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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 Level 1 - (

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at least one content profile + query for existing data)

A phase 1 OpenHIE SHR must support implement the following:

  • XDS.b's provide and register document and query for documents

  • Support for the at At least one of the Patient Care Coordination CDA profile content profiles which profile the CDA Continuity of Care Document (CCD) specification.

  • Support for the The Query for Existing Data (QED) profile

SHR Level 2 - (

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all PCC content profiles + query for existing data + referrals)

A phase 2 OpenHIE SHR must support implement the following:

  • XDS.b's provide and register document and query for documents

  • Support for the at least one ALL of the Patient Care Coordination CDA profile content profiles which profile the CDA Continuity of Care Document (CCD) specification.

  • Support for the The Emergency Department Referral (EDR) PCC profile which supports referrals

  • Support for the The Query for Existing Data (QED) profile

SHR Level 3 - (clinical documents + query for existing data + referrals +

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some form of data export - [perhaps lab and drug profiles])

A phase 3 OpenHIE SHR must support implement the following:

  • XDS.b's provide and register document and query for documents
  • Support for the at least one ALL of the Patient Care Coordination CDA profile content profiles which profile the CDA Continuity of Care Document (CCD) specification.

  • Support for the The Emergency Department Referral (EDR) PCC profile which supports referrals

  • Support for the The Query for Existing Data (QED) profile

  • Support for Quality, Research and Public Health (QRPH) profile for reporting of aggregated data to a HMISA to-be-determined mechanism to export data for reporting purposes