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+<META
+ name="dc.creator"
+ content="Thomas" >
+<META
+ name="dc.title"
+ content="main.book" >
+<META
+ name="dc.date"
+ content="2007-03-18T15:14:28Z" >
+<META
+ name="dc.date.modified"
+ content="2007-03-18T15:14:28Z" >
+<META
+ name="generator"
+ content="Adobe Acrobat Exchange-Pro 8.258" >
+</HEAD>
+<BODY bgcolor=white text=black link=blue vlink=purple alink=fushia >
+<HR>
+<UL>
+<LI>
+<A href="#LinkTarget_2769">Copyright Notice</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2816">Amendment Record</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2885">Table of Contents</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3000">1 Introduction</A>
+<UL>
+<LI>
+<A href="#LinkTarget_3002">1.1 Purpose</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3006">1.2 Related Documents</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3016">1.3 Status</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_3036">2 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3059">3 The Archetype Authoring Environment</A>
+<UL>
+<LI>
+<A href="#LinkTarget_3061">3.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3074">3.2 Versioning and Auditing</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3078">3.3 Querying and Browsing</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3096">3.4 Lifecycle Management</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3100">3.5 Ontology-based Indexing</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3122">3.6 Terminology Access and Use</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3140">3.7 External Resources</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3145">3.8 Digital Signing</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3149">3.9 Service Interface</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_3164">4 The Dissemination Network</A>
+<UL>
+<LI>
+<A href="#LinkTarget_3166">4.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3174">4.2 Service Interface</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_3191">5 Archetype Semantics</A>
+<UL>
+<LI>
+<A href="#LinkTarget_3195">5.1 Archetype Identification</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3211">5.2 Semantic Relationships</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_3233">6 Change Management</A>
+<UL>
+<LI>
+<A href="#LinkTarget_3235">6.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3241">6.2 Revision</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3265">6.3 Specialisation</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3295">6.4 New Version</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3312">6.5 New Archetype</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_3341">G References</A>
+</LI>
+</UL>
+</HR>
+<IMG width=336 height=135 style="display:block; float:none" src="images/archetype_system_img_0.png">
+<IMG width=144 height=127 style="display:block; float:none; text-align:left; margin-bottom:15px" src="images/archetype_system_img_1.png">
+<DIV class="Part"
+><H1>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:24pt; font-weight:bold; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:24pt; font-weight:bold; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:24pt; font-weight:bold; color:#000000"
+>EHR Archetype Syste</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:24pt; font-weight:bold; color:#000000"
+>m 
+</SPAN
+></H1>
+<TABLE>
+<TR>
+<TH style="text-align:right; width:105px; height:30px; border-style: solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TH colspan=3 style="width:296px; height:30px; border-style: solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Editors: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>{T Beale, S Heard}</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.6pt; font-weight:normal; color:#000000"
+>a </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="width:105px; height:29px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<A href="#LinkTarget_2829">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Revision: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</TD>
+<TD style="text-align:left; vertical-align:top; width:13px; height:29px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="text-align:center; width:89px; height:29px; border-style:solid; border-color:#000000; border-width:1px">
+<A href="#LinkTarget_3401">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Pages: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>19 </SPAN
+></A>
+</TD>
+<TD style="text-align:left; width:194px; height:29px; border-style:solid; border-color:#000000; border-width:1px">
+<A href="#LinkTarget_2832">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Date of issue: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>12 Mar 2007 </SPAN
+></A>
+</TD>
+</TR>
+</TABLE>
+<P>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>a.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> Ocean Informatics </SPAN
+></P>
+<P style="text-align:center; margin-bottom:340px; margin-left:0px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Keywords: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR, health records, repository, archetype </SPAN
+></P>
+<DIV class="Sect">
+<H5>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:bold; color:#0000FF"
+>© 2003-2007 The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:bold; color:#0000FF"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:bold; color:#0000FF"
+>EHR Foundation. </SPAN
+></H5>
+<P style="margin-bottom:8px; margin-left:0px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#0000FF"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#0000FF"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#0000FF"
+>EHR Foundation is an independent, non-profit community, facilitating the sharing of health records by consumers and clinicians via open-source, standards-based implementations. </SPAN
+></P>
+<P style="margin-bottom:11px; margin-right:155px; margin-left:0px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:bold; color:#0000FF"
+>Founding </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#0000FF"
+>David Ingram, Professor of Health Informatics, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:bold; color:#0000FF"
+>Chairman </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#0000FF"
+>CHIME, University College London </SPAN
+></P>
+<P style="margin-bottom:11px; margin-right:98px; margin-left:0px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:bold; color:#0000FF"
+>Founding </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#0000FF"
+>Dr P Schloeffel, Dr S Heard, Dr D Kalra, D Lloyd, T Beale </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:bold; color:#0000FF"
+>Members </SPAN
+></P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:bold; color:#0000FF"
+>email</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#0000FF"
+>: info@openEHR.org </SPAN
+><A href="http://www.openEHR.org">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:bold; color:#0000FF"
+>web</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#0000FF"
+>: http://www.openEHR.org </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:109px; margin-left:0px">
+<A href="#LinkTarget_2739">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The openEHR Archetype System </SPAN
+></A>
+</P>
+<P style="text-align:left; margin-bottom:14px; margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2829">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_2769">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Copyright Notice </SPAN
+></H4>
+<P style="text-align:left; margin-bottom:14px; margin-left:38px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>© Copyright openEHR Foundation 2001 - 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>All Rights Reserve</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>d 
+</SPAN
+></P>
+<ol style="list-style-type:decimal">
+<LI>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>This document is protected by copyright and/or database right throughout the world and is owned by the openEHR Foundation. </SPAN
+></LI>
+<LI>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>You may read and print the document for private, non-commercial use. </SPAN
+></LI>
+<LI>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>You may use this document (in whole or in part) for the purposes of making presentations and education, so long as such purposes are non-commercial and are designed to comment on, further the goals of, or inform third parties about, openEHR. </SPAN
+></LI>
+<LI>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>You must not alter, modify, add to or delete anything from the document you use (except as is permitted in paragraphs 2 and 3 above). </SPAN
+></LI>
+<LI>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>You shall, in any use of this document, include an acknowledgement in the form: &quot;© Copyright openEHR Foundation 2001-2007. All rights reserved. www.openEHR.org&quot; </SPAN
+></LI>
+<LI>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>This document is being provided as a service to the academic community and on a non-commercial basis. Accordingly, to the fullest extent permitted under applicable law, the openEHR Foundation accepts no liability and offers no warranties in relation to the materials and documentation and their content. </SPAN
+></LI>
+<LI style="margin-bottom:500px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>If you wish to commercialise, license, sell, distribute, use or otherwise copy the materials and documents on this site other than as provided for in paragraphs 1 to 6 above, you must comply with the terms and conditions of the openEHR Free Commercial Use Licence, or enter into a separate written agreement with openEHR Foundation covering such activities. The terms and conditions of the openEHR Free Commercial Use Licence can be found at http://www.openehr.org/free_commercial_use.htm </SPAN
+></LI>
+</ol>
+<P style="text-align:center; margin-bottom:14px; margin-left:508px; text-indent:-507px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_2832">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Mar 2007 </SPAN
+></A>
+<A href="#LinkTarget_3401">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 2 of 1</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>9 	</SPAN
+></A>
+<A href="#LinkTarget_2744">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_2816">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_2760">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_2739">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The openEHR Archetype System </SPAN
+></A>
+</P>
+<P style="text-align:; margin-bottom:0px; margin-left:607px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2829">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_2816" style="margin-bottom:24px; margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Amendment Record </SPAN
+></P>
+<TABLE style="margin-bottom:683px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:105px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Issue </SPAN
+></TH>
+<TH style="text-align:right; vertical-align:middle; width:354px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Details </SPAN
+></TH>
+<TH style="text-align:center; vertical-align:middle; width:87px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Who </SPAN
+></TH>
+<TH style="text-align:center; vertical-align:middle; width:104px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Completed </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:25px; background-color:#0000FF; border-style: border-style:solid none solid solid; border-color: #000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:354px; height:25px; background-color:#0000FF; border-style: border-style:solid none solid none; border-color: #000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:bold; color:#FFFFFF"
+>R E L E A S E  1.0.1 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:87px; height:25px; background-color:#0000FF; border-style: border-style:solid none solid none; border-color: #000000; border-width:4px 1px 1px 1px"/>
+<TD style="text-align:center; vertical-align:top; width:104px; height:25px; background-color:#0000FF; border-style: border-style:solid solid solid none; border-color: #000000; border-width:4px 1px 1px 1px"/>
+</TR>
+<TR>
+<TD style="text-align:center; width:105px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></TD>
+<TD style="width:354px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>Restructured and rewritten </SPAN
+></TD>
+<TD style="text-align:center; width:87px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; width:104px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>12 Mar 2007 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:27px; background-color:#9404FF; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:354px; height:27px; background-color:#9404FF; border-style: border-style:solid none solid none; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:bold; color:#FFFFFF"
+>R E L E A S E  1.0 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:87px; height:27px; background-color:#9404FF; border-style: border-style:solid none solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="text-align:center; vertical-align:top; width:104px; height:27px; background-color:#9404FF; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:27px; background-color:#0000FF; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:354px; height:27px; background-color:#0000FF; border-style: border-style:solid none solid none; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:bold; color:#FFFFFF"
+>R E L E A S E  0.95 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:87px; height:27px; background-color:#0000FF; border-style: border-style:solid none solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="text-align:center; vertical-align:top; width:104px; height:27px; background-color:#0000FF; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:27px; background-color:#0000FF; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:354px; height:27px; background-color:#0000FF; border-style: border-style:solid none solid none; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:bold; color:#FFFFFF"
+>R E L E A S E  0.9 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:87px; height:27px; background-color:#0000FF; border-style: border-style:solid none solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="text-align:center; vertical-align:top; width:104px; height:27px; background-color:#0000FF; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+</TR>
+<TR>
+<TD style="text-align:center; width:105px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>0.3.1 </SPAN
+></TD>
+<TD style="width:354px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>Updated diagram; added notes on dissemination network. </SPAN
+></TD>
+<TD style="text-align:center; width:87px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>S Heard </SPAN
+></TD>
+<TD style="text-align:center; width:104px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>20 Dec 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:105px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>0.3 </SPAN
+></TD>
+<TD style="width:354px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>Initial Writing </SPAN
+></TD>
+<TD style="text-align:center; width:87px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; width:104px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>29 Nov 2003 </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="text-align:center; margin-bottom:14px; margin-left:0px">
+<A href="#LinkTarget_2744">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+<A href="#LinkTarget_3401">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 3 of 19 </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue: </SPAN
+><A href="#LinkTarget_2832">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>12 Mar 2007 </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_2756">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_2760">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:487px; margin-left:0px">
+<A href="#LinkTarget_2739">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The openEHR Archetype System </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:959px; margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2829">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:14px; margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_2832">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Mar 2007 </SPAN
+></A>
+<A href="#LinkTarget_3401">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 4 of 19 </SPAN
+></A>
