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The above forms the base standards that an OpenHIE SHR must support. A number of those standards contain many different profiles that a SHR implementation may choose to support for a variety of use cases. OpenHIE SHRs may be built incrementally to support additional profiles. These different categories of support have been broken down into different phases. These phases are listed below:
SHR
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Level 1 - (clinical documents + query for existing data)
At a bare minimum an OpenHIE SHR must support the following profiles:
XDS.b's provide and register document and query for documents
- HL7 CDA release 2.0 at level 2
SHR Level 1
A phase 1 OpenHIE SHR must support the following:
- XDS.b's provide and register document and query for documents
Support for the Antepartum History & Physical (APHP) and Antepartum Summary (APS) PCC profiles, at least one of the Patient Care Coordination CDA profile which profile the CDA Continuity of Care Document (CCD) specification to specifically support maternal care use cases.
- Support for the Query for Existing Data (QED) profile
SHR
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Level 2 - (clinical documents + query for existing data + referrals)
A phase 2 OpenHIE SHR must support the following:
- XDS.b's provide and register document and query for documents
Support for the at least one of the Patient Care Coordination CDA profile which profile the CDA Continuity of Care Document (CCD) specification.
Support for the Emergency Department Referral (EDR) the Antepartum Record (APR) PCC profile which specified a number of document types and for the EDR PCC profile which supports referrals
- Support for the Query for Existing Data (QED) profile
SHR
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Level 3 - (clinical documents + query for existing data + referrals + aggregate data reporting)
A phase 3 OpenHIE SHR must support the following:
- XDS.b's provide and register document and query for documents
Support for the at least one of the Patient Care Coordination CDA profile which profile the CDA Continuity of Care Document (CCD) specification.
Support for the Emergency Department Referral (EDR) PCC profile which supports referrals Antepartum Record (APR) and EDR PCC profiles, plus other PCC and QRPH profiles as needed to support specific care workflows
- Support for the Query for Existing Data (QED) profile
Support for Quality, Research and Public Health (QRPH) profile for reporting of aggregated data to a HMIS