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Standard

Fit for Purpose

Stewardship

Quality

Fits
Requirements

Implementation
Type 

Vendor Support

Canadian
Steward

SDO
Maintained

Complexity

Standard
Maturity

Training,
Support
and Tooling

AB MR2009 (HL7 v3)

High

Production
in Canada 

High

Yes (AB)

Localized by Alberta

High

 

High

High

pan-Canadian MR2009 (HL7 v3)

Production
in Canada 		HighYesLocalized by InfowayHighHighHigh

PRS XML Messaging

Partial

Production
in Canada 

Medium

Yes

No

Limited

High

Medium

Architectural Constraints and Considerations

Secondary Benefits

Use of HL7v3 conforms with the architectural design of Canada's digital health blueprint.

AB MR2009 extends the Canadian specification with the ability to merge and logically delete providers.

HL7v3 messaging does not provide the means to transmit a full version of the provider record including a history of changes.

The PRS XML Messaging specification is proprietary to the WHIC PRS solution.

Standardizing on MR2009 across EHR applications reduces complexity within the infostructure and for implementers by minimizing variability in models and vocabulary.

Recommendation

Supporting Rationale

AB MR2009 (HL7 v3)The specification was designed to meet the in-scope use cases for PRS consumers and conforms with the architectural design of Canada's digital health blueprint.

 

Source messaging

Source messaging provides the means to transmit information from systems used at various licensing agencies, professional colleges, etc. to the PRS system.    

Standard

Fit for Purpose

Stewardship

Quality

Fits
Requirements

Implementation
Type 

Vendor Support

Canadian
Steward

SDO
Maintained

Complexity

Standard
Maturity

Training,
Support
and Tooling

PRS XML Messaging

High

Production
in Canada 

High

Yes

No

Limited

 

High

Medium
AB MR2009 (HL7 v3)MediumProduction
in Canada 		UnknownYes (AB)Localized by AlbertaHighHighHigh

pan-Canadian MR2009 (HL7 v3)

LimitedProduction
in Canada 		UnknownYesLocalized by InfowayHighHighHigh

Architectural Constraints and Considerations

Secondary Benefits

PRS source systems are not typically EHR consumer systems.

HL7v3 messaging does not provide the means to transmit a full version of the provider record including a history of changes - a key requirement for PRS sources.

The PRS XML Messaging specification is proprietary to the WHIC PRS solution.

 

Recommendation

Supporting Rationale

PRS XML MessagingThe specification was designed to meet the in-scope use cases for PRS sources. The specification is relatively straightforward to implement.