+<A href="#LinkTarget_2744">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_2816">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_2760">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+<P style="text-align:left; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_2739">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The openEHR Archetype System </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:5px; margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2829">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_2885" style="text-align:; margin-bottom:8px; margin-right:137px; margin-left:257px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Table of Contents </SPAN
+></H4>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_3000">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>1 Introduction.............................................................................. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_3002">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>1.1 Purpose...................................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_3006">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>1.2 Related Documents ................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:8px; margin-left:0px">
+<A href="#LinkTarget_3016">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>1.3 Status......................................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:8px; margin-left:0px">
+<A href="#LinkTarget_3036">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>2 Overview ................................................................................... </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_3059">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>3 The Archetype Authoring Environment................................ </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_3061">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>3.1 Overview................................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_3074">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>3.2 Versioning and Auditing ........................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_3078">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>3.3 Querying and Browsing .........................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_3096">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>3.4 Lifecycle Management ........................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_3100">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>3.5 Ontology-based Indexing.....................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_3122">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>3.6 Terminology Access and Use...............................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_3140">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>3.7 External Resources ..............................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_3145">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>3.8 Digital Signing.....................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:8px; margin-left:0px">
+<A href="#LinkTarget_3149">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>3.9 Service Interface ..................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_3164">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>4 The Dissemination Network.................................................. 1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_3166">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4.1 Overview..............................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:8px; margin-left:0px">
+<A href="#LinkTarget_3174">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4.2 Service Interface ..................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_3191">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>5 Archetype Semantics ............................................................. 1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_3195">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>5.1 Archetype Identification ......................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:8px; margin-left:0px">
+<A href="#LinkTarget_3211">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>5.2 Semantic Relationships........................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_3233">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>6 Change Management............................................................. 1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_3235">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>6.1 Overview..............................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_3241">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>6.2 Revision ...............................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_3265">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>6.3 Specialisation .......................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_3295">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>6.4 New Version.........................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:8px; margin-left:0px">
+<A href="#LinkTarget_3312">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>6.5 New Archetype ....................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:325px; margin-left:0px">
+<A href="#LinkTarget_3341">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>G References............................................................................... 1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:14px; margin-left:0px">
+<A href="#LinkTarget_2744">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+<A href="#LinkTarget_3401">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 5 of 19 </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue: </SPAN
+><A href="#LinkTarget_2832">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>12 Mar 2007 </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:center; margin-bottom:487px; margin-left:0px">
+<A href="#LinkTarget_2739">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The openEHR Archetype System </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:959px; margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2829">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:14px; margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_2832">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Mar 2007 </SPAN
+></A>
+<A href="#LinkTarget_3401">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 6 of 19 </SPAN
+></A>
+<A href="#LinkTarget_2744">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_2816">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="margin-bottom:14px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_2739">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The openEHR Archetype System </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Introduction Rev </SPAN
+><A href="#LinkTarget_2829">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H2 ID="LinkTarget_3000">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:18pt; font-weight:bold; color:#000000"
+>Introduction </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3002">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Purpose </SPAN
+></H3>
+<P style="margin-bottom:21px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>This document provides a description of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Archetype System, an archetype authoring, quality assurance, certification and publishing infrastructure for archetype-enabled information sys</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>tems. The Archetype System provides a technical underpinning for a governance infrastructure for archetypes and templates. Service interfaces based on the Archetype System archictecture are described informally here, and specified in detail in other </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR documents. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3006">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>1.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Related Documents </SPAN
+></H3>
+<P style="margin-bottom:8px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Prerequisite documents for reading this document include: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:5px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Architecture Overview; </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:21px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The Archetype Semantics specification. </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3016">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>1.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Status </SPAN
+></H3>
+<P style="margin-bottom:8px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>This document is under development, and is published as a proposal for input to standards processes and implementation works. </SPAN
+></P>
+<P style="margin-bottom:487px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The latest version of this document can be found in PDF format at </SPAN
+><A href="http://svn.openehr.org/specification/TRUNK/publishing/architecture/am/archetype_system.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://svn.openehr.org/spec</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<A href="http://svn.openehr.org/specification/TRUNK/publishing/architecture/am/archetype_system.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>ification/TRUNK/publishing/architecture/am/archetype_system.pdf</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. New versions are </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>announced on </SPAN
+><A href="mailto:openehr-technical@openehr.org">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>openehr-announce@openehr.org</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:center; margin-bottom:14px; margin-left:0px">
+<A href="#LinkTarget_2744">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+<A href="#LinkTarget_3401">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 7 of 19 </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue: </SPAN
+><A href="#LinkTarget_2832">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>12 Mar 2007 </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="margin-bottom:14px; margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Overview </SPAN
+><A href="#LinkTarget_2739">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The openEHR Archetype System </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2829">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H2 ID="LinkTarget_3036" style="margin-bottom:17px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:18pt; font-weight:bold; color:#000000"
+>Overview </SPAN
+></H2>
+<P style="margin-bottom:8px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The ‘Archetype System’ is a framework for development and use of archetypes, and consists of two parts. The first, the Archetype Authoring Network, includes an online repository, collaborative authoring process, querying and research tools, quality assurance, testing and approval processes, ultimately generating archetypes certified for production use. The second consists of dissemination mechanisms for archetypes to be made available to production systems. Two service models are implied. The archetype repository corresponds to one interface, providing the semantics of querying, browsing requests, life-cycle management etc, while the dissemination of archetypes corresponds to a smaller ‘archetype service’ interface that makes certified archetypes available to production systems. </SPAN
+></P>
+<P style="margin-bottom:8px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Archetypes can be authored locally as well as centrally, so for any particular archetype consumer, there may be at least two logical repositories. Each logical repository can be linked to a parent, creat</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>ing a single logical archetype space from the point of view of any particular group of authors. Logical repositories may be engineered as literally separate repository instances, or more likely (given the required sophistication of the functionality), as separate ‘compartments’ in a centralised repository at a national or regional level. </SPAN
+></P>
+<P style="margin-bottom:8px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Currently it appears that templates will mostly be authored locally, with some templates that corre</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>spond to re-usable message structures, reports (e.g. discharge referrals) being designed for national or regional use. Reusable templates will therefore need to be accommodated in the archetype repository framework, although templates for local use only would be managed locally. </SPAN
+></P>
+<P style="margin-bottom:28px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>All approved archetypes and templates are made available through instances of the archetype service. </SPAN
+><A href="#LinkTarget_3045">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The Archetype System is illustrated in FIGURE 1. </SPAN
+></A>
+</P>
+<IMG width=493 height=241 style="display:block; float:none; margin-bottom:17px" src="images/archetype_system_img_2.png">
+<P style="text-align:center; margin-bottom:203px; margin-left:0px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>FIGURE 1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>The Archetype System </SPAN
+></P>
+<P style="text-align:center; margin-bottom:14px; margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_2832">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Mar 2007 </SPAN
+></A>
+<A href="#LinkTarget_3401">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 8 of 19 </SPAN
+></A>
+<A href="#LinkTarget_2744">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_2816">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="margin-bottom:14px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_2739">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The openEHR Archetype System </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Archetype Authoring Environment Rev </SPAN
+><A href="#LinkTarget_2829">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H2 ID="LinkTarget_3059">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:18pt; font-weight:bold; color:#000000"
+>The Archetype Authoring Environment </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3061">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>3.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Overview </SPAN
+></H3>
+<P style="margin-bottom:119px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The archetype and template authoring activity is carried out using tools that interface with the Arche</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>type Repository. Each archetype is elaborated according to a development process over which the archetype will progress from an initial draft to an approved archetype, certified for use. Once an archetype has reached this point, and can no longer be changed, it should be digitally signed. All fur</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>ther changes must be carried out in new </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>revisions</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>, new </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>versions</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>specialisations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>, or new archetypes. These categories are explained below. During the development process, the Archetype Repository enables querying and browsing of the existing library of archetypes, as well as access to the classifi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>cational ontology, and external resources. The archetype authoring environment is illustrated in </SPAN
+><A href="#LinkTarget_3072">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>FIG</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+></A>
+<A href="#LinkTarget_3072">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>URE 2. </SPAN
+></A>
+</P>
+<P style="text-align:left; margin-bottom:5px; margin-left:16px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:bold; color:#0000FF"
+>Business Process </SPAN
+></P>
+<IMG width=576 height=289 style="display:block; float:none; margin-bottom:0px" src="images/archetype_system_img_3.png">
+<P style="margin-bottom:14px; margin-left:367px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>Archetype Repository </SPAN
+></P>
+<P style="text-align:center; margin-bottom:24px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>FIGURE 2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>The Archetype Authoring Environment </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3074">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>3.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Versioning and Auditing </SPAN
+></H3>
