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Source messaging

Source messaging provides the means to transmit information from systems used at various licensing agencies, professional colleges, etc. to the PRS system.  These systems are not typically EHR consumer systems. 

 

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)MediumImage ModifiedProduction
in Canada 
UnknownYes (AB)Localized by AlbertaHighImage ModifiedHighHighImage Modified

pan-Canadian MR2009 (HL7 v3)

LimitedImage ModifiedProduction
in Canada 
UnknownYesLocalized by InfowayHighHighHigh

PRS XML Messaging

PartialImage Removed

Production
in Canada 

MediumImage Removed

Yes

No

LimitedImage Removed

High

MediumImage Removed

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 providersPRS 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.

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)PRS XML MessagingThe specification was designed to meet the in-scope use cases for PRS consumers and conforms with the architectural design of Canada's digital health blueprintsources. The specification is relatively straightforward to implement.