{ "id": "vgl-fhir-openehr-omop", "url": "/vgl-fhir-openehr-omop/", "md_url": "/vgl-fhir-openehr-omop.md", "json_url": "/vgl-fhir-openehr-omop.json", "claims_url": "/vgl-fhir-openehr-omop/beweringen/", "type": { "code": "Topic", "label": "Overzicht of dossier" }, "schema_type": "Thing", "title": "FHIR, openEHR en OMOP: vergelijking", "aliases": [ "FHIR vs openEHR vs OMOP", "FHIR, openEHR en OMOP CDM", "uitwisseling vs persistentie vs analyse" ], "names": { "nl": "FHIR, openEHR en OMOP: vergelijking", "fr": "FHIR, openEHR et OMOP : comparaison", "en": "FHIR, openEHR and OMOP compared", "de": null }, "jurisdiction": [ { "code": "internationaal", "label": "Internationaal" }, { "code": "eu", "label": "Europese Unie" }, { "code": "belgie", "label": "België (federaal/interfederaal)" } ], "themes": [ { "code": "architectuur-en-infrastructuur", "label": "Architectuur en infrastructuur" }, { "code": "terminologie", "label": "Terminologie en codering" }, { "code": "secundair-gebruik", "label": "Secundair datagebruik en registers" } ], "lifecycle": { "code": "onbekend", "label": "onbekend" }, "lifecycle_note_html": "Niet van toepassing (vergelijkingspagina); de status per standaard staat in de tabel en op de eigen pagina's. Mappings FHIR→OMOP (HL7-IG v1.0.0, Informative) en openEHR↔FHIR (IG in ontwikkeling, onderzoeksprototypes) verschillen sterk in maturiteit.", "version": null, "vendor": null, "sectors": [], "homologations": [], "summary_text": "FHIR, openEHR en OMOP CDM dienen verschillende doelen: FHIR voor uitwisseling, openEHR voor klinische modellering en persistentie in het EPD, OMOP CDM voor longitudinale analyse en secundair gebruik. Bronnen (HL7 Vulcan FHIR-to-OMOP IG, JMIR 2023/2025) noemen ze complementair. SNOMED CT en LOINC vormen de gedeelde semantische laag. Transformaties zijn niet verliesvrij. De EHDS-verordening laat de Commissie tegen 26 maart 2027 de technische specificaties van een uitwisselingsformaat (EEHRxF) vastleggen; de uitwisselingsverplichtingen gelden gefaseerd vanaf 26 maart 2029 en 2031. België pleit voor één FHIR-standaard per berichttype; of de uitvoeringshandelingen FHIR normatief voorschrijven, is nog open. Voor openEHR en OMOP werd geen EHDS-verplichting gevonden; OMOP was in de HealthData@EU-pilot een optie.", "summary_html": "

FHIR, openEHR en OMOP CDM dienen verschillende doelen: FHIR voor uitwisseling, openEHR voor klinische modellering en persistentie in het EPD, OMOP CDM voor longitudinale analyse en secundair gebruik. Bronnen (HL7 Vulcan FHIR-to-OMOP IG, JMIR 2023/2025) noemen ze complementair. SNOMED CT en LOINC vormen de gedeelde semantische laag. Transformaties zijn niet verliesvrij. De EHDS-verordening laat de Commissie tegen 26 maart 2027 de technische specificaties van een uitwisselingsformaat (EEHRxF) vastleggen; de uitwisselingsverplichtingen gelden gefaseerd vanaf 26 maart 2029 en 2031. België pleit voor één FHIR-standaard per berichttype; of de uitvoeringshandelingen FHIR normatief voorschrijven, is nog open. Voor openEHR en OMOP werd geen EHDS-verplichting gevonden; OMOP was in de HealthData@EU-pilot een optie.

", "last_verified": "2026-09-26", "verification_outdated": false, "sections": [ { "id": "vraag-of-patroon", "title": "Vraag of patroon", "kind": "tekst", "html": "

Welke rol spelen HL7 FHIR, openEHR en OMOP CDM naast elkaar, en wat moet een Vlaams ziekenhuis ervan\nkennen in het licht van de EHDS (European Health Data Space)? Als kader gebruikt deze pagina de drie datadomeinen van de HL7 FHIR-to-OMOP IG:\nklinische zorg en administratie, data-uitwisseling en longitudinale analyse[1]. Die IG ziet FHIR en OMOP\nals complementair, niet als concurrenten[1]. Een expertpanel komt tot dezelfde conclusie voor openEHR,\nISO 13606 en FHIR: elk is nuttig voor een eigen doel en ze zijn samen inzetbaar[2].

" }, { "id": "vergelijking", "title": "Vergelijking", "kind": "tekst", "html": "\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
DimensieHL7 FHIRopenEHROMOP CDM (OHDSI)
DoelElektronische uitwisseling van zorginformatie[3]; domein data-uitwisseling (REST-API, resources)[1]Scheiden van technische opslag en klinische betekenis, zodat systemen evolueren zonder dataverlies[4]; volledig platformmodel voor registratie, persistentie en querying[2]Structuur en inhoud van observationele data standaardiseren voor analyse[5]; domein longitudinale analyse[1]
BeheerHL7 International; in België is HL7 Belgium de affiliate[6], werken HL7 Belgium-werkgroepen FHIR-profielen uit[7] en publiceert het eHealth-platform FHIR-profielen[8]openEHR International (operationeel, sinds 2019), IP bij de openEHR Foundation[9]; specificaties CC-BY-ND[9]OHDSI CDM Working Group[5]
GranulariteitDe resource is de basisbouwsteen[3]Stabiel referentiemodel met archetypes en templates als domeinniveau[10]; templates vormen volledige Compositions (bv. ontslagbrief)[10]Persoonsgericht: alle klinische event-tabellen hangen aan PERSON[11]
QueryingREST-API is een van de mogelijkheden[1], maar REST is niet vereist om resources te gebruiken[3]AQL[10]Relationeel model, realiseerbaar in elke relationele database (bv. SQL-databanken)[11]; geen aparte querytaal in de bronnen gevonden
Maturiteit en versieR5 (5.0.0) is de huidige versie[12]; R4 (4.0.1) mengt normatieve en STU-inhoud[13]Architecture Overview BASE 1.2.0, status STABLE[10]v5.5[5], enkel optionele toevoegingen t.o.v. v5.4[14]
Rol van terminologieTerminologiemodule met CodeSystem, ValueSet, ConceptMap[15]; elk codesysteem een URL (bv. LOINC, SNOMED)[16]Archetypes en templates als semantische toegangspoort naar terminologieën[10]Standardized Vocabularies centraal[5]; één Standard Concept per event, bij aandoeningen SNOMED[17]
Belgisch gebruikVoorkeursstandaard voor nieuwe stromen (sinds het Actieplan e-Gezondheid 2019-2021)[18]; Belgische IG's op R4[19]Niet gevonden (gap; betekent niet dat het niet bestaat)Belgische OHDSI-node uit de EHDEN-gemeenschap[20]; 14 Belgische EHDEN-datapartners[21]
\n

Volgens een JMIR-artikel (2025) gebruiken FHIR en OMOP dezelfde internationale terminologieën, en past OMOP beter bij\nanalyse dan bij operationele uitwisseling[22]. In de Belgische FHIR-profielen is SNOMED CT de\nvoorkeurscodering[23], en in de Belgische Lab-IG (v1.0.0, trial use) moeten de meeste gangbare\nlabometingen in LOINC volgens de FOD-subset gecodeerd worden[24]. De registratieclassificatie ICD-10-BE valt buiten deze drie modellen; in OMOP worden ICD-codes als\nbroncodes op SNOMED-standaardconcepten gemapt[17].