+<P style="margin-bottom:21px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>A basic function of the Archetype Repository is the versioning and audit-trailing of all committed resources. The versioning functions are the same as available with well-known systems such as Sub</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>version and other commercial tools. Both optimistic and pessimistic locking should be available, with merging tools available for conflicts in the former case. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3078">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>3.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Querying and Browsing </SPAN
+></H3>
+<P style="margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>One of the key parts of the archetype development activity is an initial and ongoing review of work already done in the same area, in terms of previous archetypes, and also related external resources. The Archetype Repository supports querying of archetypes based on identifiers, relationship to other archetypes, theme / clinical details, use, and other attributes. Browsing tools using this querying inter</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>face can build graphical or textual renditions of existing archetypes. </SPAN
+></P>
+<P style="text-align:center; margin-bottom:14px; margin-left:0px">
+<A href="#LinkTarget_2744">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+<A href="#LinkTarget_3401">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 9 of 19 </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue: </SPAN
+><A href="#LinkTarget_2832">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>12 Mar 2007 </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="margin-bottom:14px; margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Archetype Authoring Environment </SPAN
+><A href="#LinkTarget_2739">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The openEHR Archetype System </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2829">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3096">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>3.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Lifecycle Management </SPAN
+></H3>
+<P style="margin-bottom:21px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The development of an archetype will follow a trajectory similar to documents or other artifacts in a technical authoring space. The archetype proceeds through a defined set of lifecycle states, usually defined as a state machine. At certain points in the lifecycle, group reviews and other similar activi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>ties take place. Managing this requires a way of registering users as part of an authoring group, as well as a way of defining the workflows for review, approval and so on. The Archetype Repository provides support for workflow definition and execution. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3100">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>3.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Ontology-based Indexing </SPAN
+></H3>
+<P style="margin-bottom:5px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>As with software development, the first step to creating an archetype should be to determine whether any archetypes already exist corresponding to the requirements; a basic service is therefore to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>find archetypes</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. Two types of indexing are required, ‘content-based’ and ‘semantic’. Content-based index</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>ing means that archetypes are indexed by concrete properties of individual archetypes, such as: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:36px; text-indent:0px; line-height:23px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>identifie</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>r 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>other included meta-data author, version, lifecycle state, date of submission et</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>c 
+</SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:8px; margin-left:36px; text-indent:0px; line-height:23px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>contained term</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>s 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>other textual contents, such as term definition</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>s 
+</SPAN
+></LI>
+</ul>
+<P style="margin-bottom:8px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>This kind of indexing can easily be achieved by standard database indexing and content-based retrieval (if indexing is required on the contained text). Querying for archetypes based on combina</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>tions of properties can then be supported, such as “find all archetypes created by UK organisations within the last six months, which have ‘pain’ in the title”. </SPAN
+></P>
+<P style="margin-bottom:8px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>In contrast, semantic indexing allows for much more sophisticated queries, but relies on making inferences on archetypes in the presence of other archetypes, terminologies and ontologies. For exam</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>ple, a user might wish to find all archetypes describing (clinical) examinations or investigations rele</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>vant to the heart. Some lab result types are clinically relevant, but their archetypes are unlikely to contain the words “heart” or “cardiac” etc., so content-based indexing won’t retrieve them. If how</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>ever an underlying ontology has links that indicate useful laboratory tests relevant to the heart, the archetypes will be retrieved. </SPAN
+></P>
+<P style="margin-bottom:21px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The underlying resources used to achieve this are likely include a ontology defined specifically for indexing archetypes, and one or more published terminologies such as SNOMED-CT and LOINC. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3122">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>3.6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Terminology Access and Use </SPAN
+></H3>
+<P style="margin-bottom:8px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Once it is determined whether a new archetype needs to be authored or an existing one adapted (usu</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>ally specailised), the next step is to make the changes. Ontological and terminological resources within the environment can be used to enable the archetype author to understand the meaning of the archetype under construction, in a number of ways. </SPAN
+></P>
+<P style="margin-bottom:45px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Finding internal archetype terms</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: internal terms defining node meanings may be derived from terms defined in published terminologies. For example, the author might wish to define an archetype node whose local code means “myocardial infaction”, a term which will easily be found in a number of terminologies and ontologies. If searching the available terminologies reveals the exact definition required by the author, she can create the local term, copy the definition, and include a ‘provenance’ meta-data item in the term definition indicating the source. </SPAN
+></P>
+<P style="text-align:center; margin-bottom:14px; margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_2832">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Mar 2007 </SPAN
+></A>
+<A href="#LinkTarget_3401">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 10 of 19 </SPAN
+></A>
+<A href="#LinkTarget_2744">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_2816">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="margin-bottom:14px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_2739">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The openEHR Archetype System </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Archetype Authoring Environment Rev </SPAN
+><A href="#LinkTarget_2829">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+<P style="margin-bottom:21px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Verifying value sets</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. In the ‘value’ position of an archetype leaf node, constraints are often defined which evaluate to a set of terms, raning from the simple such as “blood groups” to the more complex, such as “any disease which is-a auto-immune disease with-site liver”. If these constraints can be tested at authoring time against an appropriate terminology or ontology, the archetype designer will be able to ensure that the intended meaning is achieved. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3140">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>3.7 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>External Resources </SPAN
+></H3>
+<P style="margin-bottom:21px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>In the authoring of archetypes, recourse to external resources, such as published guidelines, published data-sets, documents from professional bodies and so on is needed. The Archetype Repository pro</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>vides a way to capture links, resource content, and index and cross-reference this with archetypes cre</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>ated based on the resources. This facilitates maintenance and review by other professionals. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3145">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>3.8 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Digital Signing </SPAN
+></H3>
+<P style="margin-bottom:21px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>When an archetype is approved and registered for use, it should be digitally signed using a combina</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>tion of a hash (e.g. using SHA-1) and the private key of the issuing organisation (e.g. using RSA). The first of these measures ensures that the integrity of the archetype can be trusted, while the second ensures that its origin can be trusted. The decrypted signature should regenerate the hash, which can also be generated from the archetype source in order to check the archetype’s integrity. Signatures should be stored within the Archetype Repository as well as in Archetype Service instances. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3149">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>3.9 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Service Interface </SPAN
+></H3>
+<P style="margin-bottom:443px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The service interface to an Archetype Repository includes semantics corresponding to each of the functional areas described above. It is described in a separate specification. </SPAN
+></P>
+<P style="text-align:center; margin-bottom:14px; margin-left:0px">
+<A href="#LinkTarget_2744">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+<A href="#LinkTarget_3401">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 11 of 19 </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue: </SPAN
+><A href="#LinkTarget_2832">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>12 Mar 2007 </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="margin-bottom:14px; margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Dissemination Network </SPAN
+><A href="#LinkTarget_2739">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The openEHR Archetype System </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2829">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H2 ID="LinkTarget_3164">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:18pt; font-weight:bold; color:#000000"
+>The Dissemination Network </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3166">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>4.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Overview </SPAN
+></H3>
+<P style="margin-bottom:21px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Archetypes and templates are disseminated from one or more Archetype Repositories via an Arche</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>type Service network. The topology and dynamics of the network may be similar to the DNS (fully distributed hierarchy), or of a client/server form, where each Archetype Service node communicates only with an Archetype Repository. By either means, archetypes (and centrally defined templates) are made available to client systems such as EHR environments. In the target environment, it is likely although not essential that shareable archetypes (i.e. archetypes in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR/CEN standard ADL or X-ADL) will be converted locally into a runtime format, typically dependent on the kind of persist</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>ence technology in use. One view of these elements is shown in </SPAN
+><A href="#LinkTarget_3172">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 3</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<IMG width=571 height=207 style="display:block; float:none; margin-bottom:15px" src="images/archetype_system_img_4.png">
+<P style="text-align:center; margin-bottom:24px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>FIGURE 3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>The Archetype Dissemination Network </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3174">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>4.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Service Interface </SPAN
+></H3>
+<P style="margin-bottom:325px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The service interface of the Archetype Service corresponds to the requirements of archetype con</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>sumer systems, rather than human authors. Accordingly it is significantly simpler than that of the Archetype Repository. Most functions are based on archetype identifiers rather than keyword or con</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>cept-based searching. The interface is specified in a separete document. </SPAN
+></P>
+<P style="text-align:center; margin-bottom:14px; margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_2832">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Mar 2007 </SPAN
+></A>
+<A href="#LinkTarget_3401">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 12 of 19 </SPAN
+></A>
+<A href="#LinkTarget_2744">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_2816">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="margin-bottom:14px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_2739">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The openEHR Archetype System </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Archetype Semantics Rev </SPAN
+><A href="#LinkTarget_2829">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H2 ID="LinkTarget_3191" style="margin-bottom:17px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:18pt; font-weight:bold; color:#000000"
+>Archetype Semantics </SPAN
+></H2>
+<P style="margin-bottom:21px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Much of the functionality of the Archetype System is informed by the semantics of archetypes, partic</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>ularly the identification system and inter-archetype relationships. The relevant semantics are briefly described here in relation to the Archetype System, and are described in detail in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Archetype Semantics specification. </SPAN
+></P>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3195">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>5.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Archetype Identification </SPAN
+></H3>
+<P style="margin-bottom:8px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Archetypes can be identified with various kinds of identifiers. Currently, the multi-axial archetype identifier specified by the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>rm.support.identification.ARCHETYPE_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> class in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Sup</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>port IM is used. Other identifier types such as an ISO Oid could be deployed in the future, most likely in parallel with the multi-axial identifier. A typical example of an archetype identifier is: </SPAN
+></P>
+<P style="margin-bottom:0px; margin-left:38px">
+<SPAN style="font-family:'serif', 'Courier New PS', serif; font-size:9.9pt; font-weight:bold; color:#0000FF"
+>openEHR-EHR-OBSERVATION.haematology.v1</SPAN
