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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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  • Miguel Pedrera-Jiménez ,
  • Spanish Expert Group on EHR standards ,
  • Dipak Kalra ,
  • Thomas Beale ,
  • Adolfo Muñoz-Carrero ,
  • Pablo Serrano-Balazote
Miguel Pedrera-Jiménez
Hospital Universitario 12 de Octubre

Corresponding Author:[email protected]

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Spanish Expert Group on EHR standards
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Dipak Kalra
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Thomas Beale
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Adolfo Muñoz-Carrero
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Pablo Serrano-Balazote
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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.