MAIS Project - Argentine Framework of Health Interoperability
Currently countries like USA, Canada, Australia or the European Union and even some Latin American countries like Chile, Uruguay and Brazil have made an effort to standardize the exchange of health information. To accomplish this they have attached to standards like HL7 V2.x HL7 CDA R2 and FHIR.
In order to try to seize the successes and avoid failures or barriers from previous projects for implementation, studying the best practices we intend to consider the standards, implementation guidelines and projects, but also adopt these specifications to simplify and optimize their use.
CDA Release 2 standard HL7 Clinical Document Architecture (CDA) is a standard label document that specifies the structure and semantics of clinical documents for the purpose of exchange between healthcare providers and patients. Defines a clinical document having the following characteristics: 1. Persistence 2. Responsibility 3. Potential for authentication, 4. Context, 5. Completeness and 6. Readability by a human. A CDA can contain any type of clinical content, a typical CDA document could be a radiology report, pathology report, report outpatient, etc. The most popular use is the exchange of information among institutions, as it was thought for the exchange of health information in the US (HIE).
Electronic Documents Exchange
Electronic documents are exchanged with health information between institutions with different information systems, without the need of a central platform interoperability. The information flows from providers to financiers, as deputy billing or independently.
Initial list of defined document types (spanish)
Epicrisis, Protocolo Quirúrgico, Historia Clínica de Ingreso, Nota de Evolución / Interconsulta, Hoja de Indicaciones, Hoja de Enfermería, Informe Clínico de Preadmisión, Informe de Anatomia Patológica, Protocolo de Anestesia, Consentimiento Informado, Informe de Laboratorio, Protocolo de Procedimiento, Informe de Diagnóstico por Imágenes, Informe de Atención Prehospitalaria.
Organizations participating in the initial definition of MAIS