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In the last two decades, digital =
health has emerged as an important opportunity to empower and support Commu=
nity Health Workers (CHWs) in their work across over 500 distinct deploymen=
ts globally. Still, the absen=
ce of coordinated approaches to digital health has led to a highly fragment=
ed landscape, without universally agreed upon digital health standards, pri=
nciples and practices to guide the wider community in how to build interven=
tions for scalability, sustainability and interoperability. Data and intero=
perability standards that do exist are infrequently used, and =
as a result, information sharing between tools and geographic locations or =
domains is difficult. There is also limited capacity to connect these tools=
for frontline health workers to digital systems supporting different level=
s of a health system, such as facility-based electronic medical records, an=
d health management information systems. These and other challenges have co=
llectively resulted in fragmentation and duplication of the digital health =
landscape. Together, we hope to seek solutions to these challenges.
We hope to create robust, community-driven consensus on key digita= l standards and interoperability frameworks for Community Health Informatio= n Systems (CHISs). We propose to begin the COP=E2=80=99s work = by conducting a Delphi study to solicit insights and build consensus among = a systematically selected pool of global experts. Our consorti= um will then transition to an analysis of open standards that can be levera= ged to deliver the workflows outlined in the profile. We will analyze HL7 F= HIR as a baseline interoperability standard, IHE profiles such as the Inter= national Patient Summary (IPS) for standardized information exchange, termi= nology services such as ICD-11, OpenConceptLab and LOINC, Clinical Quality = Language for logic execution, and best practices identified by the OpenHIE = community and the World Health Organization Computable Guidelines working g= roups. This analysis will be added to the profile and set recommendations t= hat can be balloted by the appropriate standards body. Finally= , we will develop a reference architecture for interoperability that accoun= ts for the variability of CHISs deployed across the globe.