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  • Custom profiles of HL7 v2
  • Custom profiles of HL7 v3
  • IHE profiles
  • FHIR profiles

A question has been raises raised about whether we should support multiple standards. The feeling of the community is that we would eventually like to support multiple standards that are deemed useful. For example, FHIR may be useful in the future for more advanced querying of the SHR data. This brings up the question of external-facing standards (the ones the users of the HIE use) and the internal-facing standards (the ones used between components of the HIE) should always be the same or if we can expect to do transformation between different standards. The feeling of the community has been that we should not do transformations between different standards and rather expose multiple standards interfaces both internally and externally if needed. the reason for this is that it can be complex mapping and transforming messages between formats. This does not mean that we will do no transformation of messages, merely, that the transformation that we expect will be needed are transformation of the base standards to a more con formant form of that same base standards. For example, enriching a HL7 message to contain additional required patient information. 

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