en naar de Duitse nationale berichtprofielen uit 2003-2004.",
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    "id": "SRC-68e9328a36",
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    "url": "https://profiles.ihe.net/ITI/TF/Volume4/ch-5.html",
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   "id": "CLM-bf528c1c",
   "statement": "IHE Germany voerde een driejarig project uit om de Duitse nationale berichtprofielen van 2003-2004 af te stemmen op PAM.",
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   "kind_label": "fait",
   "locator": "sectie 5.3",
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    "id": "SRC-68e9328a36",
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  {
   "id": "CLM-0cc302ef",
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   "source": {
    "id": "SRC-68e9328a36",
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    "url": "https://profiles.ihe.net/ITI/TF/Volume4/ch-5.html",
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  {
   "id": "CLM-8cacf366",
   "statement": "De Amerikaanse v2.5.1-gids voor immunisatieberichten legt eigen OBX-gebruik op, bijvoorbeeld voor de geschiktheid van de patiënt en de financieringsbron van het vaccin.",
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   "kind_label": "fait",
   "locator": "sectie over implementatiegidsen",
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   "source": {
    "id": "SRC-f3c6e0ad3c",
    "title": "HL7 Version 2 to FHIR - Implementation Considerations",
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  {
   "id": "CLM-546b7ac9",
   "statement": "De Franse PAM-extensie 2.10 (12 juli 2021) is gepubliceerd met status Trial Implementation; daardoor geldt de vorige versie 2.9 als Final Text.",
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   "locator": "p. 2, 'Cycle de Vie du document'",
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   "source": {
    "id": "SRC-a4bf00abc5",
    "title": "IHE PAM - National extension France, Release 2.10",
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   "id": "CLM-bf45c729",
   "statement": "De Duitse extensie stelt dat IHE-profielen op basis van HL7 v2 waar nodig uitbreidingen definiëren, zoals het ZBE-segment.",
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   "locator": "sectie 5.2.2",
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   "source": {
    "id": "SRC-68e9328a36",
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    "url": "https://profiles.ihe.net/ITI/TF/Volume4/ch-5.html",
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   "id": "CLM-755e1b4a",
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   "locator": "informatieblad IGAMT-2, rij 'Description'",
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   "source": {
    "id": "SRC-e9e65fc5a4",
    "title": "IGAMT-2 - Information Sheet",
    "publisher": "National Institute of Standards and Technology (NIST)",
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   "id": "CLM-eaf49422",
   "statement": "Het NIST Health IT-programma loopt af; veel van de kerntools voor conformance en testen gaan naar externe organisaties, vooral Prometheus Computing, zodat ze onderhouden en publiek beschikbaar blijven.",
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   "locator": "inleiding",
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   "statement": "IGAMT-1, de oude versie van IGAMT, ging op 30 juni 2026 offline.",
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   "kind_label": "fait",
   "locator": "informatieblad IGAMT-1",
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   "statement": "Het gebruik van de methodologie in productie is optioneel maar aanbevolen; voor nieuw gestemde HL7 v2-implementatiegidsen is ze verplicht.",
   "kind": "fact",
   "kind_label": "fait",
   "locator": "sectie 'Introduction'",
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   "source": {
    "id": "SRC-4e4b02b72a",
    "title": "HL7 Version 2 Conformance Methodology R1 - Ballot Revised D9 (september 2019) - Introduction",
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   "locator": "sectie 'Implementation Considerations' in de projectscope",
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    "title": "HL7 Version 2 to FHIR - Introduction",
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   "statement": "Een Belgische ziekenhuisaanbesteding uit juni 2026 voor point-of-care-glucosemeting omvat middleware met koppelingen naar het LIS en de ADT-interface voor patiëntidentificatie; de aankondiging noemt geen berichtstandaard.",
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   "as_of": "2026-11-12",
   "source": {
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    "title": "TED 427187-2026 - Aankoop POCT-systeem voor glucosemeting incl. toestellen, middleware, reagentia en onderhoud",
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    "url": "https://wiki.ihe.net/index.php/Scheduled_Workflow_II_-_Work_Page",
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