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Bevindingen: de drie standaarden zijn volgens de geraadpleegde bronnen complementair[1][2] en\nmappings verliezen informatie[1]. Van de drie modellen raakt enkel het uitwisselingsformaat (EEHRxF) aan\neen EU-verplichting[28]; voor openEHR en OMOP werd geen EHDS-verplichting gevonden (gap)\n[31]. De EHDS bevat daarnaast verplichtingen die los van deze modellen staan, zoals registratie in een\nEPD-systeem en terbeschikkingstelling voor secundair gebruik (vanaf 2029/2031, zie hierboven).

\n

Aanbeveling: behandel FHIR (Belgische en EU-profielen) als de verwachte buitenkant van het EPD voor uitwisseling,\nen volg de EEHRxF-uitvoeringshandelingen op om te zien of FHIR normatief wordt voorgeschreven. Codeer zo veel\nmogelijk aan de bron in SNOMED CT en LOINC (dat verlaagt de kosten van elke latere FHIR-, openEHR- of OMOP-omzetting),\nen beschouw OMOP als optionele onderzoekskopie en openEHR als architectuurkeuze die een eigen businesscase vraagt.\nHoud brondata altijd bij als referentie, omdat een OMOP-kopie per definitie verlies bevat.

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Belgische IG's zijn R4, terwijl de FHIR-to-OMOP IG op R5 en US Core steunt[19][1]; een\ndirecte toepassing vraagt dus vertaling. Voor SNOMED CT-gebruik in de Belgische core-clinical profielen is een Affiliate-licentie\nnodig[32].

" }, { "id": "onzekerheden-en-tegenstrijdige-informatie", "title": "Onzekerheden en tegenstrijdige informatie", "kind": "tekst", "html": "" } ], "relation_groups": [ { "type": "about", "direction": "uit", "label": "gaat over", "relations": [ { "direction": "uit", "type": "about", "label": "gaat over", "other": { "id": "fhir", "title": "HL7 FHIR", "url": "/fhir/" }, "status": "established", "status_label": "vastgesteld", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 1, 3 ] }, { "direction": "uit", "type": "about", "label": "gaat over", "other": { "id": "openehr", "title": "openEHR", "url": "/openehr/" }, "status": "established", "status_label": "vastgesteld", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 2, 4 ] }, { "direction": "uit", "type": "about", "label": "gaat over", "other": { "id": "omop-cdm", "title": "OMOP CDM en OHDSI", "url": "/omop-cdm/" }, "status": "established", "status_label": "vastgesteld", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 1, 5 ] }, { "direction": "uit", "type": "about", "label": "gaat over", "other": { "id": "snomed-ct", "title": "SNOMED CT", "url": "/snomed-ct/" }, "status": "established", "status_label": "vastgesteld", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 22, 17 ] }, { "direction": "uit", "type": "about", "label": "gaat over", "other": { "id": "loinc", "title": "LOINC en de Belgische labosubset (ReTaM)", "url": "/loinc/" }, "status": "established", "status_label": "vastgesteld", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 22, 16 ] }, { "direction": "uit", "type": "about", "label": "gaat over", "other": { "id": "icd-10-be", "title": "ICD-10-BE", "url": "/icd-10-be/" }, "status": "hypothesis", "status_label": "hypothese", "note_html": "ICD-codes worden in OMOP als broncodes op SNOMED gemapt; een specifieke ICD-10-BE-vocabularium in OHDSI werd niet bevestigd.", "valid_from": null, "valid_to": null, "historical": false, "refs": [ 17 ] }, { "direction": "uit", "type": "about", "label": "gaat over", "other": { "id": "ehds", "title": "EHDS (European Health Data Space)", "url": "/ehds/" }, "status": "established", "status_label": "vastgesteld", "note_html": "De EHDS laat de technische specificaties van het uitwisselingsformaat via uitvoeringshandelingen vastleggen; voor persistentie- of analysemodellen werd geen EHDS-verplichting gevonden.", "valid_from": null, "valid_to": null, "historical": false, "refs": [ 28, 2 ] }, { "direction": "uit", "type": "about", "label": "gaat over", "other": { "id": "be-fhir-igs", "title": "Belgische FHIR-implementatiegidsen", "url": "/be-fhir-igs/" }, "status": "established", "status_label": "vastgesteld", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 19, 23 ] }, { "direction": "uit", "type": "about", "label": "gaat over", "other": { "id": "eehrxf", "title": "EEHRxF (European EHR Exchange Format)", "url": "/eehrxf/" }, "status": "established", "status_label": "vastgesteld", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 28 ] }, { "direction": "uit", "type": "about", "label": "gaat over", "other": { "id": "healthdata-at-eu", "title": "HealthData@EU", "url": "/healthdata-at-eu/" }, "status": "established", "status_label": "vastgesteld", "note_html": "OMOP was in de HealthData@EU-pilot een optie, geen verplichting.", "valid_from": null, "valid_to": null, "historical": false, "refs": [ 31 ] } ] }, { "type": "comparedWith", "direction": "in", "label": "wordt vergeleken met (inkomend)", "relations": [ { "direction": "in", "type": "comparedWith", "label": "wordt vergeleken met (inkomend)", "other": { "id": "omop-cdm", "title": "OMOP CDM en OHDSI", "url": "/omop-cdm/" }, "status": "established", "status_label": "vastgesteld", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 1 ] }, { "direction": "in", "type": "comparedWith", "label": "wordt vergeleken met (inkomend)", "other": { "id": "openehr", "title": "openEHR", "url": "/openehr/" }, "status": "established", "status_label": "vastgesteld", "note_html": null, "valid_from": null, "valid_to": null, "historical": false, "refs": [ 2 ] } ] } ], "relation_count": 12, "hypothesis_count": 1, "neighbours": [ { "id": "fhir", "title": "HL7 FHIR", "url": "/fhir/", "type": { "code": "Specification", "label": "Standaard of specificatie" }, "status": "established" }, { "id": "openehr", "title": "openEHR", "url": "/openehr/", "type": { "code": "Specification", "label": "Standaard