This is our FHIR Implementation Guide. It contains the specifications developed by our community.

This documentation and set of artefacts are still undergoing development.

 

Introduction

This Fast Healthcare Interoperability Resources (FHIR)® Implementation Guide (IG) is designed to facilitate the standardized exchange of healthcare information in Botswana; specifically the handling of laboratory orders in both OpenMRS and PIMS systems to and from the national laboratory system, IPMS. The guide is crafted for Botswana's Health Information Exchange (HIE) and provides a structured approach to managing lab orders.

The goal of this IG is to ensure that laboratory data can be efficiently exchanged and integrated within Botswana.

This IG implements FHIR bundles that support conditional patient creates and/or updates:

• Create: Only create the patient in the Client Registry (CR) if no matches are found for a given business identifier.
• Update: Instead of creating a new patient in the CR, ONLY update the administrative information for the patient matching the given business identifier.

This aims to reduce duplication of patient records and maintain patient data integrity across integrated systems.

This IG currently implements the following two key laboratory profiles to support Botswana's LAB-EMR exchange worflow requirements:

1. Submitting and managing lab orders
   • Example bundles:
     1. New lab order
     2. Cancel lab order
     3. Reject lab order
2. Capturing lab results
   • Example bundles:
     1. Lab result

Background

To be completed...

Data Flow

The following diagram gives an overview of the flow of data from the EMR systems (OpenMRS/PIMS) to the laboratory system (IPMS) and back.

Download

You can also download:

• this entire guide,
• the definition resources in json, xml, ttl, or csv format, or
• the example resources in json, xml or ttl format.

The source code for this Implementation Guide can be found on GitHub.

Cross Version Analysis

Dependency Table

Globals Table

IP Statements

Intellectual Property Considerations

While this implementation guide and the underlying FHIR are licensed as public domain, this guide may include examples making use of terminologies such as LOINC, SNOMED CT and others which have more restrictive licensing requirements. Implementers should make themselves familiar with licensing and any other constraints of terminologies, questionnaires, and other components used as part of their implementation process. In some cases, licensing requirements may limit the systems that data captured using certain questionnaires may be shared with.

Disclaimer

This specification is provided without warranty of completeness or consistency, and the official publication supersedes this draft. No liability can be inferred from the use or misuse of this specification, or its consequences.