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Health professionals are encouraged to use MOS and NOS for three main reasons :
- enhance the interoperability of information systems by harmonising names, attributes, codes and nomenclatures;
- share the same understanding of the information, regardless of which directory or reference document it is taken from;
- facilitate the specification, analysis and conception of a project.
The ANS offers training on MOS-NOS and the elaboration method for exchanges’ functional specs (see our Documentation section).
The illustration below gives you examples of the types of professionals using the MOS-NOS:
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Your level of access to the ROR data depends on the nature of the data you wish to use (public/restricted) and the perimeter you wish to cover (one ROR or several ROR directories).
The ROR data in public access:
- is available as opendata since mid-2022;
- will be available directly on the national ROR with no specific procedure in early 2023.
The ROR data in restricted access (professional access):
- for one regional ROR, you must complete a request form to join the regional circle of trust and send it to the region’s GRADeS;
- for several ROR directories, you must complete a request form to join the national circle of trust and send it to the ROR program team.
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The MOS is a collection of concepts described homogeneously and neutrally in terms of technologies. It offers a common description of the information processed and exchanged in the information systems to make digital communication easier.
The overall consistency of the MOS is founded on the definition and description of its UML (Unified Modelling Language) concepts.
Some MOS concepts can be coded. They are associated with the nomenclatures of health objects (NOS), i.e. lists of codes/labels.
You are encouraged to use MOS and NOS to :
- optimise and coordinate efforts when you analyse or conceive a system (or an application) by re-using the same semantic components;
- make sure there is consistency in your internal developments and with external systems, for the best possible interoperability.
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The European Commission’s studies have determined there is a need for a base vocabulary, such as MOS and NOS, which can be used as a starting point for:
- develop and evolve information systems (IS) to formalise the conceptual and logical data they utilise (for instance, the MOS is a reference for the modelling of the RPPS);
- share information between ISs to create specific models of data they can use (thus, the MOS is underlying the ROR exposure model);
- combine and synthetise elements originating from different sources;
- publish data in a common format, such as a directory or catalogue of service (for example, the Annuaire Santé / Health Pro Directory).
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There are several levels of requirements for a module’s integration into the Hospital Information System.
The main requirements set out by the referential are:
- Interfacing, control, security guidelines;
- Prescription process requirements;
- National prescription thesaurus integration requirements;
- Requirements regarding medico-economic and decision processes;
- Guidelines for ergonomics, functions, and notification alerts;
- Settings function requirements.
In total, 139 requirements are used to reach the minimal level of security needed for a solution’s integration into the hospital information system.
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The current referential (2017) was written with industry experts. It introduces the particular context of this mission and the goals to reach in order to improve safety measures in neonatology and paediatric reanimation. The referential walks you through the fundamental concepts you need to grasp to understand the several requirements and protocols involved with software development for this sector.
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Neonatology is a high-risk practice for two main reasons:
- The patients are extremely fragile (premature babies)
- 50% of the drugs used in the sector have yet to receive a marketing authorisation.
A survey conducted in 2014 evidenced a risk in the prescription process across the sector. The digitalisation of prescription is among the 41 recommendations that the report issued in order to increase safety levels.
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PLATINES is a platform dedicated to interoperability tests for eHealth. It stimulates a ROR (version 2.4) and gives you the opportunity to use “test” data via several professional cases (a total of 94 test scenarios are available). These test scenarios are valid for the current ROR as well as the national ROR.
You must contact the ROR program team to request access to PLATINES.
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