of specificatie" }, "status": "established" }, { "id": "omop-cdm", "title": "OMOP CDM en OHDSI", "url": "/omop-cdm/", "type": { "code": "Specification", "label": "Standaard of specificatie" }, "status": "established" }, { "id": "snomed-ct", "title": "SNOMED CT", "url": "/snomed-ct/", "type": { "code": "Terminology", "label": "Terminologie of classificatie" }, "status": "established" }, { "id": "loinc", "title": "LOINC en de Belgische labosubset (ReTaM)", "url": "/loinc/", "type": { "code": "Terminology", "label": "Terminologie of classificatie" }, "status": "established" }, { "id": "icd-10-be", "title": "ICD-10-BE", "url": "/icd-10-be/", "type": { "code": "Terminology", "label": "Terminologie of classificatie" }, "status": "hypothesis" }, { "id": "ehds", "title": "EHDS (European Health Data Space)", "url": "/ehds/", "type": { "code": "LegalAct", "label": "Wettekst of verordening" }, "status": "established" }, { "id": "be-fhir-igs", "title": "Belgische FHIR-implementatiegidsen", "url": "/be-fhir-igs/", "type": { "code": "Specification", "label": "Standaard of specificatie" }, "status": "established" }, { "id": "eehrxf", "title": "EEHRxF (European EHR Exchange Format)", "url": "/eehrxf/", "type": { "code": "Specification", "label": "Standaard of specificatie" }, "status": "established" }, { "id": "healthdata-at-eu", "title": "HealthData@EU", "url": "/healthdata-at-eu/", "type": { "code": "Platform", "label": "Platform of dienst" }, "status": "established" } ], "open_questions_html": [ "Welke Belgische of Europese referentiearchitectuur combineert FHIR, openEHR en OMOP expliciet (bv. richtlijnen van de Health Data Agency)?", "Wanneer volgt de HL7 FHIR-to-OMOP IG op OMOP CDM v5.5, en komt er een R4-variant die aansluit op de Belgische R4-IG's?", "Wordt openEHR in België gebruikt door ziekenhuizen of EPD-leveranciers? Niet gevonden.", "Bestaat er een officiële mappingstandaard openEHR↔OMOP? Niet gevonden.", "Verwijzen de EEHRxF-uitvoeringshandelingen (verwacht begin 2027) normatief naar FHIR?", "Komt er een Atlas-conceptpagina voor openEHR (relatie nu naar een nog aan te maken concept)?" ], "open_questions": [ { "id": "oq-b2207a", "html": "Welke Belgische of Europese referentiearchitectuur combineert FHIR, openEHR en OMOP expliciet (bv. richtlijnen van de Health Data Agency)?", "text": "Welke Belgische of Europese referentiearchitectuur combineert FHIR, openEHR en OMOP expliciet (bv. richtlijnen van de Health Data Agency)?" }, { "id": "oq-af3637", "html": "Wanneer volgt de HL7 FHIR-to-OMOP IG op OMOP CDM v5.5, en komt er een R4-variant die aansluit op de Belgische R4-IG's?", "text": "Wanneer volgt de HL7 FHIR-to-OMOP IG op OMOP CDM v5.5, en komt er een R4-variant die aansluit op de Belgische R4-IG's?" }, { "id": "oq-3f16b8", "html": "Wordt openEHR in België gebruikt door ziekenhuizen of EPD-leveranciers? Niet gevonden.", "text": "Wordt openEHR in België gebruikt door ziekenhuizen of EPD-leveranciers? Niet gevonden." }, { "id": "oq-dd36c7", "html": "Bestaat er een officiële mappingstandaard openEHR↔OMOP? Niet gevonden.", "text": "Bestaat er een officiële mappingstandaard openEHR↔OMOP? Niet gevonden." }, { "id": "oq-493197", "html": "Verwijzen de EEHRxF-uitvoeringshandelingen (verwacht begin 2027) normatief naar FHIR?", "text": "Verwijzen de EEHRxF-uitvoeringshandelingen (verwacht begin 2027) normatief naar FHIR?" }, { "id": "oq-415aee", "html": "Komt er een Atlas-conceptpagina voor openEHR (relatie nu naar een nog aan te maken concept)?", "text": "Komt er een Atlas-conceptpagina voor openEHR (relatie nu naar een nog aan te maken concept)?" } ], "exchanges": [], "sources": [ { "n": 1, "id": "SRC-4762fc1944", "title": "Vulcan FHIR to OMOP FHIR Implementation Guide", "publisher": "HL7 International / Biomedical Research and Regulation", "url": "https://hl7.org/fhir/uv/omop/en/index.html", "published": null, "first_retrieved": "2026-09-25T20:37:23+00:00", "last_checked": "2026-09-26T05:59:20+00:00", "content_sha256": "99216bdc130a3b77ab7741f5d19a4676b50144790b4f7d2b39367b890761540e", "link_unreachable_since": null }, { "n": 2, "id": "SRC-b22ee5ef19", "title": "Can OpenEHR, ISO 13606, and HL7 FHIR Work Together? 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Oracle, SQL Server) of als SAS-analysedatasets worden gerealiseerd.", "kind": "fact", "kind_label": "feit", "locator": "sectie 4.1 (design principles, technology neutrality)", "as_of": "2026-09-26", "source": { "id": "SRC-277609bbe8", "title": "The Book of OHDSI - Chapter 4 The Common Data Model", "publisher": "OHDSI", "url": "https://ohdsi.github.io/TheBookOfOhdsi/CommonDataModel.html", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-9566eb8c", "statement": "FHIR R5 (v5.0.0) werd gepubliceerd op 26 maart 2023 en is de huidige gepubliceerde versie van FHIR (status STU).", "kind": "fact", "kind_label": "feit", "locator": "voettekst", "as_of": "2026-09-25", "source": { "id": "SRC-ec315cc0fc", "title": "FHIR R5 (v5.0.0)", "publisher": "HL7 International", "url": "https://hl7.org/fhir/R5/index.html", "published": "2023-03-26" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-1badcbfb", "statement": "FHIR R4 (v4.0.1, Technical Correction #1) is een mix van normatieve en STU-inhoud; 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bij aandoeningen is dat SNOMED, en ICD- of andere broncodes worden erop gemapt.", "kind": "fact", "kind_label": "feit", "locator": "sectie 5.2.6 Standard Concepts", "as_of": "2026-09-25", "source": { "id": "SRC-9a557cfa23", "title": "The Book of OHDSI - Chapter 5 Standardized Vocabularies", "publisher": "OHDSI", "url": "https://ohdsi.github.io/TheBookOfOhdsi/StandardizedVocabularies.html", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-a8067de8", "statement": "In