+></P>
+<P style="margin-bottom:8px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The multi-axial archetype identifier encodes the partitioning of the archetype space in the identifier. Each identifier instance denotes a single archetype within a versioned 2-dimensional space, with the dimensions being: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:5px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>reference model entity, i.e. target of archetype; </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:8px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>domain concept. </SPAN
+></LI>
+</ul>
+<P style="margin-bottom:0px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>As with any multi-axial identifier, the underlying principle of an archetype id is that all parts of the id must be able to be considered immutable. This means that no variable characteristic of an archetype </SPAN
+></P>
+<P style="margin-bottom:8px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>(e.g.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> accrediting authority, which might change due to later accreditation by another authority, or may be multiple) can be included in its identifier. </SPAN
+></P>
+<P style="margin-bottom:21px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>ISO Oids can also be used to identify archetypes within storage systems, online repositories etc., regardless of where the archetype sits in the concept space. Currently Oids are not in use in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR archetype environment. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3211">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>5.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Semantic Relationships </SPAN
+></H3>
+<P style="margin-bottom:8px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Archetypes can relate to each other in the following ways: </SPAN
+></P>
+<P style="margin-bottom:8px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>revision</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: the revised archetype contains changes that do not invalidate the data created by the previous archetype in any way; </SPAN
+></P>
+<P style="margin-bottom:8px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>specialisation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: similar to specialisation in object-oriented models, specialised archetypes can change existing parts of an archetype definition in a conformant way, or introduce new nodes; </SPAN
+></P>
+<P style="margin-bottom:8px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>version</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: the new version of an archetype will usually contain a small number of changes incompatible with the previous version; a data conversion algorithm should be supplied; </SPAN
+></P>
+<P style="margin-bottom:8px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>composition</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: archetypes use ‘slots’ to define the set of other archetypes that may be used at a node, rather than defining the same semantics inline. </SPAN
+></P>
+<P style="margin-bottom:129px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>All of these relationships should be assertable and viewable within the Archetype Repository. </SPAN
+></P>
+<P style="text-align:center; margin-bottom:14px; margin-left:0px">
+<A href="#LinkTarget_2744">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+<A href="#LinkTarget_3401">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 13 of 19 </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue: </SPAN
+><A href="#LinkTarget_2832">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>12 Mar 2007 </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="margin-bottom:14px; margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Change Management </SPAN
+><A href="#LinkTarget_2739">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The openEHR Archetype System </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2829">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H2 ID="LinkTarget_3233">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:18pt; font-weight:bold; color:#000000"
+>Change Management </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3235">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>6.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Overview </SPAN
+></H3>
+<P style="margin-bottom:8px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Archetypes are like any other models in that they reflect changing realities and understandings of reality. For both reasons, changes need to be made to existing archetypes as time goes on. However, archetypes are also used to create data, and to remain technically reliable, the relationship between archetypes and the data must always be known. If an archetype is ‘changed’ in some way, the rela</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>tionship of the new variant to the previously created data must be known, in order for the data to be properly queryable and modifiable. </SPAN
+></P>
+<P style="margin-bottom:21px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Four types of ‘change’ are identified below. Only one of them, ‘revision’ is a change in the literal sense of the word. The other three all create new archetypes that are formally related to existing archetypes. In the following sections, each type of change is described in terms of a ‘semantic integ</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>rity constraint’ that must be preserved, and the entailed logical consequence. The detailed semantics of each type of archetype relationship are found in the Archetype Semantics document. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3241">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>6.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Revision </SPAN
+></H3>
+<P style="margin-bottom:8px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Revision is the smallest kind of change that can be done to an archetype, and the only one not causing a change in identifier. The new revision is indicated in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>revision_history</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> section of an arche</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>type. A new revision can safely replace the previous revision in an Archetype Service. Revisions are made in order to: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:5px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>modify the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>description</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> section; </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:5px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>modify the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>ontology</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> section by changing the text descriptions of codes, or adding or changing terminology bindings; </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:5px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>add or change translations (affects </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>language</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> and/or </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>ontology</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>description</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> sections); </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:8px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>broaden an existing constraint in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>definition</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> section; this often means the changing of a mandatory constraint to an optional one. </SPAN
+></LI>
+</ul>
+<P style="margin-bottom:8px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The validity rule for revisions is: </SPAN
+></P>
+<P style="margin-bottom:21px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:6.9pt; font-weight:normal; color:#000000"
+>• 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Backward compatibility</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: data created by precursor of revised archetype is compatible with revised version. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3265">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>6.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Specialisation </SPAN
+></H3>
+<P style="margin-bottom:8px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>A specialisation of an archetype is similar in concept to a descendant class in an object-oriented model. Specialised archetypes can redefine nodes and add node in a way that respects the conform</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>ance relationship between archetypes; essentially this means that redefine nodes must be narrower or the same as the corresponding nodes in the parent archetype in terms of occurrences, reference model type and other constraints. </SPAN
+></P>
+<P style="margin-bottom:8px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The identifier of a specialised archetype is a clone of the parent identifier, with an extra item appended to the concept section of the identifier, using a ‘-’ separator. The following exemplify a typ</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>ical parent and specialised child archetype identifiers: </SPAN
+></P>
+<P style="text-align:left; margin-bottom:45px; margin-left:38px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS', serif; font-size:9.9pt; font-weight:bold; color:#0000FF"
+>openEHR-EHR-EVALUATION.problem.v</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS', serif; font-size:9.9pt; font-weight:bold; color:#0000FF"
+>1
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS', serif; font-size:9.9pt; font-weight:bold; color:#0000FF"
+>openEHR-EHR-EVALUATION.problem-diagnosis.v</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS', serif; font-size:9.9pt; font-weight:bold; color:#0000FF"
+>1
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS', serif; font-size:9.9pt; font-weight:bold; color:#0000FF"
+>openEHR-EHR-EVALUATION.problem-diagnosis-histological.v</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS', serif; font-size:9.9pt; font-weight:bold; color:#0000FF"
+>1 
+</SPAN
+></P>
+<P style="text-align:center; margin-bottom:14px; margin-left:288px; text-indent:-287px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_2832">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Mar 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_3401">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 14 of 19 </SPAN
+></A>
+<A href="#LinkTarget_2744">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_2816">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="margin-bottom:14px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_2739">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The openEHR Archetype System </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Change Management Rev </SPAN
+><A href="#LinkTarget_2829">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+<P style="margin-bottom:8px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The node term code of a redefined node is defined as a ‘dot’ specialisation of the parent, e.g. ‘at0013.1’ is a valid code for the redefined version of the ‘at0013’ node in a top-level archetype. New nodes are given ‘dot’ node identifiers specific to the specialisation level; for example ‘at0.1’ is a code introduced new in a second level specialisation of an archetype. </SPAN
+></P>
+<P style="margin-bottom:8px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Specialised archetypes are created when there is a need to customise an existing general purpose archetype, e.g. a ‘laboratory result’ archetype (containing generic ‘panel items’) into a particular sub</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>type, such as ‘cholesterol result’ (containing named ‘LDL’, ‘HDL’, ‘Total’ etc items which are spe</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>cialisations of the ‘panel item’ nodes in the parent). Sometimes the customisation is just the addition of new nodes. </SPAN
+></P>
+<P style="margin-bottom:8px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The validity rule for specialised archetypes is: </SPAN
+></P>
+<P style="margin-bottom:21px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:6.9pt; font-weight:normal; color:#000000"
+>• 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Specialised archetype creates data that conform to the parent archetype in the sense of data/archetype conformance described in the Archetype Semantics document. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3295">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>6.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>New Version </SPAN
+></H3>
+<P style="margin-bottom:8px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>A new version of an archetype is created when the existing version of an archetype is incompatible with the current data collection requirement. Given that well-designed archetypes contain mostly optional parts, this occurs rarely. The usual reason is that a mandatory item in the existing archetype is now regarded as inappropriate; a value range or coded term set may also be incorrect from the point of view of current requirements. Almost all other required changes can be achieved by a new revision or specialisation. </SPAN
+></P>
+<P style="margin-bottom:8px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>A new version should only be created when the archetype required models the same content as the existing archetype, and is intended to replace it in time. If this is not the case, a new (unrelated) arche</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>type is created. When a new version is created, the same archetype identifier is used, with the version number in the final segment incremented, thus generating a new archetype identifier, as in the follow</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>ing example: </SPAN
+></P>
+<P style="margin-bottom:-2px; margin-left:38px">
+<SPAN style="font-family:'serif', 'Courier New PS', serif; font-size:9.9pt; font-weight:bold; color:#0000FF"
+>openEHR-EHR-EVALUATION.problem.v1</SPAN
+></P>
+<P style="text-align:left; margin-bottom:8px; margin-left:0px; text-indent:38px; line-height:20px">
+<SPAN style="font-family:'serif', 'Courier New PS', serif; font-size:9.9pt; font-weight:bold; color:#0000FF"
+>openEHR-EHR-EVALUATION.problem.v2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>In general, nothing can be formally said about the semantic relationship between different versions of an archetype. However, it is strongly recommended in all archetype environments that: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:5px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>changes between versions of an archetype be minimised; </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:21px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>a conversion algorithm to make data created from previous version(s) compatible with the latest version should be supplied with the latest version. </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3312">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>6.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>New Archetype </SPAN
+></H3>
+<P style="margin-bottom:151px; margin-left:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>A new archetype is one whose identifier is different in the reference model or concept sections to that of other archetypes. New archetypes should be created compatibly with existing archetypes. ‘Com</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>patibility’ here means that the scope of the archetype should not straddle concepts found in existing archetypes, but should either re-use them, or be complementary. </SPAN
+></P>
+<P style="text-align:center; margin-bottom:14px; margin-left:288px; text-indent:-287px">
+<A href="#LinkTarget_2744">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>} 	</SPAN
+></A>
+<A href="#LinkTarget_3401">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 15 of 19 </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue: </SPAN
+><A href="#LinkTarget_2832">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>12 Mar 2007 </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="margin-bottom:959px; margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Change Management </SPAN
+><A href="#LinkTarget_2739">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The openEHR Archetype System </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2829">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:14px; margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_2832">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Mar 2007 </SPAN
