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These are created in the base translation from ebRIM to FHIR. Some FHIR extensions will be required to have the DocumentReference resource act as a suitable container for the existing DocumentEntry content.There are three categories of extensions to be considered: Going from FHIR to XDS is likely more deterministic, where as it is not clear how one would create a proper FHIR extension when a proxy implementation sees a proper XDS new slot. Therefore we need to provide guidance on how a FHIR extension would be handled by an XDS environment and also how an XDS extension would be handled in a proper FHIR extension. Tracking and Monitoring of business level changes (politics) and outreachįHIR has a formal mechanism for transporting extensions, where XDS allows for additional slots with minimal management of namespace using well formed URN.

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How to handle PatientInfo, as FHIR would tend to simply update a master PatientInfo where in XDS this information is stored as is.FHIR has many transaction patterns - REST, Mailbox, etc.

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  • do we add Options to MHD to support more complex interactions?.
  • MHD supports only one document in one submissionSet.
  • Rationalize IHE specifically only providing JSON, yet FHIR has both.
  • Are the limitations we put into MHD still the right limitations, or should we relax them if we can?
  • Mapping each XDS object/attribute to FHIR, and back.
  • Detailed data element text will continue to be developed on the wiki.
  • Current focus on Volume 2 transactions and minimal guidance to data element cross-reference.
  • Only FindDocuments, FindDocumentsByReferenceId and FindSubmissionSets will be supported on query.
  • MHD will need to use extensions where current DSTU is insufficient.
  • We presume current DSTU must be used as-is.
  • The new supplement will point at MHD Status for status updates.
  • Supplement published on the external IHE web site - will be updated with the new Volume 1 material, and have Volume 2 material removed so as to not cause people to implement original MHD transaction model.
  • Those Signed up for New Directions testing There are a few companies signed up for this testing, with various commitments of actors they will implement.īill has an MHD Document Recipient ready to be tested against by anyone implementing an MHD Document Source

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    The MHD profile is not yet in Trial Implementation, so it can't be part of the full Connectathon, however we want to get some testing done so that we can make the MHD profile better. Call-in toll-free number (US/Canada): 1-86Īt Connectathon in Cleveland, there will be a 2 day "New Directions" testing of MHD.Bi-Weekly: Fridays at 8:00am Central Time.This text was approved December 15th by the ITI Technical Committee for "Public Comment". Historic directory from 2014 on the IHE ftp site 2 Current supplement development Statusĭiscussion on a google group mailing list !forum/ihe-mhd-implementors.








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