het kader van het Actieplan e-Gezondheid 2019-2021 (cluster 0.5) is HL7 FHIR de voorkeursstandaard in België: nieuwe gegevensstromen gebruiken bij voorkeur FHIR, nieuwe interfaces bij voorkeur FHIR REST.", "kind": "fact", "kind_label": "feit", "locator": "sectie 'concerning FHIR'", "as_of": "2026-09-25", "source": { "id": "SRC-bd069bf1c8", "title": "eHealth Platform Standards - Home (KMEHR)", "publisher": "eHealth-platform", "url": "https://www.ehealth.fgov.be/standards/kmehr/en", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-4c97a5a4", "statement": "Belgische IG's zijn R4-IG's die ook met R4B-systemen bruikbaar zijn; er worden R4- en R4B-pakketten aangeboden. Geen enkele gepubliceerde Belgische IG is op FHIR R5 gebaseerd; R5-elementen worden via cross-version-extensies in R4 gebruikt.", "kind": "fact", "kind_label": "feit", "locator": "sectie cross-version analysis / dependencies", "as_of": "2026-09-25", "source": { "id": "SRC-c0c4b77571", "title": "BE Medication - Home", "publisher": "eHealth-platform", "url": "https://www.ehealth.fgov.be/standards/fhir/medication/en/index.html", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-ba340bd5", "statement": "De Belgische OHDSI-node ontstond spontaan uit de Belgische EHDEN-gemeenschap en behoort tot de meest actieve in Europa.", "kind": "fact", "kind_label": "feit", "locator": "inleiding", "as_of": "2026-09-25", "source": { "id": "SRC-8af9dba3d7", "title": "OHDSI Belgium - national node", "publisher": "OHDSI Europe", "url": "https://www.ohdsi-europe.org/index.php/national-nodes/belgium", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-23727b49", "statement": "EHDEN lijst 14 Belgische datapartners (Brussel en Vlaanderen): overwegend ziekenhuizen, aangevuld met enkele bedrijven en een universitair MS-centrum.", "kind": "fact", "kind_label": "feit", "locator": "lijst BENELUX > Belgium (14)", "as_of": "2026-09-25", "source": { "id": "SRC-88258db489", "title": "Data Partners – EHDEN Foundation", "publisher": "EHDEN Foundation", "url": "https://www.ehden.eu/datapartners/", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-85e934d1", "statement": "Volgens een JMIR-artikel (2025) gebruiken FHIR (CodeSystems) en OMOP (OHDSI-vocabularia) dezelfde internationale terminologieën; OMOP past beter bij analyse dan bij operationele uitwisseling.", "kind": "research-finding", "kind_label": "onderzoeksbevinding", "locator": "sectie Discussion (FHIR vs OMOP)", "as_of": "2026-09-25", "source": { "id": "SRC-55ef771c33", "title": "Interoperability Framework of the European Health Data Space 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Belgische FHIR Lab-IG (v1.0.0, Trial Use) SHALL laboresultaten gecodeerd worden in LOINC volgens de subset van de FOD Volksgezondheid; anders ALBERT-codes.", "kind": "fact", "kind_label": "feit", "locator": "sectie codering observaties", "as_of": "2026-09-25", "source": { "id": "SRC-fb93029bf0", "title": "HL7 Belgium FHIR IG - Lab related profiles: Guidance", "publisher": "eHealth-platform / HL7 Belgium", "url": "https://www.ehealth.fgov.be/standards/fhir/lab/guidance.html", "published": "2022-09-08" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-71837b87", "statement": "De omzetting van bronconcepten naar Standard Concepts heet 'mapping'; niet-standaardconcepten blijven als 'source concepts' in de vocabularia.", "kind": "fact", "kind_label": "feit", "locator": "sectie 5.2.7 Non-Standard Concepts", "as_of": "2026-09-25", "source": { "id": "SRC-9a557cfa23", "title": "The Book of OHDSI - Chapter 5 Standardized Vocabularies", "publisher": "OHDSI", "url": "https://ohdsi.github.io/TheBookOfOhdsi/StandardizedVocabularies.html", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-77f1c57f", "statement": "De Vulcan FHIR-to-OMOP IG v1.0.0 (Informative, FHIR R5) behandelt enkel de richting FHIR→OMOP, voor een IPA-kern plus Encounter en Procedure (US Core), met OMOP CDM v5.4 als doel.", "kind": "fact", "kind_label": "feit", "locator": "Home, sectie Scope", "as_of": "2026-09-25", "source": { "id": "SRC-4762fc1944", "title": "Vulcan FHIR to OMOP FHIR Implementation Guide", "publisher": "HL7 International / Biomedical Research and Regulation", "url": "https://hl7.org/fhir/uv/omop/en/index.html", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-2eb05c91", "statement": "Een volgende versie van de FHIR-to-OMOP IG (2.0.0-ballot) staat als continuous build op build.fhir.org (ontwerp).", "kind": "fact", "kind_label": "feit", "locator": "publicatiebanner", "as_of": "2026-09-25", "source": { "id": "SRC-5f6318ee1a", "title": "FHIR to OMOP FHIR IG (continuous build 2.0.0-ballot)", "publisher": "HL7 International / Biomedical Research and Regulation", "url": "https://build.fhir.org/ig/HL7/fhir-omop-ig/", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-cd749309", "statement": "Een FHIR-naar-OMOP-transformatie kan niet verliesvrij zijn; de IG noemt vier soorten verlies: fideliteit, informatie, relaties en accuraatheid.", "kind": "fact", "kind_label": "feit", "locator": "Home, sectie over informatieverlies", "as_of": "2026-09-25", "source": { "id": "SRC-4762fc1944", "title": "Vulcan FHIR to OMOP FHIR Implementation Guide", "publisher": "HL7 International / Biomedical Research and Regulation", "url": "https://hl7.org/fhir/uv/omop/en/index.html", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-4d28e36b", "statement": "Er is een HL7-implementatiegids in ontwikkeling (broncode op GitHub, FHIR R5, HL7 FHIR Infrastructure) die openEHR-datatypes op FHIR-datatypes mapt voor uitwisseling en persistentie zonder betekenisverlies.", "kind": "fact", "kind_label": "feit", "locator": "README", "as_of": "2026-09-25", "source": { "id": "SRC-c911dbe4d4", "title": "openEHR-FHIR Data Type Mapping IG (broncode)", "publisher": "openehr-fhir (GitHub)", "url": "https://github.com/openehr-fhir/data-type-mapping-ig", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-dc514fc0", "statement": "Het onderzoeksvoorstel FHIRconnect (preprint 2025) biedt een DSL en open-source engine (openFHIR) voor bidirectionele openEHR-FHIR-transformatie en mapte 24 archetypes naar 15 FHIR-profielen.", "kind": "research-finding", "kind_label": "onderzoeksbevinding", "locator": "Abstract", "as_of": "2026-09-25", "source": { "id": "SRC-36bd69feaa", "title": "FHIRconnect: Towards a seamless integration of openEHR and FHIR", "publisher": "arXiv (preprint)", "url": "https://arxiv.org/abs/2511.14618", "published": "2025-11-18" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-96d3720e", "statement": "De verordening is van toepassing vanaf 26 maart 2027; art. 105 maakt daarop een uitzondering: de artikelen 3 tot 15, art. 23(2) tot (6) en de artikelen 25, 26, 27, 47, 48 en 49 gelden gefaseerd per categorie (26 maart 2029 voor art. 14(1)(a)-(c), 26 maart 2031 voor art. 14(1)(d)-(f)).", "kind": "fact", "kind_label": "feit", "locator": "art. 105, derde alinea", "as_of": "2026-09-26", "source": { "id": "SRC-af26b6d770", "title": "Regulation (EU) 2025/327 of the European Parliament and of the Council of 11 February 2025 on the European Health Data Space and amending Directive 2011/24/EU and Regulation (EU) 2024/2847", "publisher": "Europees Parlement en Raad van de EU (EUR-Lex)", "url": "https://eur-lex.europa.eu/eli/reg/2025/327/oj/eng", "published": "2025-03-05" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-14501017", "statement": "De artikelen 3 tot 15 (waaronder de registratieplicht van art. 13 en het EEHRxF van art. 15) gelden vanaf 26 maart 2029 voor patiëntsamenvatting, e-voorschrift en e-aflevering en voor EPD-systemen die de fabrikant voor die categorieën bestemt; voor beeldvorming, testresultaten en ontslagverslagen vanaf 26 maart 2031.", "kind": "fact", "kind_label": "feit", "locator": "art. 105, derde alinea, punt (a)", "as_of": "2026-09-26", "source": { "id": "SRC-af26b6d770", "title": "Regulation (EU) 2025/327 of the European Parliament and of the Council of 11 February 2025 on the European Health Data Space and amending Directive 2011/24/EU and Regulation (EU) 2024/2847", "publisher": "Europees Parlement en Raad van de EU (EUR-Lex)", "url": "https://eur-lex.europa.eu/eli/reg/2025/327/oj/eng", "published": "2025-03-05" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-c01f0160", "statement": "Voor de tweede groep prioritaire categorieën (art. 14(1) d-f: medische beeldvorming met verslagen, testresultaten incl. labo, ontslagverslagen) gelden die bepalingen vanaf 26 maart 2031.", "kind": "fact", "kind_label": "feit", "locator": "artikel 105, derde alinea, punt (b)", "as_of": "2026-09-25", "source": { "id": "SRC-af26b6d770", "title": "Regulation (EU) 2025/327 of the European Parliament and of the Council of 11 February 2025 on the European Health Data Space and amending Directive 2011/24/EU and Regulation (EU) 2024/2847", "publisher": "Europees Parlement en Raad van de EU (EUR-Lex)", "url": "https://eur-lex.europa.eu/eli/reg/2025/327/oj/eng", "published": "2025-03-05" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-943c06f1", "statement": "Hoofdstuk IV (secundair gebruik) is van toepassing vanaf 26 maart 2029, met enkele bepalingen (o.a. art. 75(1) over HealthData@EU-contactpunten) al vanaf 26 maart 2027.", "kind": "fact", "kind_label": "feit", "locator": "artikel 105", "as_of": "2026-09-25", "source": { "id": "SRC-af26b6d770", "title": "Regulation (EU) 2025/327 of the European Parliament and of the Council of 11 February 2025 on the European Health Data Space and amending Directive 2011/24/EU and Regulation (EU) 2024/2847", "publisher": "Europees Parlement en Raad van de EU (EUR-Lex)", "url": "https://eur-lex.europa.eu/eli/reg/2025/327/oj/eng", "published": "2025-03-05" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-4a614894", "statement": "Volgens de verordening is art. 75(5) (aansluiting van derde landen/internationale organisaties op HealthData@EU) pas van toepassing vanaf 26 maart 2035.", "kind": "fact", "kind_label": "feit", "locator": "art. 105, zesde alinea", "as_of": "2026-09-26", "source": { "id": "SRC-af26b6d770", "title": "Regulation (EU) 2025/327 of the European Parliament and of the Council of 11 February 2025 on the European Health Data Space and amending Directive 2011/24/EU and Regulation (EU) 2024/2847", "publisher": "Europees Parlement en Raad van de EU (EUR-Lex)", "url": "https://eur-lex.europa.eu/eli/reg/2025/327/oj/eng", "published": "2025-03-05" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-14a07bfc", "statement": "Tegen 26 maart 2027 moet de Commissie via uitvoeringshandelingen de technische specificaties voor de prioritaire categorieën vastleggen die samen het Europees uitwisselingsformaat voor EPD's (EEHRxF) vormen.", "kind": "fact", "kind_label": "feit", "locator": "artikel 15(1)", "as_of": "2026-09-25", "source": { "id": "SRC-af26b6d770", "title": "Regulation (EU) 2025/327 of the European Parliament and of the Council of 11 February 2025 on the European Health Data Space and amending Directive 2011/24/EU and Regulation (EU) 2024/2847", "publisher": "Europees Parlement en Raad van de EU (EUR-Lex)", "url": "https://eur-lex.europa.eu/eli/reg/2025/327/oj/eng", "published": "2025-03-05" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-08580fc7", "statement": "Zorgverleners moeten de gegevens die (deels) onder de prioritaire categorieën vallen elektronisch registreren in een EPD-systeem.", "kind": "fact", "kind_label": "feit", "locator": "artikel 13(1)", "as_of": "2026-09-25", "source": { "id": "SRC-af26b6d770", "title": "Regulation (EU) 