Relationship between FHIR and openEHR

Thx a lot Ian!! @ian.mcnicoll

Copied here ā€¦

This is great!! Sorry Iā€™m picking it up late.

To answer your questions about the ā€˜gapsā€™

doNotPerform:

We would represent that in an accompanying
Medication Management
as a Discontinued or Cancelled step

courseOfTherapyType:

Values are ā€˜continuousā€™ , ā€˜acuteā€™ and ā€˜seasonalā€™

This is interesting - We have an element in Therapeutic directions which handles ā€˜continuousā€™ and therefore ā€˜acuteā€™ being the default. Iā€™m not sure about whether ā€˜seasonalā€™ makes sense as a category. ā€˜Intermittentā€™ might be more generic.

Therapeutic directions

Iā€™m glad to see this in FHIR now as it was a gap before

doseAndRate.type.

Values are
ā€˜Calculatedā€™ vs ā€˜orderedā€™

See Dosage

We do not carry this explicitly - that might be worth a CR to have it added, possibly as part of a general review of FHR R5 medication resources.

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Last year, we worked on a major project where we needed structured data to be extracted in as much detail as possible from unstructured PDFs from hospitals. We had to then translate this data to multiple FHIR profiles - Indian ABDM and US Core while keeping the quality of this data intact.

I have compiled my learning on how we leveraged openEHR, FHIR and ChatGPT into a talk. I recently gave this at FHIR DevDays 2024 in Minneapolis. I heard a lot of interesting questions and discussions from FHIR enthusiasts after the talk - stick around till the end.

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