+></A>
+<A href="#LinkTarget_3401">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 16 of 19 </SPAN
+></A>
+<A href="#LinkTarget_2744">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_2816">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="margin-bottom:14px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_2739">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The openEHR Archetype System </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>References Rev </SPAN
+><A href="#LinkTarget_2829">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H2 ID="LinkTarget_3341" style="margin-bottom:14px; margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:18pt; font-weight:bold; color:#000000"
+>G References </SPAN
+></H2>
+<P style="text-align:left; margin-bottom:8px; margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Publications </SPAN
+></P>
+<P style="text-align:left; margin-bottom:8px; margin-left:48px; text-indent:-47px; line-height:17px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>1 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Beale T. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Archetypes: Constraint-based Domain Models for Future-proof Information Systems</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>. OOPSLA 2002 workshop on behavioural semantics. Available at </SPAN
+><A href="http://www.deepthought.com.au/it/archetypes.html">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.deepthought.com.au/it/archetypes.html</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>. </SPAN
+></A>
+</P>
+<P style="text-align:left; margin-bottom:8px; margin-right:11px; margin-left:48px; text-indent:-47px; line-height:17px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>2 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Beale T. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Archetypes: Constraint-based Domain Models for Future-proof Information Systems</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>. 2000. Available at </SPAN
+><A href="http://www.deepthought.com.au/it/archetypes.html">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.deepthought.com.au/it/archetypes.html</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:8px; margin-right:113px; margin-left:48px; text-indent:-47px; line-height:17px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>3 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Beale T, Heard S. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>A Shared Language for Archetypes and Templates - Part I</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>. 2003. Available at </SPAN
+><A href="http://www.deepthought.com.au/health/archetypes/archetype_language_2v0.6.2.doc">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.deepthought.com.au/health/arche</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<A href="http://www.deepthought.com.au/health/archetypes/archetype_language_2v0.6.2.doc">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>types/archetype_language_2v0.6.2.doc</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></A>
+</P>
+<P style="text-align:left; margin-bottom:8px; margin-right:108px; margin-left:48px; text-indent:-47px; line-height:17px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>4 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Beale T, Heard S. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>A Shared Language for Archetypes and Templates - Part II</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>. 2003. Available at </SPAN
+><A href="http://www.deepthought.com.au/health/archetypes/archetype_language.doc">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.deepthought.com.au/health/arche</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<A href="http://www.deepthought.com.au/health/archetypes/archetype_language.doc">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>types/archetype_language.doc</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></A>
+</P>
+<P style="text-align:left; margin-bottom:8px; margin-right:227px; margin-left:48px; text-indent:-47px; line-height:17px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>5 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Dolin R, Elkin P, Mead C </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>et al</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>HL7 Templates Proposal</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>. 2002. Available at </SPAN
+><A href="http://www.hl7.org">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.hl7.org</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:8px; margin-left:48px; text-indent:-47px; line-height:17px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>6 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Gruber T R. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Toward Principles for the Design of Ontologies Used for Knowledge Sharing</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>. in Formal Ontology in Conceptual Analysis and Knowledge Representation. Eds Guarino N, Poli R. Kluwer Ac</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>ademic Publishers. 1993 (Aug revision). </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 style="margin-bottom:8px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Resources </SPAN
+></H4>
+<P style="text-align:; margin-bottom:420px; margin-right:327px; margin-left:77px; text-indent:-47px; line-height:20px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>7 OWL - Web Ontology Language. See </SPAN
+><A href="http://www.w3.org/TR/2003/CR-owl-ref-20030818/">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.w3.org/TR/2003/CR-owl-ref-20030818/</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>. 8 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR. Knowledge-enabled EHR and related specifications. See </SPAN
+><A href="http://www.openEHR.org">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.openEHR.org</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>. 9 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR. EHR reference model. See </SPAN
+><A href="http://www.openEHR.org">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.openEHR.org</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:center; margin-bottom:14px; margin-left:288px; text-indent:-287px">
+<A href="#LinkTarget_2744">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>} 	</SPAN
+></A>
+<A href="#LinkTarget_3401">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 17 of 19 </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue: </SPAN
+><A href="#LinkTarget_2832">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>12 Mar 2007 </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="margin-bottom:959px; margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>References </SPAN
+><A href="#LinkTarget_2739">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The openEHR Archetype System </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2829">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:14px; margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_2832">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Mar 2007 </SPAN
+></A>
+<A href="#LinkTarget_3401">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 18 of 19 </SPAN
+></A>
+<A href="#LinkTarget_2744">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_2816">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:left; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_2739">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The openEHR Archetype System </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:33px; margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2829">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:608px; margin-left:0px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>END OF DOCUMEN</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>T 
+</SPAN
+></P>
+<P style="text-align:center; margin-bottom:14px; margin-left:0px">
+<A href="#LinkTarget_2744">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+<A href="#LinkTarget_3400">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 19 of 19 </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_2832">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Mar 2007 </SPAN
+></A>
+</P>
+<P style="text-align:center; margin-bottom:0px; margin-left:0px">
+<A href="#LinkTarget_2816">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</DIV>
+</DIV>
+</BODY>
+</HTML>
Index: /adl/trunk/pdf2html/am/tom/tom.htm
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+<META
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+</HEAD>
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+<HR>
+<UL>
+<LI>
+<A href="#LinkTarget_2596">Copyright Notice</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2644">Amendment Record</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2691">Trademarks</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2737">1 Introduction</A>
+<UL>
+<LI>
+<A href="#LinkTarget_2739">1.1 Purpose</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2743">1.2 Related Documents</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2754">1.3 Nomenclature</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2758">1.4 Status</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2769">1.5 Background</A>
+<UL>
+<LI>
+<A href="#LinkTarget_2771">1.5.1 What is a Template?</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_2793">1.6 Tools</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_2812">2 The Template Object Model</A>
+<UL>
+<LI>
+<A href="#LinkTarget_2814">2.1 Design Background</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2828">2.2 Package Structure</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_2875">3 The Template_spec Package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_2877">3.1 Overview</A>
+<UL>
+<LI>
+<A href="#LinkTarget_2898">3.1.1 Example</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_2931">3.2 Class Definitions</A>
+<UL>
+<LI>
+<A href="#LinkTarget_2947">3.2.1 TEMPLATE_SPEC Class</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_2988">4 The Operational_template Package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_2990">4.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2998">4.2 Class Definitions</A>
+<UL>
+<LI>
+<A href="#LinkTarget_3001">4.2.1 TEMPLATE Class</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_3057">A References</A>
+</LI>
+</UL>
+</HR>
+<IMG width=336 height=135 style="display:block; float:none" src="images/tom_img_0.png">
+<IMG width=144 height=127 style="display:block; float:none; text-align:left; margin-bottom:31px" src="images/tom_img_1.png">
+<P>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>EHR Archetype Model </SPAN
+></P>
+<DIV class="Part"
+><DIV class="Sect">
+<H1>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:24pt; font-weight:bold; color:#000000"
+>The Template Object Model (TOM</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:24pt; font-weight:bold; color:#000000"
+>) 
+</SPAN
+></H1>
+<TABLE>
+<TR>
+<TH style="text-align:right; width:105px; height:30px; border-style: solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TH colspan=3 style="width:296px; height:30px; border-style: solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Editors: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>{T Beale, S Heard}</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.6pt; font-weight:normal; color:#000000"
+>a </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="width:105px; height:29px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<A href="#LinkTarget_2657">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Revision: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</TD>
+<TD style="text-align:left; vertical-align:top; width:13px; height:29px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="text-align:center; width:89px; height:29px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Pages: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>19 </SPAN
+></SPAN>
+</TD>
+<TD style="text-align:left; width:194px; height:29px; border-style:solid; border-color:#000000; border-width:1px">
+<A href="#LinkTarget_2660">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Date of issue: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>13 Mar 2007 </SPAN
+></A>
+</TD>
+</TR>
+</TABLE>
+<P style="text-align:; margin-bottom:52px; margin-right:235px; margin-left:55px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>a.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> Ocean Informatics </SPAN
+></P>
+<P style="margin-bottom:40px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Keywords: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR, ADL, health records, archetypes, templates </SPAN
+></P>
+<TABLE style="margin-bottom:75px">
+<TR>
+<TH colspan=4 style="text-align:center; vertical-align:middle; width:245px; height:24px; background-color:#00FFFF; border-style: solid none none solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ACACAC"
+>EHR Extract </SPAN
+></TH>
+<TH colspan=3 style="width:198px; height:24px; border-style: solid solid none none; border-color: #000000; border-width:1px 2px 1px 1px"/>
+</TR>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:52px; height:23px; background-color:#00FFFF; border-style: none none none solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ACACAC"
+>EHR </SPAN
+></TH>
+<TD colspan=2 style="text-align:left; width:102px; height:23px; background-color:#00FFFF">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ACACAC"
+>Demographic </SPAN
+></TD>
+<TD style="text-align:left; width:80px; height:23px; background-color:#00FFFF">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ACACAC"
+>Integration </SPAN
+></TD>
+<TD colspan=3 style="text-align:center; width:198px; height:23px; background-color:#95FF52; border-style: border-style:none solid none none; border-color: #000000; border-width:1px 2px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Template OM </SPAN
+></TD>
+</TR>
+<TR>
+<TH colspan=4 style="text-align:center; vertical-align:middle; width:245px; height:24px; background-color:#00FFFF; border-style: none none none solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ACACAC"
+>Composition </SPAN
+></TH>
+<TD colspan=3 style="text-align:left; vertical-align:top; width:198px; height:24px; background-color:#C8FF5D; border-style: border-style:none solid none none; border-color: #000000; border-width:1px 2px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-style:italic; font-weight:bold; font-stretch:semi-condensed; color:#ACACAC"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-weight:bold; font-stretch:semi-condensed; color:#ACACAC"
+>EHR Archetype Profile </SPAN
+></TD>
+</TR>
+<TR>
+<TH colspan=2 rowspan=2 style="text-align:center; vertical-align:middle; width:119px; height:23px; background-color:#B3FBE6; border-style: none none none solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ACACAC"
+>Security </SPAN
+></TH>
+<TD colspan=2 rowspan=2 style="text-align:left; width:120px; height:23px; background-color:#B3FBE6">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ACACAC"
+>Common </SPAN
+></TD>
+<TD rowspan=2 style="text-align:left; width:151px; height:23px; background-color:#C8FF5D; border-style: border-style:none solid none none; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ACACAC"
+>Archetype OM </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:8px; height:12px; border-style: border-style:none solid solid solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD rowspan=2 style="text-align:left; width:39px; height:23px; border-style: border-style:none solid none solid; border-color: #000000; border-width:1px 2px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ACACAC"
+>ADL </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:8px; height:11px; border-style: border-style:solid solid none solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+</TR>
+<TR>
+<TH colspan=7 style="text-align:center; vertical-align:middle; width:449px; height:23px; background-color:#D5FBF9; border-style: none solid none solid; border-color: #000000; border-width:1px 2px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ACACAC"
+>Data Structures </SPAN
+></TH>
+</TR>
+<TR>
+<TH colspan=7 style="text-align:center; width:449px; height:23px; background-color:#D5FBF9; border-style: none solid none solid; border-color: #000000; border-width:1px 2px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ACACAC"
+>Data Types </SPAN
+></TH>
+</TR>
+<TR>
+<TH colspan=7 style="text-align:center; width:449px; height:24px; background-color:#D5FBF9; border-style: none solid solid solid; border-color: #000000; border-width:1px 2px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ACACAC"
+>Support </SPAN
+></TH>
+</TR>
+</TABLE>
+</DIV>
+<DIV class="Sect">
+<DIV class="Sect">
+<H5>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:bold; color:#0000FF"