2025/327 of the European Parliament and of the Council of 11 February 2025 on the European Health Data Space and amending Directive 2011/24/EU and Regulation (EU) 2024/2847", "publisher": "Europees Parlement en Raad van de EU (EUR-Lex)", "url": "https://eur-lex.europa.eu/eli/reg/2025/327/oj/eng", "published": "2025-03-05" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-eb2f08a7", "statement": "Gegevenshouders (waaronder ziekenhuizen, tenzij vrijgesteld) moeten minimaal bepaalde categorieën beschikbaar stellen voor secundair gebruik, te beginnen met elektronische gezondheidsgegevens uit EPD's.", "kind": "fact", "kind_label": "feit", "locator": "artikel 51(1)(a)", "as_of": "2026-09-25", "source": { "id": "SRC-af26b6d770", "title": "Regulation (EU) 2025/327 of the European Parliament and of the Council of 11 February 2025 on the European Health Data Space and amending Directive 2011/24/EU and Regulation (EU) 2024/2847", "publisher": "Europees Parlement en Raad van de EU (EUR-Lex)", "url": "https://eur-lex.europa.eu/eli/reg/2025/327/oj/eng", "published": "2025-03-05" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-c6b73f2f", "statement": "HL7 Europe publiceerde in het najaar van 2025 Base- en Core-FHIR-IG's (STU, R4 en R5) en een Extensions-pakket ter ondersteuning van de EHDS; de uitvoeringshandelingen over het EEHRxF worden begin 2027 verwacht.", "kind": "fact", "kind_label": "feit", "locator": "alinea's 1 en 5", "as_of": "2026-09-25", "source": { "id": "SRC-f046cd4082", "title": "New HL7 Europe FHIR Implementation Guides to support the European Health Data Space", "publisher": "HL7 International (HL7 News)", "url": "https://hl7news.hl7.org/2026/01/02/new-hl7-europe-fhir-implementation-guides-to-support-the-european-health-data-space/", "published": "2026-01-02" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-c444a1e8", "statement": "België pleit voor één unieke Europese technische FHIR-standaard per berichttype (patiëntsamenvatting, e-voorschrift, e-aflevering, beeldvorming, testresultaten, ontslagverslagen).", "kind": "fact", "kind_label": "feit", "locator": "sectie 'Organisatie in België'", "as_of": "2026-09-25", "source": { "id": "SRC-41ee539e0b", "title": "EHDS (European Health Data Space) - De Europese Verordening betreffende de Europese ruimte voor gezondheidsgegevens", "publisher": "eHealth-platform", "url": "https://www.ehealth.fgov.be/nl/page/ehds-european-health-data-space-de-europese-verordening-betreffende-de-europese-ruimte-voor-gezondheidsgegevens", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-2906b45d", "statement": "Volgens een expertpanel (JMIR Med Inform, 2023) streeft de EHDS harmonisatie en hergebruik na zonder de concrete te gebruiken standaarden te regelen.", "kind": "research-finding", "kind_label": "onderzoeksbevinding", "locator": "sectie Discussion/Conclusions", "as_of": "2026-09-25", "source": { "id": "SRC-b22ee5ef19", "title": "Can OpenEHR, ISO 13606, and HL7 FHIR Work Together? An Agnostic Approach for the Selection and Application of Electronic Health Record Standards to the Next-Generation Health Data Spaces", "publisher": "JMIR Medical Informatics (Pedrera-Jiménez et al.)", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10784985/", "published": "2023-12-28" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-c4f61547", "statement": "In de EMA-use case van de pilot gebruikte DARWIN EU de OMOP CDM; andere knooppunten mochten kiezen tussen analyse op brondata of conversie naar OMOP. OMOP was dus een optie in de pilot, geen verplichting.", "kind": "research-finding", "kind_label": "onderzoeksbevinding", "locator": "sectie 'Summary of the EMA use case'", "as_of": "2026-09-25", "source": { "id": "SRC-b280053090", "title": "The European Health Data Space in communicable diseases surveillance and monitoring of medicines and vaccines: achievements of a pilot project examining the user journey", "publisher": "European Journal of Public Health", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12420905/", "published": "2025" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-f8e9a39f", "statement": "Een interoperabiliteitsraamwerk voor EHDS-secundair gebruik (JMIR 2025) noemt OMOP CDM als standaard voor semantische interoperabiliteit (academisch voorstel, geen EU-besluit).", "kind": "research-finding", "kind_label": "onderzoeksbevinding", "locator": "sectie Results, semantische laag", "as_of": "2026-09-25", "source": { "id": "SRC-55ef771c33", "title": "Interoperability Framework of the European Health Data Space for the Secondary Use of Data: Interactive European Interoperability Framework-Based Standards Compliance Toolkit for AI-Driven Projects", "publisher": "Journal of Medical Internet Research", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC12059490/", "published": "2025" }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-57376d36", "statement": "België kiest ervoor de velden van de Europese berichttypes ook te gebruiken in de Belgische caresets; een grensoverschrijdend bericht wordt zo dicht mogelijk bij de bron aangemaakt, bij informatie in het EPD door het EPD-softwarepakket.", "kind": "fact", "kind_label": "feit", "locator": "sectie 'Organisatie in België'", "as_of": "2026-09-25", "source": { "id": "SRC-41ee539e0b", "title": "EHDS (European Health Data Space) - De Europese Verordening betreffende de Europese ruimte voor gezondheidsgegevens", "publisher": "eHealth-platform", "url": "https://www.ehealth.fgov.be/nl/page/ehds-european-health-data-space-de-europese-verordening-betreffende-de-europese-ruimte-voor-gezondheidsgegevens", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-ac8d824b", "statement": "Implementers van de Belgische core-clinical FHIR-specificaties moeten over een SNOMED CT