Although this is focused around genomics, it is quite generic in how it describes converting between HL7 v2 and FHIR plus it also contains mapping of v2 TXA, FHIR DocumentReference and IHE XDS Document Entry.
The v2 spec is based on a union of DHCW, NHS England, IHE UK+Europe and Royal College of Radiologists models (which are themselves often based on NHS Data Dictionary and Model)
Any issues or questions, please post below.
p.s. I’m hoping I can even get openEHR into the spec at some point…..
We are working on several Genomics projects, in particular Pharmacognetics and Familial cancer screening in Belfast which is diving deep into structured reporting to power decision support. We have tried to keep aligned with the FHIR Genomic Reporting IG albeit the US one, which does go into structured detail
This is for practical reasons as most of the EPR and LIMS only support v2 and clinicians outside of genomics are not asking for the detailed genomic report, we think at most they want to know a patient has this gene (e.g. BRCA2). ← This is the process orientated part (one of the target EPR’s is openEHR based)
Maybe not ideal but I think we can improve the general model iteratively in the data repository ← this will be FHIR REST API and hopefully detailed.