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FHIR DSTU3 will be the primary method of data transfer between the slave Child and master Parent nodes in a Sync network. Wherever possible we should default to using FHIR representations and rely on other methods only if OpenMRS objects cannot be represented using FHIR resources. Atom feeds used by Sync should point to FHIR urls for resources that are transmitted using FHIR.

The OpenMRS FHIR module will be extended to server both as a client and server that will be leveraged by Sync to create and read FHIR representations that will be used in pushing or pulling data. The FHIR services from the module will also be used by Sync to persist FHIR representations it retrieves from masterthe Parent. Overall the module will be used in 3 ways in Sync:

1) On the master a Parent - as the server that receives data pushed from slavesit's Children

2) As a client - on slaves Children to both retrieve data from events published on mastertheir Parent, but also in their own atom feed. It will also be used to push data to mastertheir Parent.

3) As services to persist FHIR representations - on slaves that Children that retrieve FHIR resources from master a Parent and need to persist them in OpenMRS.

...

This is a list of domain objects that implement BaseOpenmrsData that we want to synchronize between OpenMRS servers. While we want to use FHIR as much as we can, it might come up that for some objects we will have to implement a different Sync protocol.

NoOpenMRS EntityFHIR ResourceFHIR Maturity
Level
Notes
Allergy
1Patienthttps://www.hl7.org/fhir/
allergyintolerance
patient.html5 
Cohort
2Obshttps://www.hl7.org/fhir/observation.html5 
3Encounterhttps://www.hl7.org/fhir/
group
encounter.html2 
Drug
4VisitList of encounters can be considered: https://www.hl7.org/fhir/
substance
list.html 

FHIR's Encounter resource can serve either as an OpenMRS Encounter or OpenMRS Visit. OpenMRS Encounter is a point in time.

  • If a FHIR Encounter spans a period of time (e.g., days), it would be an OpenMRS Visit.
  • If a FHIR Encounter has observations linked to it, it's an OpenMRS Encounter
5Providerhttps://www.hl7.org/fhir/
encounter
practitioner.html3 
6
Form
Allergyhttps://www.hl7.org/fhir/
questionnaire
allergyintolerance.html3 
Location
7Drughttps://www.hl7.org/fhir/
location
medication.html3 
8
Obs
Locationhttps://www.hl7.org/fhir/
observation
location.html3 
9Order https://www.hl7.org/fhir/medicationrequest.html 

FHIR Nutrition Order and MedicationRequest can be considered, but orders have a broader sense in OpenMRS.

Patient

Priority would be MedicationRequest (Drug Order) and ProcedureRequest (Test Order)

10PatientProgramhttps://www.hl7.org/fhir/
patient
episodeofcare.html2 
11
PatientProgram
PatientStatehttps://www.hl7.org/fhir/
episodeofcare
condition.html3 
PatientState
12Personhttps://www.hl7.org/fhir/
condition
person.html2 
13
Provider
Relationshiphttps://www.hl7.org/fhir/
practitioner
relatedperson.html2 
14
VisitList of encounters can be considered:
Cohorthttps://www.hl7.org/fhir/
list
group.html1