Re: [Gnumed-devel] How to export an entire patient record

[Karsten Hilbert]

On Wed, Nov 09, 2011 at 10:47:23PM +0100, Nicolas Barbier wrote:

> FYI,
> 
> In Belgium we have a national “migration” export format that needs to
> be supported by GP EHR systems if users (GPs) want to receive a yearly
> subvention; therefore, it is (or will soon be as the homologation
> procedure for this year is still not finished) supported by the major
> GP EHR systems. This format is called “GP Software Migration Format”
> (GPSMF) and is documented at [1].
> 
> It might be that other countries or organizations are defining similar
> formats,

Germany does, too. The format is lacking in coverage of EHR
data as well as in support by vendors (lest they facilitate
switching) but it exists.

> but I don't know of any (except maybe OpenEHR, which I think
> defines an application-neutral way of encoding a full health record
> including a full history of changes;

That's correct.

> Currently, GPSMF it is meant to be used by a GP to migrate from one to
> another EHR system. It therefore encodes all changes to a health
> record, including “retroactive changes” (which I like to call
> “corrections of input mistakes”), so exporting+importing a health
> record doesn't lose that history. A restricted version of the format
> is being defined that leaves out such “retroactive changes”, which is
> supposed to be used to migrate a health record from one GP to another.
> 
> Nicolas
> 
> [1] 
> <URL:https://www.ehealth.fgov.be/standards/kmehr/content/website/home/rules/specialmessages/GP_software_migration.xml>

Interesting. Does it, indeed, have widespread support among
vendors in Belgium ? Perhaps you people are saner than us
Germans.

Should you be interested in facilitating a GNUmed
implementation thereof I'd be glad to act as point of
contact.

Karsten
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