Making Electronic Data More Available for Research and Public Health (MedMorph) Reference Architecture HL7 FHIR Implementation Guide (PSS in Confluence)

The goal of the MedMorph project is to develop and pilot a scalable and extensible standards-based reference architecture. This reference architecture will enable clinical data exchange with EHR systems and public health systems, specialized registries, national health care survey systems, and research information systems for multiple conditions. Initially, the reference architecture will be outlined using three priority use cases:

Hepatitis C

Cancer

Health Care Surveys

The MedMorph project will leverage, where appropriate, existing FHIR resources and profiles, CCDS and USCDI definitions, and CQL to improve patient data exchange from different EHR platforms to various receiving systems. The use of standards will help improve the timeliness and completeness of data collected by public health and research and reduce the burden on health care providers and patients.

There are some overlaps in current HL7 projects such as the CDA STU Public Health electronic Initial Case Report (eICR) and FHIR Electronic Case Reporting (eCR) in HL7 PSS #136. These projects focus primarily on an 1) initial case report for reportable conditions, 2) a bidirectional communications transaction, the Reportability Response, and 3) a specification (the electronic Reporting and Surveillance Distribution (eRSD)) to help automate reporting. MedMorph will look to leverage this work and the work of the FHIR Common Reporting Framework and expand the focus to include research and chronic reporting.

This FHIR implementation guide will use the US Core profiles as needed and appropriate. If this FHIR implementation guide is unable to use a US Core profile, we will work with the primary sponsoring workgroup to create new profiles or extend existing ones.

The project is incremental, will evolve, and the sponsoring work group will receive regular updates.