Affiliate-licentie beschikken.", "kind": "fact", "kind_label": "feit", "locator": "sectie IP statements", "as_of": "2026-09-25", "source": { "id": "SRC-854e8cb270", "title": "HL7 Belgium FHIR IG - core-clinical profiles: Home", "publisher": "eHealth-platform / HL7 Belgium", "url": "https://www.ehealth.fgov.be/standards/fhir/core-clinical/en/index.html", "published": null }, "citaat": null, "in_text": true, "on_page": true }, { "id": "CLM-0537aba1", "statement": "Voor primair gebruik legt de EHDS geen persistentiemodel op, alleen het uitwisselingsformaat (EEHRxF) voor de prioritaire categorieën, en België vraagt daarvoor één FHIR-standaard. Voor een Belgisch ziekenhuis is FHIR (EU-/BE-profielen met SNOMED CT/LOINC) daarom de directe verplichting. openEHR en OMOP zijn architectuurkeuzes en worden niet door de EHDS opgelegd.", "kind": "interpretation", "kind_label": "interpretatie", "locator": "synthese van eehrxf-01/02, ehds-12/13/15, ehds-16", "as_of": "2026-09-25", "source": { "id": "SRC-af26b6d770", "title": "Regulation (EU) 2025/327 of the European Parliament and of the Council of 11 February 2025 on the European Health Data Space and amending Directive 2011/24/EU and Regulation (EU) 2024/2847", "publisher": "Europees Parlement en Raad van de EU (EUR-Lex)", "url": "https://eur-lex.europa.eu/eli/reg/2025/327/oj/eng", "published": "2025-03-05" }, "citaat": null, "in_text": false, "on_page": false }, { "id": "CLM-1e57ae00", "statement": "Synthese: FHIR is een uitwisselingsstandaard (API/berichten, EEHRxF-richting), openEHR een standaard voor klinische modellering en persistentie in het EPD, OMOP CDM een analysemodel voor secundair gebruik; SNOMED CT en LOINC zijn de gedeelde semantische laag die in alle drie wordt gebruikt (FHIR via CodeSystem/ValueSet-binding, openEHR via terminologiebinding in archetypes, OMOP als Standard Concepts). Ze zijn complementair: een ziekenhuis kan intern openEHR of een leveranciersmodel gebruiken, extern FHIR aanbieden en een OMOP-kopie voeden voor onderzoek.", "kind": "interpretation", "kind_label": "interpretatie", "locator": "synthese van vgl-01..10, openehr-03/06, omop-cdm-07, fhir-03/04", "as_of": "2026-09-25", "source": { "id": "SRC-4762fc1944", "title": "Vulcan FHIR to OMOP FHIR Implementation Guide", "publisher": "HL7 International / Biomedical Research and Regulation", "url": "https://hl7.org/fhir/uv/omop/en/index.html", "published": null }, "citaat": null, "in_text": false, "on_page": false }, { "id": "CLM-9933480b", "statement": "Onder de EHDS wordt deelname aan MyHealth@EU, dat vroeger vrijwillig was, verplicht voor de lidstaten.", "kind": "fact", "kind_label": "feit", "locator": "overweging 33", "as_of": "2026-09-25", "source": { "id": "SRC-af26b6d770", "title": "Regulation (EU) 2025/327 of the European Parliament and of the Council of 11 February 2025 on the European Health Data Space and amending Directive 2011/24/EU and Regulation (EU) 2024/2847", "publisher": "Europees Parlement en Raad van de EU (EUR-Lex)", "url": "https://eur-lex.europa.eu/eli/reg/2025/327/oj/eng", "published": "2025-03-05" }, "citaat": null, "in_text": false, "on_page": true }, { "id": "CLM-23e1f00b", "statement": "HealthData@EU is de grensoverschrijdende infrastructuur voor secundair gebruik; nationale contactpunten voor secundair gebruik en de Union health data access service moeten erop aansluiten.", "kind": "fact", "kind_label": "feit", "locator": "artikel 75(3)", "as_of": "2026-09-25", "source": { "id": "SRC-af26b6d770", "title": "Regulation (EU) 2025/327 of the European Parliament and of the Council of 11 February 2025 on the European Health Data Space and amending Directive 2011/24/EU and Regulation (EU) 2024/2847", "publisher": "Europees Parlement en Raad van de EU (EUR-Lex)", "url": "https://eur-lex.europa.eu/eli/reg/2025/327/oj/eng", "published": "2025-03-05" }, "citaat": null, "in_text": false, "on_page": true }, { "id": "CLM-1a78183e", "statement": "Elke lidstaat wijst één nationaal contactpunt voor digitale gezondheid aan en meldt het tegen 26 maart 2027 aan de Commissie; de uitwisseling via MyHealth@EU steunt op het EEHRxF.", "kind": "fact", "kind_label": "feit", "locator": "artikel 23(2) (aanwijzing en melding tegen 26 maart 2027; zie CLM-4fda078c); citaat uit artikel 23(3) (uitwisseling op basis van het EEHRxF)", "as_of": "2026-09-25", "source": { "id": "SRC-af26b6d770", "title": "Regulation (EU) 2025/327 of the European Parliament and of the Council of 11 February 2025 on the European Health Data Space and amending Directive 2011/24/EU and Regulation (EU) 2024/2847", "publisher": "Europees Parlement en Raad van de EU (EUR-Lex)", "url": "https://eur-lex.europa.eu/eli/reg/2025/327/oj/eng", "published": "2025-03-05" }, "citaat": null, "in_text": false, "on_page": true } ], "diagrams": [ { "id": "fhir-openehr-omop-terminologie", "kind": "lagen", "title": "FHIR, openEHR, OMOP en terminologieën: conceptueel model", "alt": "Drie lagen: de Europese laag (EHDS, EEHRxF, MyHealth@EU, HealthData@EU), de modellen voor uitwisseling, klinische modellering en analyse (HL7 FHIR, Belgische FHIR-IG's, openEHR, OMOP CDM) en de semantische laag (SNOMED CT, LOINC, ICD-10-BE), met veertien genummerde verbanden.", "note": "Toont de verhouding tussen standaarden volgens de bronnen; geen ziekenhuisarchitectuur en geen bewezen operationele koppelingen. Gestippeld = ontwerp, voorstel of standpunt.", "layers": [ { "title": "Europese laag", "subtitle": "EHDS", "nodes": [ { "id": "ehds", "label": "EHDS", "sublabel": "Verordening (EU) 2025/327", "type": { "code": "LegalAct", "label": "Wettekst of verordening" }, "url": "/ehds/", "title": "EHDS (Verordening (EU) 2025/327)" }, { "id": "eehrxf", "label": "EEHRxF", "sublabel": "Europees