Can OpenEHR, ISO 13606, and HL7 FHIR work together? An agnostic perspective for the selection and application of EHR standards in Spain.
Due to the heterogeneity of Electronic Health Record (EHR) standards, decision-making teams, who are not experts in health information, express confusion in selecting and applying these resources in their data platforms. Therefore, a group of experts has analyzed the strengths and weaknesses regarding the design, modeling capabilities, flexibility, and implemented resources of three relevant standards based on Detailed Clinical Models: OpenEHR, ISO 13606, and HL7 FHIR. Thus, it was concluded that: (1) they are useful for the purposes for which they have been designed and present deficiencies in those for which they have not been designed; (2) they are functionally compatible in platforms and health data methodologies developed from an independent perspective of the standards; and (3) they are conceptually and technically compatible with each other, so the choice of one or the other does not have a high impact as long as it starts from the one richer in modeling capabilities and flexibility.