+>© 2005-2007 The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:bold; color:#0000FF"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:bold; color:#0000FF"
+>EHR Foundation </SPAN
+></H5>
+<P style="margin-bottom:20px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#0000FF"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#0000FF"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#0000FF"
+>EHR Foundation is an independent, non-profit community, facilitating the sharing of health records by consumers and clinicians via open-source, standards-based implementations. </SPAN
+></P>
+<TABLE style="margin-bottom:0px">
+<TR>
+<TH style="width:63px; height:14px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:bold; color:#0000FF"
+>Founding </SPAN
+></TH>
+<TD style="text-align:left; vertical-align:top; width:392px; height:14px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#0000FF"
+>David Ingram, Professor of Health Informatics, </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="width:63px; height:20px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:bold; color:#0000FF"
+>Chairman </SPAN
+></TH>
+<TD style="text-align:left; vertical-align:top; width:392px; height:20px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#0000FF"
+>CHIME, University College London </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="vertical-align:middle; width:63px; height:20px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:bold; color:#0000FF"
+>Founding </SPAN
+></TH>
+<TD style="text-align:left; width:392px; height:20px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#0000FF"
+>Dr P Schloeffel, Dr S Heard, Dr D Kalra, D Lloyd, T Beale </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="width:63px; height:18px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:bold; color:#0000FF"
+>Members </SPAN
+></TH>
+<TD style="text-align:left; vertical-align:top; width:392px; height:18px"/>
+</TR>
+<TR>
+<TH style="width:63px; height:21px"/>
+<TD style="text-align:left; vertical-align:bottom; width:392px; height:21px">
+<A href="http://www.openEHR.org">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:bold; color:#0000FF"
+>email</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#0000FF"
+>: info@openEHR.org </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:bold; color:#0000FF"
+>web</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#0000FF"
+>: http://www.openEHR.org </SPAN
+></A>
+</TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:109px">
+<A href="#LinkTarget_2528">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Template Object Model (TOM) </SPAN
+></A>
+</P>
+</DIV>
+<P style="text-align:left; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2657">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_2596">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Copyright Notice </SPAN
+></H4>
+<P style="text-align:left; margin-bottom:15px; margin-left:38px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>© Copyright openEHR Foundation 2001 - 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>All Rights Reserve</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>d 
+</SPAN
+></P>
+<ol style="list-style-type:decimal">
+<LI>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>This document is protected by copyright and/or database right throughout the world and is owned by the openEHR Foundation. </SPAN
+></LI>
+<LI>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>You may read and print the document for private, non-commercial use. </SPAN
+></LI>
+<LI>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>You may use this document (in whole or in part) for the purposes of making presentations and education, so long as such purposes are non-commercial and are designed to comment on, further the goals of, or inform third parties about, openEHR. </SPAN
+></LI>
+<LI>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>You must not alter, modify, add to or delete anything from the document you use (except as is permitted in paragraphs 2 and 3 above). </SPAN
+></LI>
+<LI>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>You shall, in any use of this document, include an acknowledgement in the form: &quot;© Copyright openEHR Foundation 2001-2007. All rights reserved. www.openEHR.org&quot; </SPAN
+></LI>
+<LI>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>This document is being provided as a service to the academic community and on a non-commercial basis. Accordingly, to the fullest extent permitted under applicable law, the openEHR Foundation accepts no liability and offers no warranties in relation to the materials and documentation and their content. </SPAN
+></LI>
+<LI style="margin-bottom:500px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>If you wish to commercialise, license, sell, distribute, use or otherwise copy the materials and documents on this site other than as provided for in paragraphs 1 to 6 above, you must comply with the terms and conditions of the openEHR Free Commercial Use Licence, or enter into a separate written agreement with openEHR Foundation covering such activities. The terms and conditions of the openEHR Free Commercial Use Licence can be found at http://www.openehr.org/free_commercial_use.htm </SPAN
+></LI>
+</ol>
+<P style="margin-bottom:15px; margin-left:508px; text-indent:-507px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_2660">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 13 Mar 2007 </SPAN
+></A>
+<A href="#LinkTarget_3128">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 2 of 1</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>9 	</SPAN
+></A>
+<A href="#LinkTarget_2533">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<P style="line-height:15px">
+<A href="#LinkTarget_2644">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2005-2007 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<A href="#LinkTarget_2590">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+</DIV>
+<P style="text-align:justify">
+<A href="#LinkTarget_2528">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Template Object Model (TOM) </SPAN
+></A>
+</P>
+<P style="text-align:; margin-left:607px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2657">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_2644" style="text-align:justify; margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Amendment Record </SPAN
+></P>
+<TABLE style="margin-bottom:720px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:96px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Issue </SPAN
+></TH>
+<TH style="text-align:right; vertical-align:middle; width:364px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Details </SPAN
+></TH>
+<TH style="text-align:center; vertical-align:middle; width:87px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Raiser </SPAN
+></TH>
+<TH style="text-align:center; vertical-align:middle; width:104px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Completed </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:96px; height:25px; background-color:#0000FF; border-style: border-style:solid none solid solid; border-color: #000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:364px; height:25px; background-color:#0000FF; border-style: border-style:solid none solid none; border-color: #000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:bold; color:#FFFFFF"
+>R E L E A S E 1.0.1 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:87px; height:25px; background-color:#0000FF; border-style: border-style:solid none solid none; border-color: #000000; border-width:4px 1px 1px 1px"/>
+<TD style="text-align:center; vertical-align:top; width:104px; height:25px; background-color:#0000FF; border-style: border-style:solid solid solid none; border-color: #000000; border-width:4px 1px 1px 1px"/>
+</TR>
+<TR>
+<TD style="text-align:center; width:96px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></TD>
+<TD style="width:364px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>Minor content modifications. </SPAN
+></TD>
+<TD style="text-align:center; width:87px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; width:104px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>13 Mar 2007 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:96px; height:27px; background-color:#9304FF; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:364px; height:27px; background-color:#9304FF; border-style: border-style:solid none solid none; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:bold; color:#FFFFFF"
+>R E L E A S E  1.0 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:87px; height:27px; background-color:#9304FF; border-style: border-style:solid none solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="text-align:center; vertical-align:top; width:104px; height:27px; background-color:#9304FF; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:96px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>0.5rc1 </SPAN
+></TD>
+<TD style="width:364px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:bold; color:#000000"
+>CR-000178</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add Template Object Model to AM. Initial Writing </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:87px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>10 Nov 2005 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:96px; height:27px; background-color:#0000FF; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:364px; height:27px; background-color:#0000FF; border-style: border-style:solid none solid none; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:bold; color:#FFFFFF"
+>R E L E A S E  0.96 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:87px; height:27px; background-color:#0000FF; border-style: border-style:solid none solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="text-align:center; vertical-align:top; width:104px; height:27px; background-color:#0000FF; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_2533">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+<A href="#LinkTarget_3128">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 3 of 19 </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue: </SPAN
+><A href="#LinkTarget_2660">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>13 Mar 2007 </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<P style="line-height:15px">
+<A href="#LinkTarget_2572">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2005-2007 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<A href="#LinkTarget_2590">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:205px">
+<A href="#LinkTarget_2528">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Template Object Model (TOM) </SPAN
+></A>
+</P>
+</DIV>
+<P style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2657">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_2691" style="text-align:justify; margin-bottom:7px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Trademarks </SPAN
+></H4>
+<P style="text-align:left; margin-bottom:895px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Microsoft is a trademark of the Microsoft Corporation </SPAN
+></P>
+<P style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_2660">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 13 Mar 2007 </SPAN
+></A>
+<A href="#LinkTarget_3128">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 4 of 19 </SPAN
+></A>
+<A href="#LinkTarget_2533">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<P style="line-height:15px">
+<A href="#LinkTarget_2644">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2005-2007 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<A href="#LinkTarget_2590">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+</DIV>
+<P>
+<A href="#LinkTarget_2525">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Template Object Model (TOM) </SPAN
+></A>
+</P>
+<P style="margin-bottom:959px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2657">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_2533">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+<A href="#LinkTarget_3128">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 5 of 19 </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue: </SPAN
+><A href="#LinkTarget_2660">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>13 Mar 2007 </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2005-2007 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="margin-bottom:487px">
+<A href="#LinkTarget_2525">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Template Object Model (TOM) </SPAN
+></A>
+</P>
+</DIV>
+<P style="margin-bottom:959px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2657">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+<P style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_2660">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 13 Mar 2007 </SPAN
+></A>
+<A href="#LinkTarget_3128">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 6 of 19 </SPAN
+></A>
+<A href="#LinkTarget_2533">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<P style="line-height:15px">
+<A href="#LinkTarget_2644">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2005-2007 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</DIV>
+<P style="text-align:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_2525">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Template Object Model (TOM) </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Introduction Rev </SPAN
+><A href="#LinkTarget_2657">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H2 ID="LinkTarget_2737">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:18pt; font-weight:bold; color:#000000"
+>Introduction </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2739">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Purpose </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>This document describes an object model for </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR templates, based only upon the generally accepted semantics of object models (typified by the OMG UML meta-model). The model presented here can be used as a basis for building software that processes archetypes and templates, independent of their persistent representation. As a specification, it can be treated as an API for templates. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:24px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>It is recommended that the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR ADL and AOM documents be read in conjunction with this document, since they contain a detailed explanation of the semantics of archetypes. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2743">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>1.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Related Documents </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:4px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Prerequisite documents for reading this document include: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px; margin-right:345px; text-indent:36px; line-height:23px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Architecture Overview Related documents include: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:4px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Archetype Definition Language (ADL) </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:24px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Archetype Object Model (AOM) </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2754">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>1.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Nomenclature </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:24px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>In this document, the term ‘attribute’ denotes any stored property of a type defined in an object model, including primitive attributes and any kind of relationship such as an association or aggrega</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>tion. XML ‘attributes’ are always referred to explicitly as ‘XML attributes’. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2758">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>1.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Status </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>This document is under development, and is published as a proposal for input to standards processes and implementation works. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The latest version of this document can be found in PDF format at </SPAN
+><A href="http://svn.openehr.org/specification/BRANCHES/Release-1.0.1-candidate/publishing/architecture/am/tom.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://svn.openehr.org/spec</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<A href="http://svn.openehr.org/specification/BRANCHES/Release-1.0.1-candidate/publishing/architecture/am/tom.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>ification/BRANCHES/Release-1.0.1-candidate/publishing/architecture/am/tom.pdf</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>New versions are announced on </SPAN