uitwisselingsformaat", "type": { "code": "Specification", "label": "Standaard of specificatie" }, "url": "/eehrxf/", "title": "EEHRxF (Europees uitwisselingsformaat)" }, { "id": "mh", "label": "MyHealth@EU", "sublabel": "BE-NCPeH: eHealth-platform", "type": { "code": "Platform", "label": "Platform of dienst" }, "url": "/myhealth-at-eu/", "title": "MyHealth@EU (BE-NCPeH: eHealth-platform)" }, { "id": "hd", "label": "HealthData@EU", "sublabel": "BE: Health Data Agency", "type": { "code": "Platform", "label": "Platform of dienst" }, "url": "/healthdata-at-eu/", "title": "HealthData@EU (BE: Health Data Agency)" } ] }, { "title": "Modellen", "subtitle": "uitwisseling · klinische modellering · analyse", "nodes": [ { "id": "fhir", "label": "HL7 FHIR", "sublabel": "uitwisseling", "type": { "code": "Specification", "label": "Standaard of specificatie" }, "url": "/fhir/", "title": "HL7 FHIR (uitwisseling)" }, { "id": "beig", "label": "Belgische FHIR-IG's", "sublabel": "R4 4.0.1", "type": { "code": "Specification", "label": "Standaard of specificatie" }, "url": "/be-fhir-igs/", "title": "Belgische FHIR-IG's (R4 4.0.1)" }, { "id": "oehr", "label": "openEHR", "sublabel": "klinische modellering, archetypes", "type": null, "url": null, "title": "openEHR (klinische modellering, archetypes)" }, { "id": "omop", "label": "OMOP CDM v5.5", "sublabel": "analyse en onderzoek", "type": { "code": "Specification", "label": "Standaard of specificatie" }, "url": "/omop-cdm/", "title": "OMOP CDM v5.5 (analyse en onderzoek)" } ] }, { "title": "Semantische laag", "subtitle": "terminologie en classificatie", "nodes": [ { "id": "snomed", "label": "SNOMED CT", "sublabel": "Belgian Edition", "type": { "code": "Terminology", "label": "Terminologie of classificatie" }, "url": "/snomed-ct/", "title": "SNOMED CT (Belgian Edition)" }, { "id": "loinc", "label": "LOINC", "sublabel": "Belgische subset", "type": { "code": "Terminology", "label": "Terminologie of classificatie" }, "url": "/loinc/", "title": "LOINC (Belgische subset)" }, { "id": "icd", "label": "ICD-10-BE", "sublabel": null, "type": { "code": "Terminology", "label": "Terminologie of classificatie" }, "url": "/icd-10-be/", "title": "ICD-10-BE" } ] } ], "participants": [], "edges": [ { "n": "1", "source": "ehds", "target": "eehrxf", "text": "EHDS: de Commissie legt de EEHRxF-specificaties vast (tegen 26/3/2027)", "status": "established", "reply": false, "claims": [ "CLM-14a07bfc" ], "refs": [ 28 ] }, { "n": "2", "source": "ehds", "target": "mh", "text": "EHDS: deelname aan MyHealth@EU verplicht voor lidstaten", "status": "established", "reply": false, "claims": [ "CLM-9933480b" ], "refs": [ 28 ] }, { "n": "3", "source": "ehds", "target": "hd", "text": "EHDS: secundair gebruik via HealthData@EU; OMOP enkel een optie in de pilot", "status": "established", "reply": false, "claims": [ "CLM-23e1f00b", "CLM-c4f61547" ], "refs": [ 28, 31 ] }, { "n": "4", "source": "mh", "target": "eehrxf", "text": "MyHealth@EU-uitwisseling steunt op EEHRxF", "status": "established", "reply": false, "claims": [ "CLM-1a78183e" ], "refs": [ 28 ] }, { "n": "5", "source": "eehrxf", "target": "fhir", "text": "HL7 Europe Base/Core-IG's (STU); uitvoeringshandelingen verwacht begin 2027", "status": "hypothesis", "reply": false, "claims": [ "CLM-c6b73f2f" ], "refs": [ 29 ] }, { "n": "6", "source": "beig", "target": "fhir", "text": "Belgische IG's profileren FHIR R4 (geen R5)", "status": "established", "reply": false, "claims": [ "CLM-4c97a5a4" ], "refs": [ 19 ] }, { "n": "7", "source": "beig", "target": "eehrxf", "text": "EU-velden ook in Belgische CareSets (Belgisch standpunt)", "status": "hypothesis", "reply": false, "claims": [ "CLM-57376d36" ], "refs": [ 30 ] }, { "n": "8", "source": "beig", "target": "snomed", "text": "SNOMED CT als voorkeurscodering in Belgische IG's", "status": "established", "reply": false, "claims": [ "CLM-530b635f" ], "refs": [ 23 ] }, { "n": "9", "source": "beig", "target": "loinc", "text": "BE Lab-IG: LOINC verplicht (FOD-subset)", "status": "established", "reply": false, "claims": [ "CLM-e0e48933" ], "refs": [ 24 ] }, { "n": "10", "source": "oehr", "target": "snomed", "text": "openEHR: terminologiebinding via archetypes (SNOMED CT als voorbeeld is een interpretatie)", "status": "established", "reply": false, "claims": [ "CLM-19680c4c" ], "refs": [ 10 ] }, { "n": "11", "source": "oehr", "target": "fhir", "text": "Een openEHR↔FHIR-IG voor datatype-mapping is in ontwikkeling", "status": "hypothesis", "reply": false, "claims": [ "CLM-4d28e36b" ], "refs": [ 26 ] }, { "n": "12", "source": "fhir", "target": "omop", "text": "HL7 Vulcan FHIR-to-OMOP IG v1.0.0 (Informative; CDM v5.4); niet verliesvrij", "status": "established", "reply": false, "claims": [ "CLM-77f1c57f", "CLM-cd749309" ], "refs": [ 1 ] }, { "n": "13", "source": "omop", "target": "snomed", "text": "OMOP: SNOMED CT als standaardconcept voor aandoeningen", "status": "established", "reply": false, "claims": [ "CLM-8b25e1f2" ], "refs": [ 17 ] }, { "n": "14", "source": "icd", "target": "omop", "text": "ICD als broncode, gemapt op een standaardconcept (ICD-10-BE specifiek is een interpretatie)", "status": "established", "reply": false, "claims": [ "CLM-8b25e1f2", "CLM-71837b87" ], "refs": [ 17 ] } ], "footer": null } ], "facets": { "type": [ "Topic" ], "jurisdiction": [ "internationaal", "eu", "belgie" ], "theme": [ "architectuur-en-infrastructuur", "terminologie", "secundair-gebruik" ], "lifecycle": [ "onbekend" ], "section": [ "terminologie", "europa" ] }, "search_terms": [ "FHIR, openEHR en OMOP: vergelijking", "FHIR vs openEHR vs OMOP", "FHIR, openEHR en OMOP CDM", "uitwisseling vs persistentie vs analyse", "FHIR, openEHR et OMOP : comparaison", "FHIR, openEHR and OMOP compared" ], "release_id": "2026.10.05-1", "license": "CC BY 4.0" }