Thanks for the great discussion that we had on the SHR community call yesterday. I think it was very useful. It seems like the use of CDA and XDS could work for us.
I wanted to include some useful links that I have been reading about IHE CDA profiles. It seems that the profiles for CDA that we will be interested in are found in the Patient Care Coordination Technical Framework and there are a number of different use cases that are supported:
- PCC Technical Framework: http://wiki.ihe.net/index.php?title=Patient_Care_Coordination_Technical_Framework
- PCC Integration Profiles: http://wiki.ihe.net/index.php?title=PCC_TF-1#Patient_Care_Coordination_Integration_Profiles
- Here is an example template for Antepartum History and Physical Specification: http://wiki.ihe.net/index.php?title=184.108.40.206.4.1.193220.127.116.11.18.104.22.168.1
Also, I wanted to run a suggestion by the group. It seems like XDS and CDA templates are looking quite promising for us to support but we also don’t want to forget about HL7v2. This is used in many existing systems (including the Rwandan HIE). So perhaps we should look at supporting a some simple HL7v2 messages (eg simple ORU_R01 with OBX segments) as well as build support for XDS and specific CDA templates (specific PCC templates really).
We could enable these to be stored in the same data model in OpenMRS so that data can be submitted and queried using either mechanism.
What do others think of this?
I will schedule some time within Jembi to start exploring the CDA SHR prototyping as we discussed. I think this will be very informative.
Software Developer, Jembi Health Systems | SOUTH AFRICA
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