+><A href="mailto:openehr-announce@openehr.org">
+<A href="mailto:openehr-technical@openehr.org">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>openehr-announce@openehr.org</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#0000FF"
+>Blue text</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> indicates sections under active development. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:24px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#FF0000"
+>THIS DOCUMENT IS UNDER ACTIVE DEVELOPMENT AND IS NOT YET SUBJECT TO ARB CONTROL. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2769" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>1.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Background </SPAN
+></H3>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2771" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>1.5.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>What is a Template? </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR template concept is related to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR archetypes. Where archetypes define widely re-usable components of information, templates are locally defined and encapsulate local usage of archetypes, and relevant preferences. In informal terms, templates include the following semantics: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:43px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>archetype ‘chaining’</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: choice of archetypes to make up a larger structure, specified via indicating identifiers of archetypes to fill slots in higher-level archetypes; </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_2533">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+<A href="#LinkTarget_3128">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 7 of 19 </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue: </SPAN
+><A href="#LinkTarget_2660">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>13 Mar 2007 </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2005-2007 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</DIV>
+<P style="text-align:justify; margin-bottom:15px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Introduction </SPAN
+><A href="#LinkTarget_2525">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Template Object Model (TOM) </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2657">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:7px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>local optionality</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: narrowing of some or all 0..1 constraints to either 1..1 (mandatory) or 0..0 (removal) according to local needs; </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>tightened constraints</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: tightening of other constraints, including cardinality, value ranges, terminology value sets and so on; </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px; margin-left:36px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>default values</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: choice of default values for use in templated structure at runtime. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:24px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>At runtime, templates are used with archetypes to create data and to control its modification. Tem</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>plate design is usually strongly linked to the design of corresponding screen forms. </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2793">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>1.6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Tools </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:702px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Various tools exist for creating and processing templates. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR tools are available in source and binary form from the website (</SPAN
+><A href="http://www.openEHR.org">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.openEHR.org</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>). </SPAN
+></P>
+<P style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_2660">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 13 Mar 2007 </SPAN
+></A>
+<A href="#LinkTarget_3128">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 8 of 19 </SPAN
+></A>
+<A href="#LinkTarget_2533">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<P style="line-height:15px">
+<A href="#LinkTarget_2644">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2005-2007 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</DIV>
+<P style="text-align:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_2525">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Template Object Model (TOM) </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Template Object Model Rev </SPAN
+><A href="#LinkTarget_2657">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H2 ID="LinkTarget_2812">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:18pt; font-weight:bold; color:#000000"
+>The Template Object Model </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2814">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Design Background </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>An underpinning principle of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR is the use of archetypes and templates, which are formal models of domain concepts controlling data structure and content of data. The elements of this archi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>tecture are twofold. </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:4px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Reference Model (RM), defining the structure and semantics of information. </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:7px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Archetype Model (AM), defining the structure and semantics of archetypes and templates. The AM consists of the archetype language definition language (ADL), the Archetype Object Model (AOM), the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Archetype profile (OAP), and the Template Object Model (TOM). </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:24px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>This document describes the Template Object Model, which is used with the Archetype Object Model as a basis for archetype-processing software. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2828">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Package Structure </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>template</SPAN
+><A href="#LinkTarget_2844">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> package is illustrated in FIGURE 1. </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<P style="text-align:left; margin-bottom:24px; margin-left:13px">
+<SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:bold; font-stretch:semi-condensed; color:#95B5B8"
+>am </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:bold; font-stretch:semi-condensed; color:#95B5B8"
+>openehr_profile</SPAN
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:bold; font-stretch:semi-condensed; color:#95B5B8"
+>archetype </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<DIV class="Sect">
+<P style="text-align:left; margin-left:57px; text-indent:-25px; line-height:29px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:bold; font-stretch:semi-condensed; color:#0000FF"
+>templat</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:bold; font-stretch:semi-condensed; color:#0000FF"
+>e 
+</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:bold; font-stretch:semi-condensed; color:#0000FF"
+>template_spe</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:bold; font-stretch:semi-condensed; color:#0000FF"
+>c 
+</SPAN
+></P>
+<P style="text-align:left; margin-bottom:20px; margin-left:196px; line-height:29px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:bold; font-stretch:semi-condensed; color:#0000FF"
+>operational_template </SPAN
+></P>
+<IMG width=384 height=280 style="display:block; float:none; margin-bottom:15px" src="images/tom_img_2.png">
+<P style="margin-bottom:15px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>FIGURE 1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>openehr.am.template Package in context </SPAN
+></P>
+</DIV>
+<P style="text-align:justify; margin-bottom:102px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Two forms of templates are used in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR. The form created by template design tools is known as the ‘specification’ form, since it specifies the contents of a template using references to archetypes and other additions. The specification form is defined in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>am.template.template_spec</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> package. The second form is the ‘operational’ form, created by processing a template specification so as to par</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>tially pre-populate terminology value sets, expand out references to other templates and archetypes, and create runtime structures that representing other aspects of the specification. The operational form is specified in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>operational_template</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> package. </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:508px; text-indent:-507px">
+<A href="#LinkTarget_2533">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+<A href="#LinkTarget_3128">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 9 of 1</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>9 	</SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue: </SPAN
+><A href="#LinkTarget_2660">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>13 Mar 2007 </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2005-2007 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</DIV>
+<P style="text-align:justify; margin-bottom:959px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Template Object Model </SPAN
+><A href="#LinkTarget_2525">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Template Object Model (TOM) </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2657">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+<P style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_2660">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 13 Mar 2007 </SPAN
+></A>
+<A href="#LinkTarget_3128">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 10 of 19 </SPAN
+></A>
+<A href="#LinkTarget_2533">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<P style="line-height:15px">
+<A href="#LinkTarget_2644">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2005-2007 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</DIV>
+<P style="text-align:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_2525">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Template Object Model (TOM) </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Template_spec Package Rev </SPAN
+><A href="#LinkTarget_2657">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H2 ID="LinkTarget_2875">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:18pt; font-weight:bold; color:#000000"
+>The Template_spec Package </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2877" style="text-align:left">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>3.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Overview </SPAN
+></H3>
+<DIV class="Sect">
+<P style="text-align:justify; margin-bottom:841px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#FF00FF"
+>To Be Continued: </SPAN
+></P>
+</DIV>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_2533">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+<A href="#LinkTarget_3128">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 11 of 19 </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue: </SPAN
+><A href="#LinkTarget_2660">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>13 Mar 2007 </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2005-2007 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</DIV>
+<P style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#95B5B8"
+>AUTHORED_RESOURC</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#95B5B8"
+>E </SPAN
+></P>
+<IMG width=483 height=961 style="display:block; float:none; margin-bottom:37px" src="images/tom_img_3.png">
+<P>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>FIGURE 2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>The openehr.am.template.template_spec Package </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_2525">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Template Object Model (TOM) </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Template_spec Package Rev </SPAN
+><A href="#LinkTarget_2657">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2898" style="text-align:left">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>3.1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>Example </SPAN
+></H3>
+<P style="text-align:left; margin-left:38px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>(TEMPLATE_SPEC) &lt;</SPAN
+></P>
+<P style="text-align:left; margin-left:96px; text-indent:-23px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>definition = &lt; archetype_id = &lt;openEHR-EHR-COMPOSITION.report.v1&gt;slot_specs = &lt;</SPAN
+></P>
+<P style="text-align:left; margin-left:144px; text-indent:-23px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>[“/content”] = </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+><
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>path = &lt;/content</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>>
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>fillers = </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>< 
+</SPAN
+></P>
+<DIV class="Sect">
+<P style="text-align:left; margin-left:192px; text-indent:-23px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>[“findings”] = &lt;archetype_id = &lt;openEHR-EHR-SECTION.findings.v1&gt;slot_specs = &lt;</SPAN
+></P>
+<P style="text-align:left; margin-right:280px; margin-left:240px; text-indent:-23px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>[“items”] = &lt;path = &lt;items&gt;fillers = &lt; </SPAN
+></P>
+<P style="text-align:left; margin-left:288px; text-indent:-23px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>[“histology”] = &lt;cardinality = &lt;min = &lt;1&gt; max = &lt;1&gt;&gt;archetype_id = &lt;openEHR-EHR</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+></SPAN
+></P>
+</DIV>
+<P style="text-align:; margin-right:248px; margin-left:240px; text-indent:168px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>OBSERVATION.histology.v1&gt; &gt; &gt; &gt; </SPAN
+></P>
+<DIV class="Sect">
+<P style="text-align:left; margin-left:168px; text-indent:24px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>> 
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>> 
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>[“summary”] = </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+><
+</SPAN
+></P>
+<P style="text-align:left; margin-right:64px; margin-left:192px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>archetype_id = &lt;openEHR-EHR-SECTION.summary.v1&gt;slot_specs = &lt;</SPAN
+></P>
+<P style="text-align:left; margin-right:280px; margin-left:240px; text-indent:-23px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>[“items”] = &lt;path = &lt;items&gt;fillers = &lt; </SPAN
+></P>
+<P style="text-align:left; margin-right:120px; margin-left:288px; text-indent:-23px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>[“clinical_synopsis”] = &lt;archetype_id = &lt;openEHR-EHR</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+></SPAN
+></P>
+<P style="text-align:left; margin-left:264px; text-indent:72px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>EVALUATION.clinical_synopsis.v1&gt; &gt; [“problem-diagnosis-histological”] = &lt;</SPAN
+></P>
+<P style="text-align:left; margin-right:64px; margin-left:336px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>archetype_id = &lt;openEHR-EHR</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>EVALUATION.problem-diagnosis</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>histological.v1&gt;</SPAN
+></P>
+<P style="text-align:left; margin-right:32px; margin-left:312px; text-indent:-23px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>path_specs = &lt;path = &lt;/data[at0001]/items[at0031]&gt;</SPAN
+></P>
+</DIV>
+<P style="text-align:; margin-right:366px; margin-left:240px; text-indent:-23px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>[1]</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+> = &lt;cardinality = &lt;max = &lt;0&gt;&gt; &gt; &gt; &gt; &gt; &gt; &gt; &gt; &gt; &gt; &gt; </SPAN
