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This guide focuses on the selection of messaging standards to support the in scope use cases.  Due to differences in business requirements, the standards evaluation is broken into two sets of standardization requirements:

  • Consumer messaging
  • Source messaging

Consumer messaging

The A primary role of the PRS system PR is to enable provider identification to within consumer systems contributing data to or consuming data from provincial EHR solutions.  The predominant means for exchanging data with the EHR is HL7 version 3 messaging.

...

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)LocalizedHighHighHigh

pan-Canadian MR2009 (HL7 v3)

LimitedProduction
in Canada 
UnknownYesLocalizedHighHighHigh

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 the history of changes to a provider records. (UC-6)

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

 

Recommendation

Supporting Rationale

PRS XML MessagingThe PRS XML specification was designed to meet the in-scope use cases for PRS sourcessource systems. Although the specification is proprietary to the specific PRS solution used in Alberta it is relatively straightforward to implement.