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Can OpenEHR, ISO 13606 and HL7 FHIR work together? An agnostic perspective for the selection and application of EHR standards from Spain

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posted on 25.05.2022, 14:22 authored by Miguel Pedrera-JiménezMiguel Pedrera-Jiménez, Spanish Expert Group on EHR standards, Dipak Kalra, Thomas Beale, Adolfo Muñoz-Carrero, Pablo Serrano-Balazote

Due to the heterogeneity of Electronic Health Record (EHR) standards, the decision-making teams, who are not experts in health information, express confusion for selecting and applying these resources in their data platforms. For this reason, a group of experts has analyzed strengths and weaknesses about design, modeling capabilities, flexibility and resources implemented of three relevant standards based on Detailed Clinical Models: OpenEHR, ISO 13606 and HL7 FHIR. Thus, it was concluded that: (1) they are useful for the purposes for which they have been designed and show shortcomings in those for which they have not; (2) they are functionally compatible in health data platforms and methodologies developed in a standards-agnostic perspective; and (3) they are conceptually and technically compatible with each other, so the choice of one or the other does not have a high impact as long as one starts from the one richer in modeling capabilities and flexibility.

Funding

IMP/00019

PI18/00981

PI18/00890

PI18CIII/00019

History

Email Address of Submitting Author

miguel.pedrera@salud.madrid.org

ORCID of Submitting Author

0000-0003-0187-3826

Submitting Author's Institution

Hospital Universitario 12 de Octubre

Submitting Author's Country

Spain