+></P>
+<DIV class="Sect">
+<P style="text-align:left; margin-bottom:15px; margin-left:38px; text-indent:34px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>> 
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>> 
+</SPAN
+></P>
+</DIV>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2931" style="text-align:left; margin-bottom:40px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>3.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Class Definitions </SPAN
+></H3>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_2533">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+<A href="#LinkTarget_3128">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 13 of 19 </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue: </SPAN
+><A href="#LinkTarget_2660">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>13 Mar 2007 </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2005-2007 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</DIV>
+<P style="text-align:justify; margin-bottom:15px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Template_spec Package </SPAN
+><A href="#LinkTarget_2525">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Template Object Model (TOM) </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2657">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_2947" style="text-align:justify; margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>3.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>TEMPLATE_SPEC Class </SPAN
+></P>
+<TABLE style="margin-bottom:657px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#C8FF5D; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#C8FF5D; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>TEMPLATE_SPEC </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#C8FF5D; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="text-align:left; vertical-align:top; width:538px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#C8FF5D; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="text-align:left; vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#C8FF5D; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Abstract </SPAN
+></TD>
+<TD style="text-align:left; width:232px; height:35px; background-color:#C8FF5D; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:306px; height:35px; background-color:#C8FF5D; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#C8FF5D; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="text-align:left; vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>template_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>ARCHETYPE_ID </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:306px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#C8FF5D; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="text-align:left; vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px"/>
+<TD style="text-align:center; vertical-align:top; width:306px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#C8FF5D; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="text-align:left; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>xx</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>x </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_2660">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 13 Mar 2007 </SPAN
+></A>
+<A href="#LinkTarget_3128">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 14 of 19 </SPAN
+></A>
+<A href="#LinkTarget_2533">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<P style="line-height:15px">
+<A href="#LinkTarget_2644">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2005-2007 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</DIV>
+<P style="text-align:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_2525">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Template Object Model (TOM) </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Operational_template Package Rev </SPAN
+><A href="#LinkTarget_2657">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H2 ID="LinkTarget_2988">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:18pt; font-weight:bold; color:#000000"
+>The Operational_template Package </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2990" style="text-align:left">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>4.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Overview </SPAN
+></H3>
+<DIV class="Sect">
+<P style="text-align:justify; margin-bottom:52px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#FF00FF"
+>To Be Continued: </SPAN
+></P>
+</DIV>
+<IMG width=607 height=127 style="display:block; float:none; margin-bottom:33px" src="images/tom_img_4.png">
+<TABLE style="margin-bottom:21px">
+<TR>
+<TH colspan=2 style="width:544px; height:34px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>FIGURE 3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>The openehr.am.template.operational_template Package </SPAN
+></TH>
+</TR>
+<TR>
+<TH ID="LinkTarget_2998" style="vertical-align:middle; width:49px; height:49px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>4.2 </SPAN
+></TH>
+<TD style="text-align:left; width:495px; height:49px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Class Definitions </SPAN
+></TD>
+</TR>
+<TR>
+<TH ID="LinkTarget_3001" style="vertical-align:bottom; width:49px; height:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>4.2.1 </SPAN
+></TH>
+<TD style="text-align:left; vertical-align:bottom; width:495px; height:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>TEMPLATE Class </SPAN
+></TD>
+</TR>
+</TABLE>
+<TABLE style="margin-bottom:260px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#C8FF5D; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#C8FF5D; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>TEMPLATE </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#C8FF5D; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="text-align:left; vertical-align:top; width:538px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#C8FF5D; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="text-align:left; vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#C8FF5D; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Abstract </SPAN
+></TD>
+<TD style="text-align:left; width:232px; height:35px; background-color:#C8FF5D; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:307px; height:35px; background-color:#C8FF5D; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#C8FF5D; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="text-align:left; vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>template_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>TEMPLATE_ID </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:307px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#C8FF5D; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="text-align:left; vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px"/>
+<TD style="text-align:center; vertical-align:top; width:307px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#C8FF5D; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="text-align:left; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>xx</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>x </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_2533">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+<A href="#LinkTarget_3128">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 15 of 19 </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue: </SPAN
+><A href="#LinkTarget_2660">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>13 Mar 2007 </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2005-2007 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</DIV>
+<P style="text-align:justify; margin-bottom:959px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Operational_template Package </SPAN
+><A href="#LinkTarget_2525">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Template Object Model (TOM) </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2657">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+<P style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_2660">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 13 Mar 2007 </SPAN
+></A>
+<A href="#LinkTarget_3128">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 16 of 19 </SPAN
+></A>
+<A href="#LinkTarget_2533">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<P style="line-height:15px">
+<A href="#LinkTarget_2644">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2005-2007 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</DIV>
+<P style="text-align:justify">
+<A href="#LinkTarget_2525">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Template Object Model (TOM) </SPAN
+></A>
+</P>
+<P style="text-align:; margin-bottom:24px; margin-left:607px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2657">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H2 ID="LinkTarget_3057" style="margin-bottom:15px; margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:18pt; font-weight:bold; color:#000000"
+>A References </SPAN
+></H2>
+<DIV class="Sect">
+<P style="text-align:left; margin-bottom:7px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Publications </SPAN
+></P>
+</DIV>
+<P style="text-align:left; margin-bottom:7px; margin-left:48px; text-indent:-47px; line-height:17px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>1 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Beale T. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Archetypes: Constraint-based Domain Models for Future-proof Information Systems</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>. OOPSLA 2002 workshop on behavioural semantics. Available at </SPAN
+><A href="http://www.deepthought.com.au/it/archetypes.html">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.deepthought.com.au/it/archetypes.html. </SPAN
+></A>
+</P>
+<P style="text-align:left; margin-bottom:7px; margin-right:12px; margin-left:48px; text-indent:-47px; line-height:17px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>2 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Beale T. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Archetypes: Constraint-based Domain Models for Future-proof Information Systems</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>. 2000. Available at </SPAN
+><A href="http://www.deepthought.com.au/it/archetypes.html">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.deepthought.com.au/it/archetypes.html</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:7px; margin-left:48px; text-indent:-47px; line-height:17px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>3 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Beale T, Heard S. The Archetype Definition Language (ADL). See </SPAN
+><A href="http://www.openehr.org/repositories/spec-dev/latest/publishing/architecture/archetypes/language/ADL/REV_HIST.html">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.openehr.org/re</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<A href="http://www.openehr.org/repositories/spec-dev/latest/publishing/architecture/archetypes/language/ADL/REV_HIST.html">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>positories/spec-dev/latest/publishing/architecture/archetypes/lan</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<A href="http://www.openehr.org/repositories/spec-dev/latest/publishing/architecture/archetypes/language/ADL/REV_HIST.html">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>guage/ADL/REV_HIST.html</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></A>
+</P>
+<P style="text-align:left; margin-bottom:7px; margin-left:48px; text-indent:-47px; line-height:17px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>4 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Heard S, Beale T. Archetype Definitions and Principles. See </SPAN
+><A href="http://www.openehr.org/repositories/spec-dev/latest/publishing/architecture/archetypes/principles/REV_HIST.html">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.openehr.org/reposi</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<A href="http://www.openehr.org/repositories/spec-dev/latest/publishing/architecture/archetypes/principles/REV_HIST.html">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>tories/spec-dev/latest/publishing/architecture/archetypes/princi</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<A href="http://www.openehr.org/repositories/spec-dev/latest/publishing/architecture/archetypes/principles/REV_HIST.html">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>ples/REV_HIST.html</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></A>
+</P>
+<P style="text-align:left; margin-bottom:7px; margin-left:48px; text-indent:-47px; line-height:17px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>5 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Heard S, Beale T. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>The openEHR Archetype System</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>. See </SPAN
+><A href="http://www.openehr.org/repositories/spec-dev/latest/publishing/architecture/archetypes/system/REV_HIST.html">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.openehr.org/reposito-</SPAN
+></A>
+<A href="http://www.openehr.org/repositories/spec-dev/latest/publishing/architecture/archetypes/system/REV_HIST.html">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>ries/spec-dev/latest/publishing/architecture/archetypes/system/REV_HIST.ht</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<SPAN style="text-decoration:underline"
+><A href="http://www.openehr.org/repositories/spec-dev/latest/publishing/architecture/archetypes/system/REV_HIST.html">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>ml</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<DIV class="Sect">
+<H4 style="margin-bottom:7px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Resources </SPAN
+></H4>
+</DIV>
+<P style="text-align:left; margin-bottom:540px; margin-right:41px; margin-left:48px; text-indent:-47px; line-height:18px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>6 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR. EHR Reference Model. See </SPAN
+><A href="http://www.openehr.org/repositories/spec-dev/latest/publishing/architecture/top.html">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.openehr.org/repositories/spec</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<A href="http://www.openehr.org/repositories/spec-dev/latest/publishing/architecture/top.html">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>dev/latest/publishing/architecture/top.html</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></A>
+</P>
+<P style="margin-bottom:15px; margin-left:288px; text-indent:-287px">
+<A href="#LinkTarget_2533">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>} 	</SPAN
+></A>
+<A href="#LinkTarget_3128">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 17 of 19 </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue: </SPAN
+><A href="#LinkTarget_2660">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>13 Mar 2007 </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2005-2007 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="margin-bottom:487px">
+<A href="#LinkTarget_2525">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Template Object Model (TOM) </SPAN
+></A>
+</P>
+</DIV>
+<P style="margin-bottom:959px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2657">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+<P style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_2660">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 13 Mar 2007 </SPAN
+></A>
+<A href="#LinkTarget_3128">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 18 of 19 </SPAN
+></A>
+<A href="#LinkTarget_2533">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<P style="line-height:15px">
+<A href="#LinkTarget_2644">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2005-2007 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</DIV>
+<P style="text-align:left">
+<A href="#LinkTarget_2525">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Template Object Model (TOM) </SPAN
+></A>
+</P>
+<P style="margin-bottom:33px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2657">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<P style="margin-bottom:608px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>END OF DOCUMEN</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>T 
+</SPAN
+></P>
+</DIV>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_2533">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard} </SPAN
+></A>
+<A href="#LinkTarget_3127">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 19 of 19 </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_2660">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 13 Mar 2007 </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>© 2005-2007 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</DIV>
+</DIV>
+</DIV>
+</BODY>
+</HTML>
